Return to work after lumbar disc herniation surgery: an occupational cohort study

Background and purpose — Lumbar disc herniation is a common surgically treated condition in the working-age population. We assessed health-related risk factors for return to work (RTW) after excision of lumbar disc herniation. Previous studies on the subject have had partly contradictory findings. P...

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Autores principales:	Raul Laasik, Petteri Lankinen, Mika Kivimäki, Marko H Neva, Ville Aalto, Tuula Oksanen, Jussi Vahtera, Keijo T Mäkelä
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/4f6a7181f46b4253a308fd15063b5021
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spelling	oai:doaj.org-article:4f6a7181f46b4253a308fd15063b50212021-11-26T11:19:48ZReturn to work after lumbar disc herniation surgery: an occupational cohort study1745-36741745-368210.1080/17453674.2021.1951010https://doaj.org/article/4f6a7181f46b4253a308fd15063b50212021-10-01T00:00:00Zhttp://dx.doi.org/10.1080/17453674.2021.1951010https://doaj.org/toc/1745-3674https://doaj.org/toc/1745-3682Background and purpose — Lumbar disc herniation is a common surgically treated condition in the working-age population. We assessed health-related risk factors for return to work (RTW) after excision of lumbar disc herniation. Previous studies on the subject have had partly contradictory findings. Patients and methods — RTW of 389 (n = 111 male, n = 278 female; mean age 46 years, SD 8.9) employees who underwent excision of lumbar disc herniation was assessed based on the Finnish Public Sector Study (FPS). Baseline information on occupation, preceding health, and health-risk behaviors was derived from linkage to national health registers and FPS surveys before the operation. The likelihood of RTW was analyzed using Cox proportional hazard univariable and multivariable modelling. Results — 95% of the patients had returned to work at 12 months after surgery, after on average 78 days of sickness absence. Faster RTW in the univariable Cox model was associated with a small number of sick leave days (< 30 days) before operation (HR 1.3, 95% CI 1.1–1.6); high occupational position (HR 1.6, CI 1.2–2.1); and age under 40 years (HR 1.5, CI 1.1–1.9). RTW was not associated with sex or the health-related risk factors obesity, physical inactivity, smoking, heavy alcohol consumption, poor self-rated health, psychological distress, comorbid conditions, or purchases of pain or antidepressant medications in either the univariable or multivariable model. Interpretation — Almost all employees returned to work after excision of lumbar disc herniation. Older age, manual job, and prolonged sick leave before the excision of lumbar disc herniation were risk factors for delayed return to work after the surgery.Raul LaasikPetteri LankinenMika KivimäkiMarko H NevaVille AaltoTuula OksanenJussi VahteraKeijo T MäkeläTaylor & Francis GrouparticleOrthopedic surgeryRD701-811ENActa Orthopaedica, Vol 92, Iss 6, Pp 638-643 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Raul Laasik Petteri Lankinen Mika Kivimäki Marko H Neva Ville Aalto Tuula Oksanen Jussi Vahtera Keijo T Mäkelä Return to work after lumbar disc herniation surgery: an occupational cohort study
description	Background and purpose — Lumbar disc herniation is a common surgically treated condition in the working-age population. We assessed health-related risk factors for return to work (RTW) after excision of lumbar disc herniation. Previous studies on the subject have had partly contradictory findings. Patients and methods — RTW of 389 (n = 111 male, n = 278 female; mean age 46 years, SD 8.9) employees who underwent excision of lumbar disc herniation was assessed based on the Finnish Public Sector Study (FPS). Baseline information on occupation, preceding health, and health-risk behaviors was derived from linkage to national health registers and FPS surveys before the operation. The likelihood of RTW was analyzed using Cox proportional hazard univariable and multivariable modelling. Results — 95% of the patients had returned to work at 12 months after surgery, after on average 78 days of sickness absence. Faster RTW in the univariable Cox model was associated with a small number of sick leave days (< 30 days) before operation (HR 1.3, 95% CI 1.1–1.6); high occupational position (HR 1.6, CI 1.2–2.1); and age under 40 years (HR 1.5, CI 1.1–1.9). RTW was not associated with sex or the health-related risk factors obesity, physical inactivity, smoking, heavy alcohol consumption, poor self-rated health, psychological distress, comorbid conditions, or purchases of pain or antidepressant medications in either the univariable or multivariable model. Interpretation — Almost all employees returned to work after excision of lumbar disc herniation. Older age, manual job, and prolonged sick leave before the excision of lumbar disc herniation were risk factors for delayed return to work after the surgery.
format	article
author	Raul Laasik Petteri Lankinen Mika Kivimäki Marko H Neva Ville Aalto Tuula Oksanen Jussi Vahtera Keijo T Mäkelä
author_facet	Raul Laasik Petteri Lankinen Mika Kivimäki Marko H Neva Ville Aalto Tuula Oksanen Jussi Vahtera Keijo T Mäkelä
author_sort	Raul Laasik
title	Return to work after lumbar disc herniation surgery: an occupational cohort study
title_short	Return to work after lumbar disc herniation surgery: an occupational cohort study
title_full	Return to work after lumbar disc herniation surgery: an occupational cohort study
title_fullStr	Return to work after lumbar disc herniation surgery: an occupational cohort study
title_full_unstemmed	Return to work after lumbar disc herniation surgery: an occupational cohort study
title_sort	return to work after lumbar disc herniation surgery: an occupational cohort study
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/4f6a7181f46b4253a308fd15063b5021
work_keys_str_mv	AT raullaasik returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT petterilankinen returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT mikakivimaki returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT markohneva returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT villeaalto returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT tuulaoksanen returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT jussivahtera returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy AT keijotmakela returntoworkafterlumbardischerniationsurgeryanoccupationalcohortstudy
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Return to work after lumbar disc herniation surgery: an occupational cohort study

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