Evidence map›Paper›PMID 38896401›Full record

ArticleJournal of occupational rehabilitation2025

Return to Work Following Hip or Knee Arthroplasty: A One-Year Prospective Cohort Study in Participants with Direct Referral from Hospital to Occupational Health Care Services.

Pauliina Kangas, Satu Soini, Konsta Pamilo, Visa Kervinen, Marja-Liisa Kinnunen

Abstract read
In one paragraph

Article in Journal of occupational rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

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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

5 authors.

Pauliina KangasFinnish Institute of Occupational Health, P.O. Box 40, 00032, Työterveyslaitos, Finland. pauliina.kangas@ttl.fi.ORCID http://orcid.org/0000-0001-6552-4647
Satu SoiniFinnish Institute of Occupational Health, P.O. Box 40, 00032, Työterveyslaitos, Finland.ORCID http://orcid.org/0009-0003-3343-3558
Konsta PamiloCoxa Hospital for Joint Replacement, Tampere, Finland.ORCID http://orcid.org/0000-0001-5961-4072
Visa KervinenTerveystalo Ltd, Occupational Health Services, Jyväskylä, Finland.ORCID http://orcid.org/0009-0009-3059-5889
Marja-Liisa KinnunenThe Wellbeing Services County of Central Finland, Jyväskylä, Finland.ORCID http://orcid.org/0009-0004-2065-5140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn a new Finnish Coordinated Return to Work (CRTW) model, patients are referred to occupational health care after hip or knee arthroplasty. This study evaluated the CRTW model's effect on return to work (RTW), activities used in occupational health care and in the workplace, and the patient- and work-related factors affecting early RTW.

methods209 participants with occupational health care service underwent primary hip (THA) or total/unicondylar knee (KJA) arthroplasty and completed self-reported questionnaires after arthroplasty and at time of RTW. Factors affecting RTW, and the roles of occupational health care and the workplace in RTW were evaluated. Time to RTW was determined as days between the arthroplasty and RTW.

resultsMean time to RTW was 69 days after THA and 87 days after KJA. For easing RTW, work arrangements were made for 56% of the participants. The most utilized adjustments of work were enabling remote work and arranging limitations in work tasks. Participants with earlier RTW had lower physical workload, higher professional status and motivation to work, less pre-arthroplasty sick leave, and more positive personal expectations about the time to RTW compared to participants with later RTW (p < 0.001 for all). The linear regression and dominance analyses showed participants' own expectations and pre-arthroplasty sick leave as the strongest factors affecting time to RTW.

conclusionsThe CRTW model seems to shorten time to RTW after THA and KJA. Occupational health care and workplace play important roles in supporting RTW. Patients' own expectations should be noted when giving pre-arthroplasty information.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeOccupational Health ServicesReferral and ConsultationReturn to WorkAdultAgedFemaleFinlandHumansMaleMiddle AgedProspective StudiesSick LeaveSurveys and QuestionnairesTime FactorsHip arthroplastyKnee arthroplastyOccupational health careReturn to workSick leaveWorkplace

Identifiers

PMID38896401
PMCPMC12361289

What OpenQuestion holds

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LicenceCC BY
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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.