Return to work after primary total hip arthroplasty: a nationwide cohort study

Authors

  • Raul Laasik Department of Orthopaedics and Trauma, Tampere University Hospital, Tampere, Finland
  • Petteri Lankinen Department of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, Finland
  • Mika Kivimäki Finnish Institute of Occupational Health, Helsinki, Finland; Clinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Department of Epidemiology and Public Health, University College London, London, UK
  • Ville Aalto Finnish Institute of Occupational Health, Helsinki, Finland
  • Mikhail Saltychev Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland
  • Keijo Mäkelä Department of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, Finland
  • Jussi Vahtera Department of Public Health, University of Turku, Turku, Finland

DOI:

https://doi.org/10.1080/17453674.2019.1591081

Abstract

Background and purpose — While the number of working-age patients undergoing total hip arthroplasty (THA) is increasing, the effect of the surgery on patients’ return to work (RTW) is not thoroughly studied. We aimed to identify risk factors of RTW after THA among factors related to demographic variables, general health, health risk behaviors, and socioeconomic status.

Patients and methods — We studied 408 employees from the Finnish Public Sector (FPS) cohort (mean age 54 years, 73% women) who underwent THA. Information on demographic and socioeconomic variables, preceding health, and health-risk behaviors was derived from linkage to national health registers and FPS surveys before the operation. The likelihood of return to work was examined using Cox proportional hazard modeling.

Results — 94% of the patients returned to work after THA on average after 3 months (10 days to 1 year) of sickness absence. The observed risk factors of successful return to work were: having < 30 sick leave days during the last year (HR 1.8; 95% CI 1.4–2.3); higher occupational position (HR 2.2; CI 1.6–2.9); and BMI < 30 (HR 1.4; CI 1.1–1.7). Age, sex, preceding health status, and health-risk behaviors
were not correlated with RTW after the surgery.

Interpretation — Most employees return to work after total hip arthroplasty. Obese manual workers with prolonged sick leave before the total hip replacement were at increased risk of not returning to work after the surgery.

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Published

2019-03-25

How to Cite

Laasik, R., Lankinen, . P., Kivimäki, M., Aalto, V., Saltychev, M., Mäkelä, K., & Vahtera, J. (2019). Return to work after primary total hip arthroplasty: a nationwide cohort study. Acta Orthopaedica, 90(3), 209–213. https://doi.org/10.1080/17453674.2019.1591081

Issue

Acta Orthopaedica, Volume 90, Issue 3 (2019)

Section

Articles

License

Copyright (c) 2019 Raul Laasik, Petteri Lankinen, Mika Kivimäki, Ville Aalto, Mikhail Saltychev, Keijo Mäkelä, Jussi Vahtera

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.
 
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