Influence of Occupational Hand Force Requirements on Return to Work, Pain, and Disability After Trapeziometacarpal Total Joint Arthroplasty: A 12-Month Follow-Up Study

Lone Kirkeby; Poul Frost; Torben Bæk Hansen; Susanne Wulff Svendsen

doi:10.1016/j.jhsa.2021.01.016

Influence of Occupational Hand Force Requirements on Return to Work, Pain, and Disability After Trapeziometacarpal Total Joint Arthroplasty: A 12-Month Follow-Up Study

Lone Kirkeby^*, Poul Frost, Torben Bæk Hansen, Susanne Wulff Svendsen

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

Purpose: We aimed to determine the prognosis after trapeziometacarpal total joint arthroplasty for basal thumb osteoarthritis with respect to sustainable return to work (RTW), pain, and disability. Our main hypothesis was that high occupational hand force requirements are related to slower RTW. Methods: We conducted a 12-month follow-up study of patients who were treated with a trapeziometacarpal total joint arthroplasty in 2003 to 2015 and were active in the labor market at the time of surgery. We used registry information about RTW. Before surgery and at the 12-month follow-up, we obtained data on pain and disability. To obtain estimates of occupational hand force requirements for individual patients, we linked the patients’ self-reported job title to a job exposure matrix based on experts’ ratings. We used Cox regression models to analyze the time until sustainable RTW and logistic regression models to analyze pain and disability. Results: A total of 133 patients were included. Most patients returned to work within 12 months after surgery (86%). For those who returned to work within 12 months (n = 114), mean time until sustainable RTW was 14 weeks (SD, 9 weeks). Higher hand force requirements were associated with slower RTW (for medium- and high-force requirements, adjusted hazard ratios were 0.48 [95% confidence interval, 0.30–0.78] and 0.41 [95% confidence interval, 0.25-0.69]). Occupational hand force requirements were not associated with pain and disability at follow-up. Conclusions: High occupational hand force requirements were associated with slower RTW, but not with pain and disability 12 months after surgery. Type of study/level of evidence: Prognostic I.

Original language	English
Journal	Journal of Hand Surgery
Volume	46
Issue	8
Pages (from-to)	714.e1-714.e10
Number of pages	10
ISSN	0363-5023
DOIs	https://doi.org/10.1016/j.jhsa.2021.01.016
Publication status	Published - Aug 2021

Keywords

Basal thumb osteoarthritis
grip strength
job exposure matrix
prognosis
QuickDASH

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10.1016/j.jhsa.2021.01.016

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@article{0ebe63905a164d29877c316cd6f890de,

title = "Influence of Occupational Hand Force Requirements on Return to Work, Pain, and Disability After Trapeziometacarpal Total Joint Arthroplasty: A 12-Month Follow-Up Study",

abstract = "Purpose: We aimed to determine the prognosis after trapeziometacarpal total joint arthroplasty for basal thumb osteoarthritis with respect to sustainable return to work (RTW), pain, and disability. Our main hypothesis was that high occupational hand force requirements are related to slower RTW. Methods: We conducted a 12-month follow-up study of patients who were treated with a trapeziometacarpal total joint arthroplasty in 2003 to 2015 and were active in the labor market at the time of surgery. We used registry information about RTW. Before surgery and at the 12-month follow-up, we obtained data on pain and disability. To obtain estimates of occupational hand force requirements for individual patients, we linked the patients{\textquoteright} self-reported job title to a job exposure matrix based on experts{\textquoteright} ratings. We used Cox regression models to analyze the time until sustainable RTW and logistic regression models to analyze pain and disability. Results: A total of 133 patients were included. Most patients returned to work within 12 months after surgery (86%). For those who returned to work within 12 months (n = 114), mean time until sustainable RTW was 14 weeks (SD, 9 weeks). Higher hand force requirements were associated with slower RTW (for medium- and high-force requirements, adjusted hazard ratios were 0.48 [95% confidence interval, 0.30–0.78] and 0.41 [95% confidence interval, 0.25-0.69]). Occupational hand force requirements were not associated with pain and disability at follow-up. Conclusions: High occupational hand force requirements were associated with slower RTW, but not with pain and disability 12 months after surgery. Type of study/level of evidence: Prognostic I.",

keywords = "Basal thumb osteoarthritis, grip strength, job exposure matrix, prognosis, QuickDASH",

author = "Lone Kirkeby and Poul Frost and Hansen, {Torben B{\ae}k} and Svendsen, {Susanne Wulff}",

