Return to Work After Surgery For Trapeziometacarpal Joint Osteoarthritis in Relation to Occupational Hand Force Requirements

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

doi:10.1016/j.jhsa.2022.12.008

Return to Work After Surgery For Trapeziometacarpal Joint Osteoarthritis in Relation to Occupational Hand Force Requirements

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

^*Corresponding author for this work

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

Abstract

Purpose: This study evaluated the hypothesis that higher occupational hand force requirements are related to slower return to work (RTW) after surgery for trapeziometacarpal joint osteoarthritis. Methods: Patients treated surgically for trapeziometacarpal joint osteoarthritis from 2001 to 2017 were identified in the Danish National Patient Register. Sustainable RTW (sRTW) was defined as the first period of 4 consecutive weeks without health-related public transfer payments, according to the Danish National Register on Public Transfer Payments. Occupational codes from the Danish Employment Classification Module were linked to a hand-arm job exposure matrix to obtain occupational hand force requirements for each patient. Cox regression models were used to analyze time until sRTW in relation to hand force requirements with adjustment for age, sex, type of surgery, preoperative sick leave, and calendar year of surgery. Results: The study included 2,090 patients. Within 104 weeks, 91% sustainably returned to work. The percentage of individuals in the subgroups that did not RTW was 8% of low-force− and medium-force−exposed patients and 14% of high-force-exposed patients. Medium and high occupational hand force requirements were associated with slower sRTW. The adjusted hazard ratio for sRTW was 0.84 (95% confidence interval, 0.74–0.95) for medium and 0.59 (95% confidence interval, 0.50–0.68) for high compared with low hand force requirements. Among patients who returned to work, patients with medium and high hand force requirements had median periods until sRTW of 16 and 18 weeks, respectively, compared with 10 weeks among patients with low hand force requirements. Conclusions: The prognosis regarding RTW after surgery for trapeziometacarpal joint osteoarthritis is generally good, but patients with higher occupational hand force requirements can expect slower RTW. Type of study/level of evidence: Prognostic II.

Original language	English
Journal	Journal of Hand Surgery
Volume	48
Issue	4
Pages (from-to)	361-369
Number of pages	9
ISSN	0363-5023
DOIs	https://doi.org/10.1016/j.jhsa.2022.12.008
Publication status	Published - Apr 2023

Keywords

Job exposure matrix
prognosis
trapeziectomy
trapeziometacarpal total joint arthroplasty
Prognosis
Humans
Osteoarthritis/surgery
Upper Extremity
Return to Work
Hand

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10.1016/j.jhsa.2022.12.008

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@article{0b51b7c5c65d45f0a059696da2af096c,

title = "Return to Work After Surgery For Trapeziometacarpal Joint Osteoarthritis in Relation to Occupational Hand Force Requirements",

abstract = "Purpose: This study evaluated the hypothesis that higher occupational hand force requirements are related to slower return to work (RTW) after surgery for trapeziometacarpal joint osteoarthritis. Methods: Patients treated surgically for trapeziometacarpal joint osteoarthritis from 2001 to 2017 were identified in the Danish National Patient Register. Sustainable RTW (sRTW) was defined as the first period of 4 consecutive weeks without health-related public transfer payments, according to the Danish National Register on Public Transfer Payments. Occupational codes from the Danish Employment Classification Module were linked to a hand-arm job exposure matrix to obtain occupational hand force requirements for each patient. Cox regression models were used to analyze time until sRTW in relation to hand force requirements with adjustment for age, sex, type of surgery, preoperative sick leave, and calendar year of surgery. Results: The study included 2,090 patients. Within 104 weeks, 91% sustainably returned to work. The percentage of individuals in the subgroups that did not RTW was 8% of low-force− and medium-force−exposed patients and 14% of high-force-exposed patients. Medium and high occupational hand force requirements were associated with slower sRTW. The adjusted hazard ratio for sRTW was 0.84 (95% confidence interval, 0.74–0.95) for medium and 0.59 (95% confidence interval, 0.50–0.68) for high compared with low hand force requirements. Among patients who returned to work, patients with medium and high hand force requirements had median periods until sRTW of 16 and 18 weeks, respectively, compared with 10 weeks among patients with low hand force requirements. Conclusions: The prognosis regarding RTW after surgery for trapeziometacarpal joint osteoarthritis is generally good, but patients with higher occupational hand force requirements can expect slower RTW. Type of study/level of evidence: Prognostic II.",

keywords = "Job exposure matrix, prognosis, trapeziectomy, trapeziometacarpal total joint arthroplasty, Prognosis, Humans, Osteoarthritis/surgery, Upper Extremity, Return to Work, Hand",

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

note = "Funding Information: We acknowledge Sorosh Tabatabaeifar, MD, PhD, for converting the Hand-arm JEM to D-ISCO 88 and D-ISCO 08 codes. Publisher Copyright: {\textcopyright} 2023 American Society for Surgery of the Hand",

year = "2023",

month = apr,

doi = "10.1016/j.jhsa.2022.12.008",

language = "English",

volume = "48",

pages = "361--369",

journal = "Journal of Hand Surgery",

issn = "0363-5023",

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

number = "4",

}

Return to Work After Surgery For Trapeziometacarpal Joint Osteoarthritis in Relation to Occupational Hand Force Requirements. / Kirkeby, Lone; Svendsen, Susanne Wulff; Hansen, Torben Bæk et al.
In: Journal of Hand Surgery, Vol. 48, No. 4, 04.2023, p. 361-369.

