Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients?: A 12-Month Prospective Multicenter Cohort Study

Y van Zaanen; A J Kievit; R C I van Geenen; T M J Pahlplatz; M J M Hoozemans; L Blankevoort; M U Schafroth; D Haverkamp; T M J S Vervest; D H P W Das; V A Scholtes; A J van der Beek; P P F M Kuijer

doi:10.1007/s10926-022-10068-1

Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study

Y van Zaanen
, A J Kievit
, R C I van Geenen
, T M J Pahlplatz
, M J M Hoozemans
, L Blankevoort
, M U Schafroth
, D Haverkamp
, T M J S Vervest
, D H P W Das
, V A Scholtes
, A J van der Beek
, P P F M Kuijer

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

PURPOSE: The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS.

METHODS: A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding.

RESULTS: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62], including 95 women (52%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients' expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations.

CONCLUSIONS: Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients' preoperative expectations, are needed.

Original language	English
Pages (from-to)	267-276
Journal	Journal of Occupational Rehabilitation
Volume	33
Issue number	2
Early online date	9 Sept 2022
DOIs	https://doi.org/10.1007/s10926-022-10068-1
Publication status	Published - Jun 2023

Bibliographical note

Funding

We would like to thank all research assistants for their help in conducting this study. We also sincerely thank all patients who kindly participated in this study; without the information they provided, this study would not have been possible.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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Cite this

van Zaanen, Y., Kievit, A. J., van Geenen, R. C. I., Pahlplatz, T. M. J., Hoozemans, M. J. M., Blankevoort, L., Schafroth, M. U., Haverkamp, D., Vervest, T. M. J. S., Das, D. H. P. W., Scholtes, V. A., van der Beek, A. J., & Kuijer, P. P. F. M. (2023). Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study. Journal of Occupational Rehabilitation, 33(2), 267-276. https://doi.org/10.1007/s10926-022-10068-1

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title = "Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients?: A 12-Month Prospective Multicenter Cohort Study",

abstract = "PURPOSE: The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS.METHODS: A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding.RESULTS: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62], including 95 women (52\%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients' expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations.CONCLUSIONS: Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients' preoperative expectations, are needed.",

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van Zaanen, Y, Kievit, AJ, van Geenen, RCI, Pahlplatz, TMJ, Hoozemans, MJM, Blankevoort, L, Schafroth, MU, Haverkamp, D, Vervest, TMJS, Das, DHPW, Scholtes, VA, van der Beek, AJ & Kuijer, PPFM 2023, 'Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study', Journal of Occupational Rehabilitation, vol. 33, no. 2, pp. 267-276. https://doi.org/10.1007/s10926-022-10068-1

Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study. / van Zaanen, Y; Kievit, A J; van Geenen, R C I et al.
In: Journal of Occupational Rehabilitation, Vol. 33, No. 2, 06.2023, p. 267-276.

Research output: Contribution to Journal › Article › Academic › peer-review

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T1 - Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients?

T2 - A 12-Month Prospective Multicenter Cohort Study

AU - van Zaanen, Y

AU - Kievit, A J

AU - van Geenen, R C I

AU - Pahlplatz, T M J

AU - Hoozemans, M J M

AU - Blankevoort, L

AU - Schafroth, M U

AU - Haverkamp, D

AU - Vervest, T M J S

AU - Das, D H P W

AU - Scholtes, V A

AU - van der Beek, A J

AU - Kuijer, P P F M

PY - 2023/6

Y1 - 2023/6

N2 - PURPOSE: The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS.METHODS: A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding.RESULTS: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62], including 95 women (52%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients' expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations.CONCLUSIONS: Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients' preoperative expectations, are needed.

AB - PURPOSE: The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS.METHODS: A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding.RESULTS: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62], including 95 women (52%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients' expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations.CONCLUSIONS: Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients' preoperative expectations, are needed.

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van Zaanen Y, Kievit AJ, van Geenen RCI, Pahlplatz TMJ, Hoozemans MJM, Blankevoort L et al. Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study. Journal of Occupational Rehabilitation. 2023 Jun;33(2):267-276. Epub 2022 Sept 9. doi: 10.1007/s10926-022-10068-1