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[Return to work after elective hand surgery].

Joris S Teunissen1,2, Mark J W van der Oest1, J S Souer3

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Summary
This summary is machine-generated.

Return to work after hand and wrist surgery depends on the procedure and job type. Recovery times varied from 0-12 weeks, with lighter jobs allowing faster return to work (RTW).

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Area of Science:

  • Orthopedic Surgery
  • Occupational Health
  • Rehabilitation Medicine

Background:

  • Return to work (RTW) is vital after hand and wrist surgery due to the critical role of hand function in daily work.
  • Limited and inconsistent data exist on RTW timelines following common surgical interventions for hand and wrist conditions.
  • This study addresses the need for comprehensive data on RTW durations after various elective hand and wrist surgeries.

Purpose of the Study:

  • To analyze the median time to return to work (RTW) after 30 common elective surgical procedures for hand and wrist conditions.
  • To investigate the influence of surgical procedure type and physical job intensity on RTW timelines.

Main Methods:

  • A multicenter observational study utilizing routinely collected data from 15,727 employed patients undergoing hand or wrist surgery (2011-2021).
  • Return to work defined as resuming at least 50% (50%RTW) and 100% (100%RTW) of original working hours.
  • Median RTW times calculated using the inverse Kaplan-Meier method, stratified by surgery type and physical job intensity.

Main Results:

  • Significant variation in median return to work times was observed across different surgical procedures, ranging from 0 to 12 weeks.
  • Patients engaged in light physical work returned to their jobs 2-3 times faster compared to those with more physically demanding occupations.
  • Both the type of surgery and the physical demands of the job significantly impacted recovery duration.

Conclusions:

  • The findings underscore the critical interplay between surgical intervention specifics and occupational demands in determining return to work timelines.
  • This study provides valuable insights for patients, guiding expectations for recovery periods after hand and wrist surgery.
  • The data can inform policy-making and economic evaluations related to surgical treatment strategies for hand and wrist conditions.