year = "2021",

month = aug,

doi = "10.1016/j.jhsa.2021.01.016",

language = "English",

volume = "46",

pages = "714.e1--714.e10",

journal = "Journal of Hand Surgery",

issn = "0363-5023",

publisher = "W.B. Saunders Co.",

number = "8",

}

Influence of Occupational Hand Force Requirements on Return to Work, Pain, and Disability After Trapeziometacarpal Total Joint Arthroplasty: A 12-Month Follow-Up Study. / Kirkeby, Lone ; Frost, Poul ; Hansen, Torben Bæk et al.
In: Journal of Hand Surgery, Vol. 46, No. 8, 08.2021, p. 714.e1-714.e10.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Influence of Occupational Hand Force Requirements on Return to Work, Pain, and Disability After Trapeziometacarpal Total Joint Arthroplasty

T2 - A 12-Month Follow-Up Study

AU - Kirkeby, Lone

AU - Frost, Poul

AU - Hansen, Torben Bæk

AU - Svendsen, Susanne Wulff

PY - 2021/8

Y1 - 2021/8

N2 - Purpose: We aimed to determine the prognosis after trapeziometacarpal total joint arthroplasty for basal thumb osteoarthritis with respect to sustainable return to work (RTW), pain, and disability. Our main hypothesis was that high occupational hand force requirements are related to slower RTW. Methods: We conducted a 12-month follow-up study of patients who were treated with a trapeziometacarpal total joint arthroplasty in 2003 to 2015 and were active in the labor market at the time of surgery. We used registry information about RTW. Before surgery and at the 12-month follow-up, we obtained data on pain and disability. To obtain estimates of occupational hand force requirements for individual patients, we linked the patients’ self-reported job title to a job exposure matrix based on experts’ ratings. We used Cox regression models to analyze the time until sustainable RTW and logistic regression models to analyze pain and disability. Results: A total of 133 patients were included. Most patients returned to work within 12 months after surgery (86%). For those who returned to work within 12 months (n = 114), mean time until sustainable RTW was 14 weeks (SD, 9 weeks). Higher hand force requirements were associated with slower RTW (for medium- and high-force requirements, adjusted hazard ratios were 0.48 [95% confidence interval, 0.30–0.78] and 0.41 [95% confidence interval, 0.25-0.69]). Occupational hand force requirements were not associated with pain and disability at follow-up. Conclusions: High occupational hand force requirements were associated with slower RTW, but not with pain and disability 12 months after surgery. Type of study/level of evidence: Prognostic I.

AB - Purpose: We aimed to determine the prognosis after trapeziometacarpal total joint arthroplasty for basal thumb osteoarthritis with respect to sustainable return to work (RTW), pain, and disability. Our main hypothesis was that high occupational hand force requirements are related to slower RTW. Methods: We conducted a 12-month follow-up study of patients who were treated with a trapeziometacarpal total joint arthroplasty in 2003 to 2015 and were active in the labor market at the time of surgery. We used registry information about RTW. Before surgery and at the 12-month follow-up, we obtained data on pain and disability. To obtain estimates of occupational hand force requirements for individual patients, we linked the patients’ self-reported job title to a job exposure matrix based on experts’ ratings. We used Cox regression models to analyze the time until sustainable RTW and logistic regression models to analyze pain and disability. Results: A total of 133 patients were included. Most patients returned to work within 12 months after surgery (86%). For those who returned to work within 12 months (n = 114), mean time until sustainable RTW was 14 weeks (SD, 9 weeks). Higher hand force requirements were associated with slower RTW (for medium- and high-force requirements, adjusted hazard ratios were 0.48 [95% confidence interval, 0.30–0.78] and 0.41 [95% confidence interval, 0.25-0.69]). Occupational hand force requirements were not associated with pain and disability at follow-up. Conclusions: High occupational hand force requirements were associated with slower RTW, but not with pain and disability 12 months after surgery. Type of study/level of evidence: Prognostic I.

KW - Basal thumb osteoarthritis

KW - grip strength

KW - job exposure matrix

KW - prognosis

KW - QuickDASH

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U2 - 10.1016/j.jhsa.2021.01.016

DO - 10.1016/j.jhsa.2021.01.016

M3 - Journal article

C2 - 33781613

AN - SCOPUS:85103299436

SN - 0363-5023

VL - 46

SP - 714.e1-714.e10

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

IS - 8

ER -

Influence of Occupational Hand Force Requirements on Return to Work, Pain, and Disability After Trapeziometacarpal Total Joint Arthroplasty: A 12-Month Follow-Up Study

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