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

TY - JOUR

T1 - Return to Work After Surgery For Trapeziometacarpal Joint Osteoarthritis in Relation to Occupational Hand Force Requirements

AU - Kirkeby, Lone

AU - Svendsen, Susanne Wulff

AU - Hansen, Torben Bæk

AU - Frost, Poul

N1 - Funding Information: We acknowledge Sorosh Tabatabaeifar, MD, PhD, for converting the Hand-arm JEM to D-ISCO 88 and D-ISCO 08 codes. Publisher Copyright: © 2023 American Society for Surgery of the Hand

PY - 2023/4

Y1 - 2023/4

N2 - Purpose: This study evaluated the hypothesis that higher occupational hand force requirements are related to slower return to work (RTW) after surgery for trapeziometacarpal joint osteoarthritis. Methods: Patients treated surgically for trapeziometacarpal joint osteoarthritis from 2001 to 2017 were identified in the Danish National Patient Register. Sustainable RTW (sRTW) was defined as the first period of 4 consecutive weeks without health-related public transfer payments, according to the Danish National Register on Public Transfer Payments. Occupational codes from the Danish Employment Classification Module were linked to a hand-arm job exposure matrix to obtain occupational hand force requirements for each patient. Cox regression models were used to analyze time until sRTW in relation to hand force requirements with adjustment for age, sex, type of surgery, preoperative sick leave, and calendar year of surgery. Results: The study included 2,090 patients. Within 104 weeks, 91% sustainably returned to work. The percentage of individuals in the subgroups that did not RTW was 8% of low-force− and medium-force−exposed patients and 14% of high-force-exposed patients. Medium and high occupational hand force requirements were associated with slower sRTW. The adjusted hazard ratio for sRTW was 0.84 (95% confidence interval, 0.74–0.95) for medium and 0.59 (95% confidence interval, 0.50–0.68) for high compared with low hand force requirements. Among patients who returned to work, patients with medium and high hand force requirements had median periods until sRTW of 16 and 18 weeks, respectively, compared with 10 weeks among patients with low hand force requirements. Conclusions: The prognosis regarding RTW after surgery for trapeziometacarpal joint osteoarthritis is generally good, but patients with higher occupational hand force requirements can expect slower RTW. Type of study/level of evidence: Prognostic II.

AB - Purpose: This study evaluated the hypothesis that higher occupational hand force requirements are related to slower return to work (RTW) after surgery for trapeziometacarpal joint osteoarthritis. Methods: Patients treated surgically for trapeziometacarpal joint osteoarthritis from 2001 to 2017 were identified in the Danish National Patient Register. Sustainable RTW (sRTW) was defined as the first period of 4 consecutive weeks without health-related public transfer payments, according to the Danish National Register on Public Transfer Payments. Occupational codes from the Danish Employment Classification Module were linked to a hand-arm job exposure matrix to obtain occupational hand force requirements for each patient. Cox regression models were used to analyze time until sRTW in relation to hand force requirements with adjustment for age, sex, type of surgery, preoperative sick leave, and calendar year of surgery. Results: The study included 2,090 patients. Within 104 weeks, 91% sustainably returned to work. The percentage of individuals in the subgroups that did not RTW was 8% of low-force− and medium-force−exposed patients and 14% of high-force-exposed patients. Medium and high occupational hand force requirements were associated with slower sRTW. The adjusted hazard ratio for sRTW was 0.84 (95% confidence interval, 0.74–0.95) for medium and 0.59 (95% confidence interval, 0.50–0.68) for high compared with low hand force requirements. Among patients who returned to work, patients with medium and high hand force requirements had median periods until sRTW of 16 and 18 weeks, respectively, compared with 10 weeks among patients with low hand force requirements. Conclusions: The prognosis regarding RTW after surgery for trapeziometacarpal joint osteoarthritis is generally good, but patients with higher occupational hand force requirements can expect slower RTW. Type of study/level of evidence: Prognostic II.

KW - Job exposure matrix

KW - prognosis

KW - trapeziectomy

KW - trapeziometacarpal total joint arthroplasty

KW - Prognosis

KW - Humans

KW - Osteoarthritis/surgery

KW - Upper Extremity

KW - Return to Work

KW - Hand

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U2 - 10.1016/j.jhsa.2022.12.008

DO - 10.1016/j.jhsa.2022.12.008

M3 - Journal article

C2 - 36774322

AN - SCOPUS:85148738401

SN - 0363-5023

VL - 48

SP - 361

EP - 369

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

IS - 4

ER -

Return to Work After Surgery For Trapeziometacarpal Joint Osteoarthritis in Relation to Occupational Hand Force Requirements

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Keywords

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