ArticleJMA journal2025
Return to Work after Upper or Lower Extremity Long Bone Fractures: Social Factors in a Japanese Multicenter Cohort Study.
Article in JMA journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Open Fractures in Polytrauma and Non-Polytrauma Patients: Outcomes and Predictive Factors in a Level III Trauma Center.Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- Clinical and socioeconomic factors associated with return-to-work after upper and lower limb fractures.BMC public health · 2026Observational
- Development of a Bayesian Network and Information Gain-Based Axis Dynamic Mechanism for Ankle Joint Rehabilitation.Biomimetics (Basel, Switzerland) · 2025Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Fractures cause serious impediments to employment. In Japan, there is insufficient evidence regarding social factors, such as nonregular employment, and return to work (RTW) after an injury. This study aimed to determine the association between social factors and RTW following injury. Methods: This multicenter cohort study was conducted from 2015 to 2018 and included 674 patients aged 18-65 years who were workers at the time of injury and underwent surgery for long bone fractures of the upper or lower extremities. The primary outcome was the RTW rate within 2 years following injury. Data on RTW at 6 months, 1 year, and 2 years were collected. Observational data following RTW were not included. The association between RTW at 6 months and within 2 years following injury and social factors were evaluated via logistic regression and Cox proportional hazards regression analyses, respectively, after adjusting for patient- and fracture-related factors. Results: Overall, 525 (77.9%) and 602 patients (89.3%) resumed work at 6 months and within 2 years, respectively, following injury. Physical labor, open fractures, and chronic pain were associated with the RTW at both 6 months and within 2 years. However, nonregular employment and workers' compensation insurance were only associated with RTW at 6 months. Social factors were associated with the RTW rate at 6 months but not within 2 years following injury. Conclusions: Approximately 10% of patients with fractures did not resume work within 2 years following injury. This analysis points to social factors as a risk for delaying early RTW and has implications for interventions at the policy level.
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