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Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective

BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70–80%of TKA patients return to work within three to six months. OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA? METHODS: Focus groups were fo...

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Autores principales: Pahlplatz, T.M.J., Schafroth, M.U., Krijger, C., Hylkema, T.H., van Dijk, C.N., Frings-Dresen, M.H.W., Kuijer, P.P.F.M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8385499/
https://www.ncbi.nlm.nih.gov/pubmed/34180460
http://dx.doi.org/10.3233/WOR-213522
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author Pahlplatz, T.M.J.
Schafroth, M.U.
Krijger, C.
Hylkema, T.H.
van Dijk, C.N.
Frings-Dresen, M.H.W.
Kuijer, P.P.F.M.
author_facet Pahlplatz, T.M.J.
Schafroth, M.U.
Krijger, C.
Hylkema, T.H.
van Dijk, C.N.
Frings-Dresen, M.H.W.
Kuijer, P.P.F.M.
author_sort Pahlplatz, T.M.J.
collection PubMed
description BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70–80%of TKA patients return to work within three to six months. OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA? METHODS: Focus groups were formed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Three major topics were explored: 1. What was beneficial for RTW after TKA; 2. What was limiting for RTW after TKA; and 3. What additional care would benefit RTW after TKA? RESULTS: Data saturation was reached after four focus groups, comprising 17 participants—nine men and eight women (median age 58, range 52–65). The focus group study identified four main themes that contributed to a successful RTW namely rehabilitation (medical) like post-operative physical therapy, patient characteristics (personal), like motivation to RTW, occupational characteristics (work-related) like build-up in work tasks and medical support (medical) like availability of a walker or crutches. CONCLUSION: According to participants, factors within the following four themes can contribute to a successful return to work: occupational, patient, rehabilitation and medical care. Incorporating these factors into the integrated care pathway for the “young” TKA patients may increase the chances of a successful RTW.
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spelling pubmed-83854992021-09-09 Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective Pahlplatz, T.M.J. Schafroth, M.U. Krijger, C. Hylkema, T.H. van Dijk, C.N. Frings-Dresen, M.H.W. Kuijer, P.P.F.M. Work Research Article BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70–80%of TKA patients return to work within three to six months. OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA? METHODS: Focus groups were formed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Three major topics were explored: 1. What was beneficial for RTW after TKA; 2. What was limiting for RTW after TKA; and 3. What additional care would benefit RTW after TKA? RESULTS: Data saturation was reached after four focus groups, comprising 17 participants—nine men and eight women (median age 58, range 52–65). The focus group study identified four main themes that contributed to a successful RTW namely rehabilitation (medical) like post-operative physical therapy, patient characteristics (personal), like motivation to RTW, occupational characteristics (work-related) like build-up in work tasks and medical support (medical) like availability of a walker or crutches. CONCLUSION: According to participants, factors within the following four themes can contribute to a successful return to work: occupational, patient, rehabilitation and medical care. Incorporating these factors into the integrated care pathway for the “young” TKA patients may increase the chances of a successful RTW. IOS Press 2021-07-16 /pmc/articles/PMC8385499/ /pubmed/34180460 http://dx.doi.org/10.3233/WOR-213522 Text en © 2021 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Pahlplatz, T.M.J.
Schafroth, M.U.
Krijger, C.
Hylkema, T.H.
van Dijk, C.N.
Frings-Dresen, M.H.W.
Kuijer, P.P.F.M.
Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective
title Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective
title_full Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective
title_fullStr Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective
title_full_unstemmed Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective
title_short Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective
title_sort beneficial and limiting factors in return to work after primary total knee replacement: patients’ perspective
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8385499/
https://www.ncbi.nlm.nih.gov/pubmed/34180460
http://dx.doi.org/10.3233/WOR-213522
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