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. 2021;69(3):895-902.
doi: 10.3233/WOR-213522.

Beneficial and limiting factors in return to work after primary total knee replacement: Patients' perspective

T M J Pahlplatz  1   2 , M U Schafroth  1   2 , C Krijger  1   2 , T H Hylkema  3 , C N van Dijk  1   2 , M H W Frings-Dresen  4 , P P F M Kuijer  4
Affiliations

Beneficial and limiting factors in return to work after primary total knee replacement: Patients' perspective

T M J Pahlplatz et al. Work. 2021.

Abstract

Background: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70-80%of TKA patients return to work within three to six months.

Objective: What are patients' perspectives regarding beneficial and limiting factors in RTW after TKA?

Methods: Focus groups were formed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Three major topics were explored: 1. What was beneficial for RTW after TKA; 2. What was limiting for RTW after TKA; and 3. What additional care would benefit RTW after TKA?

Results: Data saturation was reached after four focus groups, comprising 17 participants-nine men and eight women (median age 58, range 52-65). The focus group study identified four main themes that contributed to a successful RTW namely rehabilitation (medical) like post-operative physical therapy, patient characteristics (personal), like motivation to RTW, occupational characteristics (work-related) like build-up in work tasks and medical support (medical) like availability of a walker or crutches.

Conclusion: According to participants, factors within the following four themes can contribute to a successful return to work: occupational, patient, rehabilitation and medical care. Incorporating these factors into the integrated care pathway for the "young" TKA patients may increase the chances of a successful RTW.

Keywords: Total knee arthroplasty (TKA); employment; patient preferences; return to work (RTW).

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Conflict of interest statement

The authors have no conflict of interest to report.

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