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. 2016 Feb 1;6(2):e007912.
doi: 10.1136/bmjopen-2015-007912.

Return to work after knee replacement: a qualitative study of patient experiences

Michelle Bardgett  1 , Joanne Lally  2 , Ajay Malviya  3 , David Deehan  4
Affiliations

Return to work after knee replacement: a qualitative study of patient experiences

Michelle Bardgett et al. BMJ Open. .

Abstract

Objective: An increasing number of patients in the working population are undergoing total knee replacement (TKR) for end-stage osteoarthritis. The timing and success of return to work is becoming increasingly important for this group of patients with social and economic implications for patients, employers and society. There is limited understanding of the patient variables that determine the ability to return to work. Our objective was (from the patient's perspective) to gain an insight into the factors influencing return to work following knee replacement.

Setting and participants: This qualitative study was undertaken in a secondary-care setting in a large teaching hospital in the north of England. Semistructured interviews were carried out with 10 patients regarding their experiences of returning to work following TKR.

Outcomes: Interviews were transcribed and analysed using a qualitative thematic approach to identify the factors influencing return to work from the patient's perspective.

Results: Three themes were identified that influenced the process of return to work, from the patient's perspective. These were delays in surgical intervention, limited and often inconsistent advice from healthcare professionals regarding return to work, and finally the absence of rehabilitation to optimise patient's recovery and facilitate return to work.

Conclusions: There is currently no consistent process to optimise return to work for patients of working age after TKR. The impact of delayed surgical intervention, limited advice regarding return to work, and a lack of work-focused rehabilitation, all contribute to potential delays in successful return to work. There is a need to change the focus of healthcare provision for this cohort of patients, and provide a tailored healthcare intervention to optimise patient outcomes.

Keywords: QUALITATIVE RESEARCH.

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Figures

Figure 1
Figure 1
Semistructured topic guide.
See this image and copyright information in PMC

References

    1. Palmer KT. The older worker with osteoarthritis of the knee. Br Med Bull 2012;102:79–88. 10.1093/bmb/lds011 - DOI - PMC - PubMed
    1. Hubertsson J, Petersson IF, Thorstensson CA et al. . Risk of sick leave and disability pension in working-age women and men with knee osteoarthritis. Ann Rheum Dis 2013;72:401–5. 10.1136/annrheumdis-2012-201472 - DOI - PubMed
    1. Li X, Gignac MA, Anis AH. The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work. Med Care 2006;44:304–10. 10.1097/01.mlr.0000204257.25875.04 - DOI - PubMed
    1. Liang MH, Cullen KE, Larson MG et al. . Cost-effectiveness of total joint arthroplasty in osteoarthritis. Arthritis Rheum 1986;29:937–43. 10.1002/art.1780290801 - DOI - PubMed
    1. Kievit AJ, Van Geenen RC, Kuijer PPFM et al. . Total knee arthroplasty and the unforeseen impact on return to work: a cross-sectional multicenter survey. J Arthroplasty 2014;29:1163–8. 10.1016/j.arth.2014.01.004 - DOI - PubMed

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