Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands

Yvonne van Zaanen; Arthur J. Kievit; R. van Geenen; Thijs M. J. Pahlplatz; Marco Hoozemans; Leendert Blankevoort; Matthias U. Schafroth; Daniel Haverkamp; Ton M. J. S. Vervest; Dirk H P W Das; Vanessa Scholtes; A. J. van der Beek; P. Paul F.M. Kuijer

doi:https://doi.org/10.1016/j.shaw.2021.12.1229

Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands

Yvonne van Zaanen, Arthur J. Kievit, R. van Geenen, Thijs M. J. Pahlplatz, Marco Hoozemans, Leendert Blankevoort, Matthias U. Schafroth, Daniel Haverkamp, Ton M. J. S. Vervest, Dirk H P W Das, Vanessa Scholtes, A. J. van der Beek, P. Paul F.M. Kuijer

Research output: Contribution to journal › Meeting Abstract › Academic

Abstract

Introduction: After total knee arthroplasty (TKA) only 70% of patients
return to work (RTW) and in general timely RTW is associated
with successful RTW. This study aimed to examine whether
patients who consulted an occupational physician (OP) RTWearlier
than patients who did not consult an OP.
Materials and methods: A multi-center prospective cohort study
was performed among TKA patients between 18 to 65 years and
having a paid job. Patients provided information on whether an OP
was consulted or not within three months after TKA and were
compared for time to RTW using Kaplan Meier curves (KM).
Results: One hundred and eighty-two (182) patients were included
with a median age of 59 years [IQR 54-62]; 95 patients were women
(52%). Patient and work-related characteristics did not differ between
patients who consulted an OP or not, except that self-employed patients
consulted anOP less often than employed patients. TKA patients
who consulted an OP did RTW later (median 84 days [IQR 61-115])
than those who did not (median 64 days [IQR 35-118] (KM p¼0.03).
Conclusions: Consulting an OP was not associated with an earlier
RTW. Additional analyses to adjust for confounding and effect
modification are needed to confirm this result.

Original language	English
Pages (from-to)	S153
Journal	Safety and Health at Work
Volume	13
Issue number	Suppl.
DOIs	https://doi.org/10.1016/j.shaw.2021.12.1229
Publication status	Published - 6 Feb 2022

Access to Document

https://doi.org/10.1016/j.shaw.2021.12.1229

Cite this

van Zaanen, Y., Kievit, A. J., van Geenen, R., Pahlplatz, T. M. J., Hoozemans, M., Blankevoort, L., Schafroth, M. U., Haverkamp, D., Vervest, T. M. J. S., Das, D. H. P. W., Scholtes, V., van der Beek, A. J., & Kuijer, P. P. F. M. (2022). Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands. Safety and Health at Work, 13(Suppl.), S153. https://doi.org/10.1016/j.shaw.2021.12.1229

@article{d953170cf7f643fa9a9ccb84fddc729e,

title = "Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands",

abstract = "Introduction: After total knee arthroplasty (TKA) only 70% of patientsreturn to work (RTW) and in general timely RTW is associatedwith successful RTW. This study aimed to examine whetherpatients who consulted an occupational physician (OP) RTWearlierthan patients who did not consult an OP.Materials and methods: A multi-center prospective cohort studywas performed among TKA patients between 18 to 65 years andhaving a paid job. Patients provided information on whether an OPwas consulted or not within three months after TKA and werecompared for time to RTW using Kaplan Meier curves (KM).Results: One hundred and eighty-two (182) patients were includedwith a median age of 59 years [IQR 54-62]; 95 patients were women(52%). Patient and work-related characteristics did not differ betweenpatients who consulted an OP or not, except that self-employed patientsconsulted anOP less often than employed patients. TKA patientswho consulted an OP did RTW later (median 84 days [IQR 61-115])than those who did not (median 64 days [IQR 35-118] (KM p¼0.03).Conclusions: Consulting an OP was not associated with an earlierRTW. Additional analyses to adjust for confounding and effectmodification are needed to confirm this result.",

author = "{van Zaanen}, Yvonne and Kievit, {Arthur J.} and {van Geenen}, R. and Pahlplatz, {Thijs M. J.} and Marco Hoozemans and Leendert Blankevoort and Schafroth, {Matthias U.} and Daniel Haverkamp and Vervest, {Ton M. J. S.} and Das, {Dirk H P W} and Vanessa Scholtes and {van der Beek}, {A. J.} and Kuijer, {P. Paul F.M.}",

