Evidence map›Paper›PMID 35623752›Full record

ArticleBMJ open2022

Influence of social support on return to work after total hip or total knee arthroplasty: a prospective multicentre cohort study.

Tamara Kamp, Martin Stevens, Jan Van Beveren, Paul C Rijk, Reinoud Brouwer, Sjoerd Bulstra, Sandra Brouwer

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

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

17 citing papers in PubMed.

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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.

Tamara KampDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands t.kamp@umcg.nl.ORCID 0000-0002-5427-5443
Martin StevensDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Jan Van BeverenDepartment of Orthopedics, Röpcke-Zweers Hospital Hardenberg, Hardenberg, The Netherlands.
Paul C RijkDepartment of Orthopedics, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Reinoud BrouwerDepartment of Orthopedics, Martini Hospital Groningen, Groningen, The Netherlands.
Sjoerd BulstraDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Sandra BrouwerDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is strong evidence that social support is an important determinant of return to work (RTW). Little is known about the role of social support in RTW after total hip or knee arthroplasty (THA/TKA). Objective was to examine the influence of preoperative and postoperative perceived social support on RTW status 6 months postoperatively.

designA prospective multicentre cohort study was conducted.

settingOrthopaedic departments of four Dutch medical centres; a tertiary university hospital, two large teaching hospitals and a general hospital.

participantsPatients planned to undergo THA/TKA, aged 18-63 and employed preoperatively were included.

main outcome measuresQuestionnaires were filled out preoperatively and 3 and 6 months postoperatively and included questions to assess patients' perceived social support targeting three sources of social support: from home (friends, family), from work (coworkers, supervisors) and from healthcare (occupational physician, general practitioner, other caregivers). Control variables included age, gender, education, type of arthroplasty and comorbidities. RTW was defined as having fully returned to work 6 months postoperatively. Univariate and multivariate logistic regression analyses were conducted.

resultsEnrolled were 190 patients (n=77 THA, n=113 TKA, median age was 56 years, 56% women). The majority returned to work (64%). Preoperatively, social support from the occupational physician was associated with RTW (OR 2.53, 95% CI 1.15 to 5.54). Postoperatively, social support from the occupational physician (OR 3.04, 95% CI 1.43 to 6.47) and the supervisor (OR 2.56, 95% CI 1.08 to 6.06) was associated with RTW.

conclusionsThis study underscores the importance of work-related social support originating from the occupational physician and supervisor in facilitating RTW after primary THA/TKA, both preoperatively and postoperatively. Further research is needed to confirm our results and to understand the facilitating role of social support in RTW, as arthroplasty is being performed on a younger population for whom work participation is critical.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeCohort StudiesFemaleHumansIronMaleMiddle AgedProspective StudiesReturn to WorkSocial SupportIronadult orthopaedicshipkneemusculoskeletal disordersoccupational & industrial medicine

Identifiers

PMID35623752
PMCPMC9150170

What OpenQuestion holds

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LicenceCC BY-NC
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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.