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Occhi Gómez B, Galvan Ortiz de Urbina M, López Ruiz de Salazar A, Alonso Benavente AJ, Rodrigo Alonso Á. Temporary work disability following trapezial resection and suspension arthroplasty for thumb carpometacarpal osteoarthritis. Rev Esp Cir Ortop Traumatol (Engl Ed) 2024:S1888-4415(24)00039-0. [PMID: 38246346 DOI: 10.1016/j.recot.2024.01.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 01/10/2024] [Accepted: 01/14/2024] [Indexed: 01/23/2024] Open
Abstract
PURPOSE The aim of this study is to assess the time to return to work (TRW) in patients undergoing trapezial resection using the Mini TightRope® system at our center and to investigate factors that might delay return to work following this surgery. MATERIAL AND METHODS A retrospective study was conducted on patients who underwent Trapezial resection and suspensionplasty using the Mini TightRope® system between 2015 and 2016, with a minimum one-year follow-up. Telephone interviews were conducted along with a review of medical records and radiology reports, as well as temporary work disability documents, collecting epidemiological and occupational data. Groups were compared based on age, gender, dominant hand, biomechanical occupational requirements of the patients, and whether they had experienced prior temporary work disability. RESULTS A total of 36 patients (29 women and 7 men) with an average age of 55.7 years were included. The median time to return to work was 126 days. Self-employed workers re-entered the workforce 72 days earlier on average; workers who had experienced prior temporary work disability had a greater total temporary work disability duration and took 91 days longer to return to work compared to those who had not. CONCLUSIONS Patients employed by others and those who had experienced prior temporary work disability before the surgery had longer temporary work disability periods. In our study, no differences were observed based on gender, dominant hand, or biomechanical work demands of the intervened patients.
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Affiliation(s)
- B Occhi Gómez
- Unidad de Mano, Servicio de Traumatología, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España; Unidad de Mano, Servicio de Traumatología, Mutua Universal, Hospital Nuestra Señora del Rosario, Madrid, España.
| | - M Galvan Ortiz de Urbina
- Unidad de Mano, Servicio de Traumatología, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España; Policlínica Dalí, Móstoles, Madrid, España
| | - A López Ruiz de Salazar
- Unidad de Mano, Servicio de Traumatología, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España
| | - A J Alonso Benavente
- Unidad de Mano, Servicio de Traumatología, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España
| | - Á Rodrigo Alonso
- Unidad de Mano, Servicio de Traumatología, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España
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Bratun U, Švajger A, Domajnko B, Kavčič M, Asaba E. Return to work among workers recovering from severe COVID-19 in Slovenia: a focus group study. Disabil Rehabil 2023; 45:3883-3892. [PMID: 36346003 DOI: 10.1080/09638288.2022.2142680] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Revised: 10/08/2022] [Accepted: 10/28/2022] [Indexed: 11/11/2022]
Abstract
PURPOSE For working age adults, return to work (RTW) after severe COVID-19 can be an essential component of rehabilitation. We explored the expectations and experiences related to RTW in a group of workers recovering from severe COVID-19 in Slovenia. MATERIALS AND METHODS Four focus groups were conducted between May 2021 and August 2021. Fifteen men and three women, aged between 39 and 65 years, participated. We analysed data using reflexive thematic analysis. RESULTS Four main themes were developed in the analysis, pertaining to (1) work identity, (2) challenges to work re-entry, (3) personal strengths and support systems, and (4) possible adaptations at work. The disruption of work triggered sentiments about its role in identity. Workers' personal agency and self-advocacy helped participants cope with various barriers that were beyond their control, such as physical limitations and lack of systematic routines to address RTW. Workers recovering from severe COVID-19 were at risk of developing negative expectations regarding their work re-entry. CONCLUSIONS RTW after severe COVID-19 involves different personal, organizational and systemic dimensions that need to be considered and carefully aligned. Due to the individuality of the process, the worker should be involved as a key partner in the RTW process.IMPLICATIONS FOR REHABILITATIONLack of clinical pathways can negatively impact return to work (RTW) after severe COVID-19.RTW processes should start early but timely and include individual follow up.Patients expect the interdisciplinary team of experts to work together and involve them in all phases of decision-making regarding their rehabilitation and RTW process.Positive expectations regarding work re-entry are essential for the RTW process.