year = "2022",

month = feb,

day = "6",

doi = "https://doi.org/10.1016/j.shaw.2021.12.1229",

language = "English",

volume = "13",

pages = "S153",

journal = "Safety and Health at Work",

issn = "2093-7911",

publisher = "Occupational Safety and Health Research Institute.(OSHRI)",

number = "Suppl.",

}

van Zaanen, Y , Kievit, AJ, van Geenen, R, Pahlplatz, TMJ, Hoozemans, M, Blankevoort, L , Schafroth, MU, Haverkamp, D, Vervest, TMJS, Das, DHPW, Scholtes, V, van der Beek, AJ & Kuijer, PPFM 2022, 'Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands', Safety and Health at Work, vol. 13, no. Suppl., pp. S153. https://doi.org/10.1016/j.shaw.2021.12.1229

Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands. / van Zaanen, Yvonne ; Kievit, Arthur J.; van Geenen, R. et al.
In: Safety and Health at Work, Vol. 13, No. Suppl., 06.02.2022, p. S153.

Research output: Contribution to journal › Meeting Abstract › Academic

TY - JOUR

T1 - Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands

AU - van Zaanen, Yvonne

AU - Kievit, Arthur J.

AU - van Geenen, R.

AU - Pahlplatz, Thijs M. J.

AU - Hoozemans, Marco

AU - Blankevoort, Leendert

AU - Schafroth, Matthias U.

AU - Haverkamp, Daniel

AU - Vervest, Ton M. J. S.

AU - Das, Dirk H P W

AU - Scholtes, Vanessa

AU - van der Beek, A. J.

AU - Kuijer, P. Paul F.M.

PY - 2022/2/6

Y1 - 2022/2/6

N2 - Introduction: After total knee arthroplasty (TKA) only 70% of patientsreturn to work (RTW) and in general timely RTW is associatedwith successful RTW. This study aimed to examine whetherpatients who consulted an occupational physician (OP) RTWearlierthan patients who did not consult an OP.Materials and methods: A multi-center prospective cohort studywas performed among TKA patients between 18 to 65 years andhaving a paid job. Patients provided information on whether an OPwas consulted or not within three months after TKA and werecompared for time to RTW using Kaplan Meier curves (KM).Results: One hundred and eighty-two (182) patients were includedwith a median age of 59 years [IQR 54-62]; 95 patients were women(52%). Patient and work-related characteristics did not differ betweenpatients who consulted an OP or not, except that self-employed patientsconsulted anOP less often than employed patients. TKA patientswho consulted an OP did RTW later (median 84 days [IQR 61-115])than those who did not (median 64 days [IQR 35-118] (KM p¼0.03).Conclusions: Consulting an OP was not associated with an earlierRTW. Additional analyses to adjust for confounding and effectmodification are needed to confirm this result.

AB - Introduction: After total knee arthroplasty (TKA) only 70% of patientsreturn to work (RTW) and in general timely RTW is associatedwith successful RTW. This study aimed to examine whetherpatients who consulted an occupational physician (OP) RTWearlierthan patients who did not consult an OP.Materials and methods: A multi-center prospective cohort studywas performed among TKA patients between 18 to 65 years andhaving a paid job. Patients provided information on whether an OPwas consulted or not within three months after TKA and werecompared for time to RTW using Kaplan Meier curves (KM).Results: One hundred and eighty-two (182) patients were includedwith a median age of 59 years [IQR 54-62]; 95 patients were women(52%). Patient and work-related characteristics did not differ betweenpatients who consulted an OP or not, except that self-employed patientsconsulted anOP less often than employed patients. TKA patientswho consulted an OP did RTW later (median 84 days [IQR 61-115])than those who did not (median 64 days [IQR 35-118] (KM p¼0.03).Conclusions: Consulting an OP was not associated with an earlierRTW. Additional analyses to adjust for confounding and effectmodification are needed to confirm this result.

U2 - https://doi.org/10.1016/j.shaw.2021.12.1229

DO - https://doi.org/10.1016/j.shaw.2021.12.1229

M3 - Meeting Abstract

SN - 2093-7911

VL - 13

SP - S153

JO - Safety and Health at Work

JF - Safety and Health at Work

IS - Suppl.

ER -