Return to Work After Surgery for Lumbar Disk Herniation: A Nationwide registry-based Study.

Journal

Spine
ISSN: 1528-1159
Titre abrégé: Spine (Phila Pa 1976)
Pays: United States
ID NLM: 7610646

Informations de publication

Date de publication:
01 Jul 2024
Historique:
received: 23 04 2024
accepted: 20 06 2024
medline: 1 7 2024
pubmed: 1 7 2024
entrez: 1 7 2024
Statut: aheadofprint

Résumé

An observational registry-based study. We investigated the long-term patterns of sick leave among patients undergoing surgery for lumbar disk herniation using two nationwide databases to study the achievement of post-surgery return to work (RTW). The ability to RTW is increasingly recognized as an essential outcome measure for spine surgery. The study included 13,698 patients aged 18 to 60 on sick leave undergoing surgery for lumbar disk herniation from January 2007 through January 2019. Data from the Norwegian Registry for Spine Surgery (NORspine) and the Norwegian Labour and Welfare Administration (NAV) were linked. Certified sick leave around the time of surgery was assessed. The patients were further categorized according to the length of pre-surgery sick leave, and the rate of sustainable RTW for the different groups was compared using survival analysis. The association between successful surgical outcomes, defined by a 30% improvement in Oswestry Disability Index score, and achievement of sustainable RTW was analyzed using a logistic regression model. Two years after surgery, 76% of the patients had returned to work. Shorter pre-surgery sick leave was associated with a higher proportion and rate of achieved sustainable RTW: Among patients with sick leave of less than 30 days, a total of 99% achieved sustainable RTW (median 46 d); only 40% of patients with longer-lasting work assessment allowance achieved the same goal within two years. Successful surgical outcomes were associated with sustainable RTW for all patient groups, but the impact of surgical success on RTW declined as sick leave extended beyond 180 days. Most patients had returned to work two years after lumbar disk herniation surgery. Shorter pre-surgery sick leave was associated with achieving faster and more sustainable RTW. Successful surgical outcomes had less impact on patients with extended sick leave. III.

Sections du résumé

STUDY DESIGN METHODS
An observational registry-based study.
OBJECTIVE OBJECTIVE
We investigated the long-term patterns of sick leave among patients undergoing surgery for lumbar disk herniation using two nationwide databases to study the achievement of post-surgery return to work (RTW).
SUMMARY OF BACKGROUND DATA BACKGROUND
The ability to RTW is increasingly recognized as an essential outcome measure for spine surgery.
METHODS METHODS
The study included 13,698 patients aged 18 to 60 on sick leave undergoing surgery for lumbar disk herniation from January 2007 through January 2019. Data from the Norwegian Registry for Spine Surgery (NORspine) and the Norwegian Labour and Welfare Administration (NAV) were linked. Certified sick leave around the time of surgery was assessed. The patients were further categorized according to the length of pre-surgery sick leave, and the rate of sustainable RTW for the different groups was compared using survival analysis. The association between successful surgical outcomes, defined by a 30% improvement in Oswestry Disability Index score, and achievement of sustainable RTW was analyzed using a logistic regression model.
RESULTS RESULTS
Two years after surgery, 76% of the patients had returned to work. Shorter pre-surgery sick leave was associated with a higher proportion and rate of achieved sustainable RTW: Among patients with sick leave of less than 30 days, a total of 99% achieved sustainable RTW (median 46 d); only 40% of patients with longer-lasting work assessment allowance achieved the same goal within two years. Successful surgical outcomes were associated with sustainable RTW for all patient groups, but the impact of surgical success on RTW declined as sick leave extended beyond 180 days.
CONCLUSION CONCLUSIONS
Most patients had returned to work two years after lumbar disk herniation surgery. Shorter pre-surgery sick leave was associated with achieving faster and more sustainable RTW. Successful surgical outcomes had less impact on patients with extended sick leave.
LEVEL OF EVIDENCE METHODS
III.

Identifiants

DOI: 10.1097/BRS.0000000000005082 PMID: 38949248
pubmed: 38949248
doi: 10.1097/BRS.0000000000005082
pii: 00007632-990000000-00716
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Authors have no conflict of interest to declare.

Auteurs

Sozaburo Hara (S)

Department of Neurosurgery, St. Olav's University Hospital, Trondheim, Norway.
Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.

Lene Aasdahl (L)

Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Unicare Helsefort Rehabilitation Centre, Rissa, Norway.

Øyvind Salvesen (Ø)

Unit for Applied Clinical Research, Norwegian University of Science and Technology, Trondheim, Norway.

Tore Solberg (T)

Department of Neurosurgery, University Hospital of Northern Norway, Tromsø, Norway.
Norwegian Registry for Spine Surgery (NORspine), Tromsø, Norway.

Sasha Gulati (S)

Department of Neurosurgery, St. Olav's University Hospital, Trondheim, Norway.
Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
National Advisory Board for Spinal Surgery, St. Olav's University Hospital, Trondheim, Norway.

Karen Walseth Hara (KW)

Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Norwegian Labour and Welfare Administration (NAV) Trøndelag, Trondheim, Norway.

Classifications MeSH