Evidence map›Paper›PMID 32241790›Full record

Trial reportBMJ open2020

Sick leave and return to work after surgery for type II SLAP lesions of the shoulder: a secondary analysis of a randomised sham-controlled study.

Jens Ivar Brox, Øystein Skare, Petter Mowinckel, Jostein Skranes Brox, Olav Reikerås, Cecilie Piene Schrøder

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00586742 (SLAP Lesions; a Comparison of Conservative and Operative Treatment. A Prospective, Randomized Study), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT00586742 nacompletednot on this map

SLAP Lesions; a Comparison of Conservative and Operative Treatment. A Prospective, Randomized Study

TypeinterventionalSponsorLovisenberg Diakonale HospitalRan2008 to 2016Enrolled118ConditionsSLAP LesionsArmslabral repair, biceps tenodesis, diagnostic arthroscopy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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  4. Making shouldBMJ open · 2022
    Article
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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

6 authors at 2 institutions in 2 countries.

Jens Ivar BroxDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway j.i.brox@medisin.uio.no.ORCID 0000-0002-2507-1812
Øystein SkareSurgical Department, Lovisenberg Deakonal Hospital, Oslo, Norway.
Petter MowinckelOslo University Hospital, Oslo, Norway.
Jostein Skranes BroxCopenhagen Business School, Frederiksberg, Denmark.
Olav ReikeråsOrthopedic Department, Oslo University Hospital, Oslo, Norway.
Cecilie Piene SchrøderSurgical Department, Lovisenberg Deakonal Hospital, Oslo, Norway.
Oslo University Hospital · NOLovisenberg Diakonale Høgskole · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare days on sick leave and assess predictors of return to work following shoulder surgery.

designA secondary analysis of a randomised controlled trial.

settingOrthopaedic department.

participants114 patients with type II superior labral tear from anterior to posterior of the shoulder.

interventionsLabral repair, biceps tenodesis or sham surgery. OUTCOME MEASURES: Sick leave was obtained from national registers for the last year before and 2 years following surgery. Total and shoulder related number of days on sick leave were obtained, using international diagnostic codes. We applied the difference-in-difference approach to compare the differences in the change in mean work days on sick leave between groups over time, backwards logistic regression and lasso regression to evaluate predictors.

resultsMean total number of work days on sick leave during the 2 years after surgery was 148 (range 0-460) days. More than 80% of the sick leave days were taken by 22% of the patients. Days on sick leave classified as shoulder-related constituted 80% of the total. In all three treatment groups, the mean total number of days on sick leave doubled the year after surgery. Sham surgery and labral repair had fewer postoperative sickness absence days compared with biceps tenodesis but differences were not significant when adjusted for days of sick leave the year before surgery. Predictors of return to work at 2 years analysed by logistic regression were no sick leave (OR 8.0, 95% CI 2.4 to 26.0) and moderate symptoms of anxiety or depression (OR 0.16, 95% CI 0.05 to 0.5) at inclusion. Similar results were obtained by lasso regression but manual work was an additional predictor.

conclusionsChange in mean work days on sick leave comparing sham surgery, labral repair and biceps tenodesis, was not significantly different. Sick leave, symptoms of anxiety and depression, and manual work at inclusion predicted work status 2 years after surgery. TRIAL REGISTRATION NUMBER: NCT00586742.

Indexed as

AdolescentAdultAnxietyArthroscopyDepressionFemaleHumansLogistic ModelsMaleMiddle AgedPhysical Therapy ModalitiesPlacebosReturn to WorkRotator Cuff InjuriesSick LeaveTenodesisPlaceboshealth economicsquality in health carerehabilitation medicineshoulder

Identifiers

PMID32241790
PMCPMC7170628
OpenAlexW3015052252

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.