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Affiliation(s)
- Urša Bratun
- Department of Occupational Therapy, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Andreja Švajger
- University Rehabilitation Institute Republic of Slovenia, Ljubljana, Slovenia
| | - Barbara Domajnko
- Department of Nursing, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Matic Kavčič
- Department of Nursing, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
- Centre for Welfare Studies, Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Eric Asaba
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society (NVS), Huddinge, Sweden
- Unit for Research, Development, and Education, Stockholm's Sjukhem Foundation, Stockholm, Sweden
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Popa AE, Akgüç M, Amir Z. Return to work following long term sickness absence: a comparative analysis of stakeholders' views and experiences in six European countries. JOURNAL OF OCCUPATIONAL REHABILITATION 2023; 33:213-225. [PMID: 36103064 DOI: 10.1007/s10926-022-10066-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
Purpose Return to work is a complex and challenging process which takes various forms in different contexts. The aim of this study is to explore and compare cross-country differences in stakeholders' experiences and views on actors, policies and practices relevant for return to work after long-term sickness absence. The comparative exploration is done in six countries with various legislative backgrounds, welfare and social dialogue systems. Methods Using a purposive sample, six multidisciplinary stakeholders group discussions were conducted in six countries: Belgium, Estonia, Ireland, Italy, Romania and Slovakia. A total of 51 individuals comprised of social partners, policymakers or representatives of public bodies and patient associations participated. An interpretative phenomenological analysis was employed to derive the most important themes in the discussions. Results Five major themes emerged from the group discussions. A graphic model is proposed to emphasize the variety of frameworks and processes across countries. Conclusions The core part of the return to work process is the dynamic relation between legislation, stakeholders and practices, which is influenced by broader national and societal factors. The cross-country variation in legislations, stakeholders and practices can be understood as a continuum, from low to high structuring, development and comprehensiveness. Although social dialogue appears to have a role in return to work process with variation across countries, it is not always on top of the agenda of social partners.
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Affiliation(s)
- Adela Elena Popa
- Faculty of Social Sciences and Humanities, Lucian Blaga University of Sibiu, Bdul Victoriei, 10, 550024, Sibiu, Romania.
| | - Mehtap Akgüç
- European Trade Union Institute (ETUI), Boulevard Roi Albert II 5, 1210, Brussels, Belgium
- Institute for Labor Economics (IZA), Schaumburg-Lippe-Stra?e 5-9, 53113, Bonn, Germany
| | - Ziv Amir
- Beth Johnson Foundation, 64 Princes Road Parkfield House Hartshill, Stoke-on-Trent Staffordshire, ST4 7JL, Stoke-on-Trent, England
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Sharpe K, Afshar T, St-Hilaire F, McLeod C. Return-to-Work After Work-Related Injury in the Construction Sector: A Scoping Review. JOURNAL OF OCCUPATIONAL REHABILITATION 2022; 32:664-684. [PMID: 35178661 DOI: 10.1007/s10926-022-10028-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/03/2022] [Indexed: 06/14/2023]
Abstract
Purpose Construction remains one of the most hazardous and disabling industries worldwide. This scoping review was completed to identify barriers and facilitators related to return-to-work (RTW) after work injury in the construction industry and gaps in the literature. Methods We searched ten databases from 1990 to 2020 for academic and grey literature. Two independent reviewers screened citations for inclusion. One team member charted the data and a second team member reviewed the coding. Articles were included if they identified any barriers or facilitators to RTW in the construction industry. The findings were synthesized into overarching themes. Results Our search identified 6706 articles for screening, with 22 articles included in the final sample. Three articles used qualitative methods, while the remaining articles were quantitative. The majority of articles were from North America and published in academic journals. Overall, findings are organized under seven main themes: worker sociodemographic characteristics; injury characteristics; worker motivation; workplace goodwill; modified work and disability management; work disability systems; and access to healthcare. Some barriers and facilitators are more relevant to the construction industry compared with the general working population. Conclusions: The findings suggest that accommodations are possible for this industry but barriers still exist in identifying suitable work. More research is needed to investigate the role of union involvement, work disability management systems, gender, and organizational characteristics, such as multiple worksites, in relation to RTW in the construction industry.
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Affiliation(s)
- Kimberly Sharpe
- Partnership for Work, Health and Safety, School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
| | - Tina Afshar
- Partnership for Work, Health and Safety, School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
| | - France St-Hilaire
- Business School, Université de Sherbrooke, 2500 de l'Université Boulevard, Sherbrooke, QC, J1K 2R1, Canada
| | - Christopher McLeod
- Partnership for Work, Health and Safety, School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada
- Institute for Work & Health, 400 University Avenue, Toronto, ON, M5G 1S5, Canada
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Teunissen JS, Feitz R, Al Shaer S, Hovius S, Selles RW, Van der Heijden B. Return to Usual Work Following an Ulnar Shortening Osteotomy: A Sample of 111 Patients. J Hand Surg Am 2022; 47:794.e1-794.e11. [PMID: 34511292 DOI: 10.1016/j.jhsa.2021.07.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 05/06/2021] [Accepted: 07/16/2021] [Indexed: 02/02/2023]
Abstract
PURPOSE The primary aim of this study was to analyze the median time until patients performed their usual work following an ulnar shortening osteotomy (USO). The secondary aim was to identify factors influencing the median time until return to their usual work. METHODS We used a retrospective cohort of patients with ongoing data collection from our institution in the Netherlands. Patients with paid employment who underwent USO were invited to complete a return-to-work questionnaire at 6 weeks, 3 months, 6 months, and 12 months after surgery. The probability of and median time until return to usual work were assessed using an inverted Kaplan-Meier analysis. Factors influencing the return to usual work were evaluated using multivariable Cox proportional hazard regression. RESULTS In total, 111 patients who underwent USO were included, with a mean age of 46 years. The probability of returning to usual work in the first year was 92%, and the median time was 12 weeks. The type of work was independently associated with a return to work, with median times of 8, 12, and 14 weeks for light, moderate, and heavy physical work, respectively. We did not find differences in return to usual work based on age, sex, duration of complaints until surgery, treatment side, smoking status, the preoperative Patient-Rated Wrist Evaluation score, or whether the osteotomy was performed freehand or with an external cutting device. CONCLUSIONS Half of the patients that underwent USO fully performed their usual work by 12 weeks following surgery. We found that 92% of the patients performed their usual work within 1 year after surgery. We found a large variation in the time until a return to work based on the type of work. Surgeons can use this data to inform patients on the rehabilitation phase after USO. TYPE OF STUDY/LEVEL OF EVIDENCE Prognostic IV.
