Evidence map›Paper›PMID 26832426›Full record

ArticleBMJ open2016

Return to work after knee replacement: a qualitative study of patient experiences.

Michelle Bardgett, Joanne Lally, Ajay Malviya, David Deehan

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Clinical Work-Integrating Care in Current Practice: A Scoping Review.Journal of occupational rehabilitation · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Return to work following knee arthroplasty: a retrospective review in urban Asian population.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  8. Article
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  11. Patients return to work sooner after unicompartmental knee arthroplasty than after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Factors influencing return to work after hip and knee arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2019
    Article
  19. Article
  20. Users' guide to the surgical literature: how to assess a qualitative study.Canadian journal of surgery. Journal canadien de chirurgie · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Michelle BardgettClinical Academic Unit, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.
Joanne LallyInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Ajay MalviyaDepartment of Orthopaedic Surgery, Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.
David DeehanDepartment of Orthopaedic Surgery, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAn increasing number of patients in the working population are undergoing total knee replacement (TKR) for end-stage osteoarthritis. The timing and success of return to work is becoming increasingly important for this group of patients with social and economic implications for patients, employers and society. There is limited understanding of the patient variables that determine the ability to return to work. Our objective was (from the patient's perspective) to gain an insight into the factors influencing return to work following knee replacement. SETTING AND

participantsThis qualitative study was undertaken in a secondary-care setting in a large teaching hospital in the north of England. Semistructured interviews were carried out with 10 patients regarding their experiences of returning to work following TKR. OUTCOMES: Interviews were transcribed and analysed using a qualitative thematic approach to identify the factors influencing return to work from the patient's perspective.

resultsThree themes were identified that influenced the process of return to work, from the patient's perspective. These were delays in surgical intervention, limited and often inconsistent advice from healthcare professionals regarding return to work, and finally the absence of rehabilitation to optimise patient's recovery and facilitate return to work.

conclusionsThere is currently no consistent process to optimise return to work for patients of working age after TKR. The impact of delayed surgical intervention, limited advice regarding return to work, and a lack of work-focused rehabilitation, all contribute to potential delays in successful return to work. There is a need to change the focus of healthcare provision for this cohort of patients, and provide a tailored healthcare intervention to optimise patient outcomes.

Indexed as

Arthroplasty, Replacement, KneeAdultEnglandFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchRecovery of FunctionReturn to WorkQUALITATIVE RESEARCH

Identifiers

PMID26832426
PMCPMC4746460

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.