Evidence map›Paper›PMID 34514511›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Health-related quality of life and return to work 1 year after major trauma from a network perspective.

Jan C van Ditshuizen, Esther M M van Lieshout, Ed F van Beeck, Michiel H J Verhofstad, Dennis den Hartog, Dutch Trauma Registry Southwest

Abstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 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

12 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Patient-reported outcome measures within European cohorts of severely injured patients: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Significant other reported outcome measures within European cohorts of severely injured patients: A systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  3. Return to work after major trauma: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Pooled it
  4. Parameters influencing health-related quality of life after severe trauma: a systematic review (part II).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
  5. Health-related quality of life after severe trauma and available PROMS: an updated review (part I).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Pooled it
  6. Article
  7. Article
  8. Return to work of major trauma survivors from a private level 1 trauma centre in South Africa.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  9. Article
  10. Article
  11. The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  12. 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

6 authors.

Jan C van DitshuizenTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands. j.vanditshuizen@erasmusmc.nl.ORCID http://orcid.org/0000-0003-0765-0092
Esther M M van LieshoutTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Ed F van BeeckDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Michiel H J VerhofstadTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Dennis den HartogTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Dutch Trauma Registry Southwest

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMajor trauma often results in long-term disabilities. The aim of this study was to assess health-related quality of life, cognition, and return to work 1 year after major trauma from a trauma network perspective.

methodsAll major trauma patients in 2016 (Injury Severity Score > 15, n = 536) were selected from trauma region Southwest Netherlands. Eligible patients (n = 365) were sent questionnaires with the EQ-5D-5L and questions on cognition, level of education, comorbidities, and resumption of paid work 1 year after trauma.

resultsA 50% (n = 182) response rate was obtained. EQ-US and EQ-VAS scored a median (IQR) of 0.81 (0.62-0.89) and 70 (60-80), respectively. Limitations were prevalent in all health dimensions of the EQ-5D-5L; 90 (50%) responders reported problems with mobility, 36 (20%) responders reported problems with self-care, 108 (61%) responders reported problems during daily activities, 129 (73%) responders reported pain or discomfort, 70 (39%) responders reported problems with anxiety or depression, and 102 (61%) of the patients reported problems with cognition. Return to work rate was 68% (37% full, 31% partial). A median (IQR) EQ-US of 0.89 (0.82-1.00) and EQ-VAS of 80 (70-90) were scored for fully working responders; 0.77 (0.66-0.85, p < 0.001) and 70 (62-80, p = 0.001) for partial working respondents; and 0.49 (0.23-0.69, p < 0.001) and 55 (40-72, p < 0.001) for unemployed respondents.

conclusionThe majority experience problems in all health domains of the EQ-5D-5L and cognition. Return to work status was associated with all health domains of the EQ-5D-5L and cognition.

Indexed as

Quality of LifeReturn to WorkAnxietyHealth StatusHumansPainSurveys and QuestionnairesCognitionEQ-5D-5LMajor traumaReturn to workTrauma Registry

Identifiers

PMID34514511
PMCPMC9192406

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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.