Cargando…
Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study
OBJECTIVES: There is strong evidence that social support is an important determinant of return to work (RTW). Little is known about the role of social support in RTW after total hip or knee arthroplasty (THA/TKA). Objective was to examine the influence of preoperative and postoperative perceived soc...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150170/ https://www.ncbi.nlm.nih.gov/pubmed/35623752 http://dx.doi.org/10.1136/bmjopen-2021-059225 |
_version_ | 1784717366691627008 |
---|---|
author | Kamp, Tamara Stevens, Martin Van Beveren, Jan Rijk, Paul C Brouwer, Reinoud Bulstra, Sjoerd Brouwer, Sandra |
author_facet | Kamp, Tamara Stevens, Martin Van Beveren, Jan Rijk, Paul C Brouwer, Reinoud Bulstra, Sjoerd Brouwer, Sandra |
author_sort | Kamp, Tamara |
collection | PubMed |
description | OBJECTIVES: There is strong evidence that social support is an important determinant of return to work (RTW). Little is known about the role of social support in RTW after total hip or knee arthroplasty (THA/TKA). Objective was to examine the influence of preoperative and postoperative perceived social support on RTW status 6 months postoperatively. DESIGN: A prospective multicentre cohort study was conducted. SETTING: Orthopaedic departments of four Dutch medical centres; a tertiary university hospital, two large teaching hospitals and a general hospital. PARTICIPANTS: Patients planned to undergo THA/TKA, aged 18–63 and employed preoperatively were included. MAIN OUTCOME MEASURES: Questionnaires were filled out preoperatively and 3 and 6 months postoperatively and included questions to assess patients’ perceived social support targeting three sources of social support: from home (friends, family), from work (coworkers, supervisors) and from healthcare (occupational physician, general practitioner, other caregivers). Control variables included age, gender, education, type of arthroplasty and comorbidities. RTW was defined as having fully returned to work 6 months postoperatively. Univariate and multivariate logistic regression analyses were conducted. RESULTS: Enrolled were 190 patients (n=77 THA, n=113 TKA, median age was 56 years, 56% women). The majority returned to work (64%). Preoperatively, social support from the occupational physician was associated with RTW (OR 2.53, 95% CI 1.15 to 5.54). Postoperatively, social support from the occupational physician (OR 3.04, 95% CI 1.43 to 6.47) and the supervisor (OR 2.56, 95% CI 1.08 to 6.06) was associated with RTW. CONCLUSIONS: This study underscores the importance of work-related social support originating from the occupational physician and supervisor in facilitating RTW after primary THA/TKA, both preoperatively and postoperatively. Further research is needed to confirm our results and to understand the facilitating role of social support in RTW, as arthroplasty is being performed on a younger population for whom work participation is critical. |
format | Online Article Text |
id | pubmed-9150170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-91501702022-06-16 Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study Kamp, Tamara Stevens, Martin Van Beveren, Jan Rijk, Paul C Brouwer, Reinoud Bulstra, Sjoerd Brouwer, Sandra BMJ Open Occupational and Environmental Medicine OBJECTIVES: There is strong evidence that social support is an important determinant of return to work (RTW). Little is known about the role of social support in RTW after total hip or knee arthroplasty (THA/TKA). Objective was to examine the influence of preoperative and postoperative perceived social support on RTW status 6 months postoperatively. DESIGN: A prospective multicentre cohort study was conducted. SETTING: Orthopaedic departments of four Dutch medical centres; a tertiary university hospital, two large teaching hospitals and a general hospital. PARTICIPANTS: Patients planned to undergo THA/TKA, aged 18–63 and employed preoperatively were included. MAIN OUTCOME MEASURES: Questionnaires were filled out preoperatively and 3 and 6 months postoperatively and included questions to assess patients’ perceived social support targeting three sources of social support: from home (friends, family), from work (coworkers, supervisors) and from healthcare (occupational physician, general practitioner, other caregivers). Control variables included age, gender, education, type of arthroplasty and comorbidities. RTW was defined as having fully returned to work 6 months postoperatively. Univariate and multivariate logistic regression analyses were conducted. RESULTS: Enrolled were 190 patients (n=77 THA, n=113 TKA, median age was 56 years, 56% women). The majority returned to work (64%). Preoperatively, social support from the occupational physician was associated with RTW (OR 2.53, 95% CI 1.15 to 5.54). Postoperatively, social support from the occupational physician (OR 3.04, 95% CI 1.43 to 6.47) and the supervisor (OR 2.56, 95% CI 1.08 to 6.06) was associated with RTW. CONCLUSIONS: This study underscores the importance of work-related social support originating from the occupational physician and supervisor in facilitating RTW after primary THA/TKA, both preoperatively and postoperatively. Further research is needed to confirm our results and to understand the facilitating role of social support in RTW, as arthroplasty is being performed on a younger population for whom work participation is critical. BMJ Publishing Group 2022-05-26 /pmc/articles/PMC9150170/ /pubmed/35623752 http://dx.doi.org/10.1136/bmjopen-2021-059225 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Occupational and Environmental Medicine Kamp, Tamara Stevens, Martin Van Beveren, Jan Rijk, Paul C Brouwer, Reinoud Bulstra, Sjoerd Brouwer, Sandra Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
title | Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
title_full | Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
title_fullStr | Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
title_full_unstemmed | Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
title_short | Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
title_sort | influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study |
topic | Occupational and Environmental Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150170/ https://www.ncbi.nlm.nih.gov/pubmed/35623752 http://dx.doi.org/10.1136/bmjopen-2021-059225 |
work_keys_str_mv | AT kamptamara influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy AT stevensmartin influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy AT vanbeverenjan influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy AT rijkpaulc influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy AT brouwerreinoud influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy AT bulstrasjoerd influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy AT brouwersandra influenceofsocialsupportonreturntoworkaftertotalhiportotalkneearthroplastyaprospectivemulticentrecohortstudy |