Psychosocial Working Conditions Play an Important Role in the Return-to-Work Process After Total Knee and Hip Arthroplasty.
Tamara Kamp, Sandra Brouwer, Tjerk H Hylkema and 4 others
PMID 34581916WHAT IT FOUND
After knee or hip replacement, mainly physical or mixed physical-mental jobs were linked to longer time to return.
More job development, recognition, or supervisor leadership was linked to faster return; work adjustments were not linked.
Key findings
01For both knee and hip replacement patients, mainly physical jobs and combined physical-mental jobs were associated with longer time to return to work.
02Higher possibilities for job development and recognition were associated with shorter time to return after knee replacement, while higher quality of leadership was associated with shorter time after hip replacement.
03Receiving work adjustments was not associated with time to return to work in either group.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
All work conditions were self-reported, so recall and interpretation may affect the results. 48 of 246 patients (20%) dropped out by 12 months, although dropouts did not differ on baseline covariates. The outcome was only the first return to work, so later work absences after returning were not counted. Only work adjustments made before surgery were measured, so the study cannot tell whether adjustments made after surgery helped. It was an observational survey, so it shows associations, not that changing job development, recognition, leadership, or accommodations caused faster return. The final models were built by screening many factors with p <= 0.20 and removing variables stepwise, so the selected factors reflect this modelling process.
The easy way to misread this
Do not conclude that job development, recognition, supervisor leadership, or work adjustments will cause faster return. This was an observational survey of associations, and work adjustments were not associated with time to return.