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Affiliation(s)
- Joris Sebastiaan Teunissen
- Department of Plastic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands; Hand and Wrist Center, Xpert Clinic, Amsterdam, the Netherlands.
| | - Reinier Feitz
- Department of Plastic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands; Hand and Wrist Center, Xpert Clinic, Amsterdam, the Netherlands
| | - Sanharib Al Shaer
- Department of Plastic Surgery, Ziekenhuisgroep Twente, Almelo, the Netherlands
| | - Steven Hovius
- Department of Plastic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands; Hand and Wrist Center, Xpert Clinic, Amsterdam, the Netherlands
| | - Ruud W Selles
- Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands; Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, the Netherlands
| | | | - Brigitte Van der Heijden
- Department of Plastic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands; Department of Plastic Surgery, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, the Netherlands
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van der Oest MJW, Teunissen JS, Poelstra R, Feitz R, Burdorf A, Selles RW. Factors affecting return to work after surgical treatment of trapeziometacarpal joint osteoarthritis. J Hand Surg Eur Vol 2021; 46:979-984. [PMID: 33287620 PMCID: PMC8559178 DOI: 10.1177/1753193420978631] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
This study aimed to identify factors contributing to the timing of return to work after surgical treatment of trapeziometacarpal joint osteoarthritis and to calculate the costs of lost productivity. We included 627 patients with paid employment who underwent trapeziectomy and ligament reconstruction with tendon interposition. Time to return to work was measured through filling online questionnaires and analysed using survival analysis at 6 weeks and 3, 6 and 12 months after the surgery. Patients also filled in the Michigan Hand Outcomes Questionnaire. Costs of lost productivity were calculated using the human capital method. After 1 year, 78% of the patients returned to work. The median time to return to work was 12 weeks. Factors that significantly affected the time to return to work were occupational intensity (light, moderate or heavy physical labour), whether the dominant hand was treated and the Michigan Hand Outcomes Questionnaire work score and hand function score of the unoperated side at baseline. The costs of lost productivity were estimated at €11,000 on the patient level, resulting in €16.8 million on the Dutch population level per year.Level of evidence: II.
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Affiliation(s)
- Mark J. W. van der Oest
- Department of Plastic, Reconstructive and Hand
Surgery, Erasmus MC, Rotterdam, The Netherlands,Department of Rehabilitation Medicine, Erasmus
MC, Rotterdam, The Netherlands,Hand and Wrist Center, Xpert Clinic, The
Netherlands
| | - Joris S. Teunissen
- Department of Plastic, Reconstructive and Hand
Surgery, Erasmus MC, Rotterdam, The Netherlands,Department of Rehabilitation Medicine, Erasmus
MC, Rotterdam, The Netherlands,Plastic Surgery, Radboud University Medical
Centre, Nijmegen, The Netherlands,Joris S. Teunissen, Department of Plastic,
Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, Doctor Molewaterplein 40, 3015 GD
Rotterdam, The Netherlands.
| | - Ralph Poelstra
- Department of Plastic, Reconstructive and Hand
Surgery, Erasmus MC, Rotterdam, The Netherlands,Department of Rehabilitation Medicine, Erasmus
MC, Rotterdam, The Netherlands,Hand and Wrist Center, Xpert Clinic, The
Netherlands
| | - Reinier Feitz
- Hand and Wrist Center, Xpert Clinic, The
Netherlands
| | - Alex Burdorf
- Department of Public Health, Erasmus MC,
Rotterdam, The Netherlands
| | - Ruud W Selles
- Department of Plastic, Reconstructive and Hand
Surgery, Erasmus MC, Rotterdam, The Netherlands,Department of Rehabilitation Medicine, Erasmus
MC, Rotterdam, The Netherlands
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