Evidence map›Paper›PMID 30694387›Full record

ArticleSurgical endoscopy2019

Insights in work rehabilitation after minimally invasive esophagectomy.

Melissa Geeraerts, Luis Carlos Silva Corten, Marc van Det, Misha Luyer, Grard Nieuwenhuijzen, Marloes Vermeer, Jelle Ruurda, Richard van Hillegersberg, Ewout Kouwenhoven

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Melissa GeeraertsDepartment of Surgery, Hospital Group Twente, Almelo, The Netherlands. melissageeraerts888@hotmail.com.ORCID 0000-0002-0300-2576
Luis Carlos Silva CortenDepartment of Surgery, Hospital Group Twente, Almelo, The Netherlands.
Marc van DetDepartment of Surgery, Hospital Group Twente, Almelo, The Netherlands.
Misha LuyerDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Grard NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Marloes VermeerDepartment of Surgery, Hospital Group Twente, Almelo, The Netherlands.
Jelle RuurdaDepartment of Surgery, University Medical Centre, Utrecht, The Netherlands.
Richard van HillegersbergDepartment of Surgery, University Medical Centre, Utrecht, The Netherlands.
Ewout KouwenhovenDepartment of Surgery, Hospital Group Twente, Almelo, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about work rehabilitation after totally minimally invasive esophagectomy. The goal of this study was to further objectify the postoperative work rehabilitation. Not only duration of sick leave, but also the extent of return to work will be assessed.

methodsThis retrospective multicenter study was conveyed between January 2009 and April 2014. Eighty-six preoperatively employed patients were included. Data regarding patients' preoperative occupation, actual job status, and postoperative duration until return to work were retrieved. Potential prognostic factors for work rehabilitation were analyzed. Complaints that could impede rehabilitation were questioned (based on EORTC QLQ-C30 and QLQ-OES18). Work activity, defined as either partially or fully resumed professional activity as compared to the preoperative status, was measured at 3, 6, 12, and 18 months postoperatively.

resultsAt 6-month follow-up, 40.2% of patients reached partial and 14.6% had full professional recovery and after 12 months 28.2% and 40.8%, respectively. After 18 months, a stagnation was seen (19.0% partial; 43.1% full recovery). Median follow-up was 18 months (IQR 12-18). Self-employment was a significant predictor for full professional recovery (p = 0.005, OR 2.45 95% CI 1.32-4.56). The median time to full professional recovery was shorter for this group. The most common complaint among all patients was fatigue. This complaint did not significantly differ between working (fully and partially) and non-working groups (p = 0.727).

conclusionsOnly approximately 40% of patients reached full professional recovery 1 year after totally minimally invasive esophagectomy. Barely any progression toward return to work was seen after 1 year postoperatively. Roughly 30% of patients never returned to work. Self-employed workers had a higher percentage of restoration to full professional activity, as well as shorter duration to return. These findings highlight the importance of adequate counseling of patients in order to prepare them for the impact of this procedure on professional activities.

Indexed as

EsophagectomyMinimally Invasive Surgical ProceduresAdultEsophageal NeoplasmsFatigueFemaleHumansMaleMiddle AgedPostoperative ComplicationsRecovery of FunctionRetrospective StudiesReturn to WorkSick LeaveTime FactorsTreatment OutcomeEsophageal cancerMinimally invasive esophagectomyWork rehabilitation

Identifiers

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.