Evidence map›Paper›PMID 27138849›Full record

Observational studyAnnals of the Royal College of Surgeons of England2016

Determinants of return to work 12 months after total hip and knee arthroplasty.

C S Leichtenberg, C Tilbury, Ppfm Kuijer, Shm Verdegaal, R Wolterbeek, Rghh Nelissen, Mhw Frings-Dresen, Tpm Vliet Vlieland

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Annals of the Royal College of Surgeons of England, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% of its field
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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Predictive factors for return to work after shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026
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  10. Return to work following knee arthroplasty: a retrospective review in urban Asian population.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  17. 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
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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

8 authors at 4 institutions in 1 country.

C S LeichtenbergLeiden University Medical Center , Leiden , the Netherlands.
C TilburyLeiden University Medical Center , Leiden , the Netherlands.
Ppfm KuijerAcademic Medical Center , Amsterdam , the Netherlands.
Shm VerdegaalAlrijne Hospital , Leiderdorp , the Netherlands.
R WolterbeekLeiden University Medical Center , Leiden , the Netherlands.
Rghh NelissenLeiden University Medical Center , Leiden , the Netherlands.
Mhw Frings-DresenAcademic Medical Center , Amsterdam , the Netherlands.
Tpm Vliet VlielandLeiden University Medical Center , Leiden , the Netherlands.
Leiden University Medical Center · NLAcademic Medical Center · NLAlrijne Ziekenhuis · NLRijnlands Revalidatie Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction A substantial number of patients undergoing total hip or knee arthroplasty (THA or TKA) do not or only partially return to work. This study aimed to identify differences in determinants of return to work in THA and TKA. Methods We conducted a prospective, observational study of working patients aged <65 years undergoing THA or TKA for osteoarthritis. The primary outcome was full versus partial or no return to work 12 months postoperatively. Factors analysed included preoperative sociodemographic and work characteristics, alongside the Hip Disability and Osteoarthritis Outcome Score (HOOS)/Knee Injury and Osteoarthritis Outcome Score (KOOS), and Oxford Hip and Knee Scores. Results Of 67 THA and 56 TKA patients, 9 (13%) and 10 (19%), respectively, returned partially and 5 (7%) and 6 (11%), respectively, did not return to work 1 year postoperatively. Preoperative factors associated with partial or no return to work in THA patients were self-employment, absence from work and a better HOOS Activities of Daily Living (ADL) subscale score, whereas only work absence was relevant in TKA patients. Type of surgery modified the impact of ADL scores on return to work. Conclusions In both THA and TKA, absence from work affected return to work, whereas self-employment and better preoperative ADL subscale scores were also associated in THA patients. The impact of ADL scores on return to work was modified by type of surgery. These results suggest that strategies aiming to influence modifiable factors should consider THA and TKA separately.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeAbsenteeismActivities of Daily LivingAdolescentAdultAgedDisability EvaluationFemaleHumansMaleMiddle AgedNetherlandsProspective StudiesReturn to WorkYoung AdultArthroplastyReturn to workTotal hip or total knee replacementWork limitations

Identifiers

PMID27138849
PMCPMC5209980
OpenAlexW2346016563

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.