Evidence map›Paper›PMID 30907679›Full record

ArticleActa orthopaedica2019

Return to work after primary total hip arthroplasty: a nationwide cohort study.

Raul Laasik, Petteri Lankinen, Mika Kivimäki, Ville Aalto, Mikhail Saltychev, Keijo Mäkelä, Jussi Vahtera

Abstract read
In one paragraph

Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Return to work following total hip arthroplasty: a Japanese retrospective cohort study highlighting the impact on satisfaction and life purpose.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Article
  5. Observational
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  7. [The connection between back pain and obesity].Orthopadie (Heidelberg, Germany) · 2025
    Review
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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

7 authors.

Raul Laasika Department of Orthopaedics and Trauma , Tampere University Hospital , Tampere , Finland.
Petteri Lankinenb Department of Orthopedics and Traumatology , Turku University Hospital and University of Turku , Turku , Finland.
Mika Kivimäkic Finnish Institute of Occupational Health , Helsinki , Finland ;
Ville Aaltoc Finnish Institute of Occupational Health , Helsinki , Finland ;
Mikhail Saltychevf Department of Physical and Rehabilitation Medicine , Turku University Hospital and University of Turku , Turku , Finland.
Keijo Mäkeläb Department of Orthopedics and Traumatology , Turku University Hospital and University of Turku , Turku , Finland.
Jussi Vahterag Department of Public Health , University of Turku , Turku , Finland.

Funding

Medical Research Council MR/K013351/1
6 · The paper itself

Abstract

Background and purpose - While the number of working-age patients undergoing total hip arthroplasty (THA) is increasing, the effect of the surgery on patients' return to work (RTW) is not thoroughly studied. We aimed to identify risk factors of RTW after THA among factors related to demographic variables, general health, health risk behaviors, and socioeconomic status. Patients and methods - We studied 408 employees from the Finnish Public Sector (FPS) cohort (mean age 54 years, 73% women) who underwent THA. Information on demographic and socioeconomic variables, preceding health, and health-risk behaviors was derived from linkage to national health registers and FPS surveys before the operation. The likelihood of return to work was examined using Cox proportional hazard modeling. Results - 94% of the patients returned to work after THA on average after 3 months (10 days to 1 year) of sickness absence. The observed risk factors of successful return to work were: having < 30 sick leave days during the last year (HR 1.8; 95% CI 1.4-2.3); higher occupational position (HR 2.2; CI 1.6-2.9); and BMI < 30 (HR 1.4; CI 1.1-1.7). Age, sex, preceding health status, and health-risk behaviors were not correlated with RTW after the surgery. Interpretation - Most employees return to work after total hip arthroplasty. Obese manual workers with prolonged sick leave before the total hip replacement were at increased risk of not returning to work after the surgery.

Indexed as

Arthroplasty, Replacement, HipAdultAgedCohort StudiesFemaleFinlandHumansMaleMiddle AgedObesityOccupationsOsteoarthritis, HipProportional Hazards ModelsReturn to WorkRisk FactorsSick Leave

Identifiers

PMID30907679
PMCPMC6534229

What OpenQuestion holds

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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.