Factors associated with return to work after open reinsertion of the triangular fibrocartilage.
Blessures au poignet
Fibrocartilage triangulaire
Mesures des résultats déclarés par le patient
Patient-reported outcome measures
Reprise du travail
Return to work
Triangular fibrocartilage
Wrist injuries
Journal
Hand surgery & rehabilitation
ISSN: 2468-1210
Titre abrégé: Hand Surg Rehabil
Pays: France
ID NLM: 101681801
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
09
02
2021
revised:
07
03
2021
accepted:
27
03
2021
pubmed:
7
4
2021
medline:
2
4
2022
entrez:
6
4
2021
Statut:
ppublish
Résumé
The aim of this study was to assess return to work (RTW) after open Triangular Fibrocartilage Complex (TFCC) reinsertion. RTW after open surgery for TFCC injury was assessed by questionnaires at 6 weeks, 3 months, 6 months, and 12 months post-operatively. Median RTW time was assessed on inverted Kaplan-Meier curves and hazard ratios were calculated with Cox regression models. 310 patients with a mean age of 38 years were included. By 1 year, 91% of the patients had returned to work, at a median 12 weeks (25%-75%: 6-20 weeks). Light physical labor (HR 3.74) was associated with RTW within the first 15 weeks; this association altered from 23 weeks onward: light (HR 0.59) or moderate physical labor (HR 0.25) was associated with lower RTW rates. Patients with poorer preoperative Patient-Rated Wrist Evaluation (PRWE) total score returned to work later (HR 0.91 per 10 points). Overall cost of loss of productivity per patient was €13,588. In the first year after open TFCC reinsertion, 91% of the patients returned to work, including 50% within 12 weeks. Factors associated with RTW were age, gender, work intensity, and PRWE score at baseline.
Identifiants
pubmed: 33823294
pii: S2468-1229(21)00101-8
doi: 10.1016/j.hansur.2021.03.012
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
405-412Investigateurs
R A M Blomme
(RAM)
B J R Sluijter
(BJR)
D J J C van der Avoort
(DJJC)
A Kroeze
(A)
J Smit
(J)
J Debeij
(J)
E T Walbeehm
(ET)
G M van Couwelaar
(GM)
G M Vermeulen
(GM)
J P de Schipper
(JP)
J F M Temming
(JFM)
J H van Uchelen
(JH)
H L de Boer
(HL)
K P de Haas
(KP)
K Harmsen
(K)
J S Souer
(JS)
O T Zöphel
(OT)
R Koch
(R)
T M Moojen
(TM)
X Smit
(X)
R van Huis
(R)
P Y Pennehouat
(PY)
K Schoneveld
(K)
Y E van Kooij
(YE)
R M Wouters
(RM)
J J Veltkamp
(JJ)
A Fink
(A)
W A de Ridder
(WA)
H P Slijper
(HP)
J Tsehaie
(J)
M C Janssen
(MC)
R Poelstra
(R)
P O Sun
(PO)
V J M M Schrier
(VJMM)
L Hoogendam
(L)
J Dekker
(J)
M Jansen-Landheer
(M)
M Ter Stege
(M)
Informations de copyright
Copyright © 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.