Which patients do not return to work after total knee arthroplasty?

• DOI: 10.1007/s00296-016-3512-5
• Publication Date: 2016-06-24T17:24:16Z
• Authors: P. Paul F. M. Kuijer; Arthur J. Kievit; Thijs M. J. Pahlp...; Truus Hooiveld; Marco J. M. Hooze...; Leendert Blankevoort; Matthias U. Schaf...; Rutger C. I. van ...; Monique H. W. Fri...
• Keywords: Adult; Employment; Male; 2. Zero hunger; Time Factors; Immunology; Middle Aged; Osteoarthritis, Knee; 03 medical and health sciences; Return to Work; Sex Factors; 0302 clinical medicine; Rheumatology; Risk Factors; Surveys and Questionnaires; Immunology and Allergy; Humans; Female; Public Health; Sick Leave; Arthroplasty, Replacement, Knee; 10. No inequality; Aged; Retrospective Studies

Total knee arthroplasty (TKA) is increasingly being performed among working patients suffering from osteoarthritis. Two out of ten do not return to work (RTW) after TKA. Little evidence available about these guide clinicians. Therefore, this study investigates patients' characteristics associated with no RTW. A multicenter retrospective cohort was having undergone a primary TKA during 2005–2010. The following preoperative were assessed: age at surgery, sex, comorbidity, body mass index (BMI), sick-leave duration, patient-reported work-relatedness symptoms, and physical job demands. In addition, the Knee injury Osteoarthritis Outcome Scores (KOOS) assessed. Backward stepwise logistic regression analyses predict Seven hundred sixty-four approached, 558 (73 %) responded. One sixty-seven met inclusion criteria 46 did duration >2 weeks (OR 12.5, 90 % CI 5.0–31.5) most strongly Other associations found were: female sex 3.2, 1.3–8.2), BMI ≥ 30 2.8, 1.1–7.1), symptoms 5.3, 2.0–14.1), physically knee-demanding 3.3, 1.2–8.9). Age KOOS Especially obese workers, weeks, who perform indicate that their are work-related have high chance for RTW These results stress importance more timely referral work-directed care risk