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Sickness absence after carpal tunnel release: a systematic review of the literature

Sickness absence after carpal tunnel release: a systematic review of the literature
Sickness absence after carpal tunnel release: a systematic review of the literature


Objectives The aim of this systematic review was to provide an overview of time to return to work (RTW) after carpal tunnel release (CTR), including return to different occupations and working patterns.

Methods A systematic search from inception to 2016 was conducted using nine electronic databases, trial registries and grey literature repositories. Randomized controlled trials and observational studies reporting RTW times after CTR were included. Study risk of bias was assessed using Cochrane risk of bias assessment tools. Time to RTW was summarized using median and range.

Results A total of 56 relevant studies were identified: 18 randomized controlled trials and 38 observational studies. Only 4 studies were rated as having a low risk of bias. Reported RTW times ranged from 4–168 days. Few studies reported occupational information. Among 6 studies, median time to return to non-manual work was 21 days (range 7–41), compared with 39 days for manual work (range 18–101). Median time to return to modified or full duties was 23 days (ranges 12–50 and 17–64, respectively), as reported by 3 studies. There was no common method of defining, collecting or reporting RTW data.

Conclusions This review highlights wide variation in reported RTW times after CTR. Whilst occupational factors may play a role, these were poorly reported, and there is currently limited evidence to inform individual patients of their expected duration of work absence after CTR. A standardized definition of RTW is needed, as well as an agreed method of collecting and reporting related data.
0355-3140
557-567
Newington, Lisa
7dda4ec9-0bca-463e-9cb3-2a6573fde873
Stevens, Martin
6ed230b2-7eaa-478b-80f7-ea75234bb76f
Warwick, David
d23cacce-41eb-42bd-b8cc-da6a3b837a9f
Adams, Joanna
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Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Newington, Lisa
7dda4ec9-0bca-463e-9cb3-2a6573fde873
Stevens, Martin
6ed230b2-7eaa-478b-80f7-ea75234bb76f
Warwick, David
d23cacce-41eb-42bd-b8cc-da6a3b837a9f
Adams, Joanna
6e38b8bb-9467-4585-86e4-14062b02bcba
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109

Newington, Lisa, Stevens, Martin, Warwick, David, Adams, Joanna and Walker-Bone, Karen (2018) Sickness absence after carpal tunnel release: a systematic review of the literature. Scandinavian Journal of Work, Environment & Health, 44 (6), 557-567. (doi:10.5271/sjweh.3762).

Record type: Article

Abstract



Objectives The aim of this systematic review was to provide an overview of time to return to work (RTW) after carpal tunnel release (CTR), including return to different occupations and working patterns.

Methods A systematic search from inception to 2016 was conducted using nine electronic databases, trial registries and grey literature repositories. Randomized controlled trials and observational studies reporting RTW times after CTR were included. Study risk of bias was assessed using Cochrane risk of bias assessment tools. Time to RTW was summarized using median and range.

Results A total of 56 relevant studies were identified: 18 randomized controlled trials and 38 observational studies. Only 4 studies were rated as having a low risk of bias. Reported RTW times ranged from 4–168 days. Few studies reported occupational information. Among 6 studies, median time to return to non-manual work was 21 days (range 7–41), compared with 39 days for manual work (range 18–101). Median time to return to modified or full duties was 23 days (ranges 12–50 and 17–64, respectively), as reported by 3 studies. There was no common method of defining, collecting or reporting RTW data.

Conclusions This review highlights wide variation in reported RTW times after CTR. Whilst occupational factors may play a role, these were poorly reported, and there is currently limited evidence to inform individual patients of their expected duration of work absence after CTR. A standardized definition of RTW is needed, as well as an agreed method of collecting and reporting related data.

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Accepted/In Press date: 17 July 2018
e-pub ahead of print date: 1 November 2018

Identifiers

Local EPrints ID: 422793
URI: https://eprints.soton.ac.uk/id/eprint/422793
ISSN: 0355-3140
PURE UUID: db043bcd-66c8-42a6-af7b-021b7d3a6bde
ORCID for Martin Stevens: ORCID iD orcid.org/0000-0002-6142-5278
ORCID for Joanna Adams: ORCID iD orcid.org/0000-0003-1765-7060
ORCID for Karen Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459

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Date deposited: 06 Aug 2018 16:30
Last modified: 10 Dec 2019 05:16

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Contributors

Author: Lisa Newington
Author: Martin Stevens ORCID iD
Author: David Warwick
Author: Joanna Adams ORCID iD

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