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Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review

Introduction A large number of patients undergoing total knee (TKA) and hip (THA) arthroplasties are of working age at the time these procedures are performed. The objective of this study was to systematically review literature on the beneficial and limiting factors affecting return to work in patie...

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Autores principales: Kuijer, P. P. F. M., de Beer, M. J. P. M., Houdijk, J. H. P., Frings-Dresen, M. H. W.
Formato: Texto
Lenguaje:English
Publicado: Springer US 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2775121/
https://www.ncbi.nlm.nih.gov/pubmed/19693656
http://dx.doi.org/10.1007/s10926-009-9192-1
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author Kuijer, P. P. F. M.
de Beer, M. J. P. M.
Houdijk, J. H. P.
Frings-Dresen, M. H. W.
author_facet Kuijer, P. P. F. M.
de Beer, M. J. P. M.
Houdijk, J. H. P.
Frings-Dresen, M. H. W.
author_sort Kuijer, P. P. F. M.
collection PubMed
description Introduction A large number of patients undergoing total knee (TKA) and hip (THA) arthroplasties are of working age at the time these procedures are performed. The objective of this study was to systematically review literature on the beneficial and limiting factors affecting return to work in patients undergoing TKA or THA. Method Pubmed and Embase were systematically searched to find studies that described factors that influence return to work (RTW) after surgery. The following inclusion criteria had to be met: (1) inclusion of patients with primary or revision TKA or THA; (2) description of return to work after surgery or employment status; and (3) description of a beneficial or restricting factor affecting return to work. Results Only three studies were found that fulfilled the three inclusion criteria. Three factors were discussed: (1) the mini-posterior approach compared to the two-incision approach; (2) patient movement restrictions after surgery compared to no restrictions; and (3) patient discharge based on guidelines compared to discharge without guidelines. Conclusions This systematic review revealed that knowledge is sparse regarding beneficial or limiting factors affecting return to work after TKA or THA. Despite that, the results suggests that the two-incision approach is beneficial, patient movement restrictions are limiting, and patient discharge guidelines have no effect on the time patients take to RTW.
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spelling pubmed-27751212009-11-16 Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review Kuijer, P. P. F. M. de Beer, M. J. P. M. Houdijk, J. H. P. Frings-Dresen, M. H. W. J Occup Rehabil Article Introduction A large number of patients undergoing total knee (TKA) and hip (THA) arthroplasties are of working age at the time these procedures are performed. The objective of this study was to systematically review literature on the beneficial and limiting factors affecting return to work in patients undergoing TKA or THA. Method Pubmed and Embase were systematically searched to find studies that described factors that influence return to work (RTW) after surgery. The following inclusion criteria had to be met: (1) inclusion of patients with primary or revision TKA or THA; (2) description of return to work after surgery or employment status; and (3) description of a beneficial or restricting factor affecting return to work. Results Only three studies were found that fulfilled the three inclusion criteria. Three factors were discussed: (1) the mini-posterior approach compared to the two-incision approach; (2) patient movement restrictions after surgery compared to no restrictions; and (3) patient discharge based on guidelines compared to discharge without guidelines. Conclusions This systematic review revealed that knowledge is sparse regarding beneficial or limiting factors affecting return to work after TKA or THA. Despite that, the results suggests that the two-incision approach is beneficial, patient movement restrictions are limiting, and patient discharge guidelines have no effect on the time patients take to RTW. Springer US 2009-08-20 2009 /pmc/articles/PMC2775121/ /pubmed/19693656 http://dx.doi.org/10.1007/s10926-009-9192-1 Text en © The Author(s) 2009 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
Kuijer, P. P. F. M.
de Beer, M. J. P. M.
Houdijk, J. H. P.
Frings-Dresen, M. H. W.
Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
title Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
title_full Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
title_fullStr Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
title_full_unstemmed Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
title_short Beneficial and Limiting Factors Affecting Return to Work After Total Knee and Hip Arthroplasty: A Systematic Review
title_sort beneficial and limiting factors affecting return to work after total knee and hip arthroplasty: a systematic review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2775121/
https://www.ncbi.nlm.nih.gov/pubmed/19693656
http://dx.doi.org/10.1007/s10926-009-9192-1
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