Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: Analysis of longitudinal data from two cohorts
Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: Analysis of longitudinal data from two cohorts
Objectives To investigate the rates of return to work and workability among working-age people following total hip arthroplasty (THA).
Methods Participants from the Geneva Arthroplasty Registry and the Clinical Outcomes for Arthroplasty Study aged 18–64 years when they had primary THA and with at least 5 years’ follow-up were mailed a questionnaire 2017–2019. Information was collected about preoperative and post-THA employment along with exposure to physically demanding activities at work or in leisure. Patterns of change of job were explored. Survival analyses using Cox proportional hazard models were created to explore risk factors for having to stop work because of difficulties with the replaced hip.
Results In total, 825 returned a questionnaire (response 58%), 392 (48%) men, mean age 58 years, median follow-up 7.5 years post-THA. The majority (93%) of those who worked preoperatively returned to work, mostly in the same sector but higher rates of non-return (36%–41%) were seen among process, plant and machine operatives and workers in elementary occupations. 7% reported subsequently leaving work because of their replaced hip and the risk of this was strongly associated with: standing >4 hours/day (HR 3.81, 95% CI 1.62 to 8.96); kneeling/squatting (HR 3.32, 95% CI 1.46 to 7.55) and/or carrying/lifting ≥10 kg (HR 5.43, 95% CI 2.29 to 12.88).
Conclusions It may be more difficult to return to some (particularly physically demanding) jobs post-THA than others. Rehabilitation may need to be targeted to these types of workers or it may be that redeployment or job change counselling are required.
epidemiology, exercise, longitudinal studies, occupational health, osteoarthritis
486-493
Zaballa Lasala, Elena
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Ntani, Georgia
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Harris, E. Clare
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Lubbeke, Anne
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Arden, Nigel
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Hannouche, Didier
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Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
13 January 2022
Zaballa Lasala, Elena
f18e08de-4986-4a7c-b925-849f83d33ddb
Ntani, Georgia
9b009e0a-5ab2-4c6e-a9fd-15a601e92be5
Harris, E. Clare
3e4bd946-3f09-45a1-8725-d35e80dd7971
Lubbeke, Anne
838ea85d-6883-433d-bfbb-c8581185bc32
Arden, Nigel
23af958d-835c-4d79-be54-4bbe4c68077f
Hannouche, Didier
2bdfac8a-622e-4f03-89af-a4250ea0e8c0
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Zaballa Lasala, Elena, Ntani, Georgia, Harris, E. Clare, Lubbeke, Anne, Arden, Nigel, Hannouche, Didier, Cooper, Cyrus and Walker-Bone, Karen
(2022)
Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: Analysis of longitudinal data from two cohorts.
Occupational & Environmental Medicine, 79 (7), , [107970].
(doi:10.1136/oemed-2021-107970).
Abstract
Objectives To investigate the rates of return to work and workability among working-age people following total hip arthroplasty (THA).
Methods Participants from the Geneva Arthroplasty Registry and the Clinical Outcomes for Arthroplasty Study aged 18–64 years when they had primary THA and with at least 5 years’ follow-up were mailed a questionnaire 2017–2019. Information was collected about preoperative and post-THA employment along with exposure to physically demanding activities at work or in leisure. Patterns of change of job were explored. Survival analyses using Cox proportional hazard models were created to explore risk factors for having to stop work because of difficulties with the replaced hip.
Results In total, 825 returned a questionnaire (response 58%), 392 (48%) men, mean age 58 years, median follow-up 7.5 years post-THA. The majority (93%) of those who worked preoperatively returned to work, mostly in the same sector but higher rates of non-return (36%–41%) were seen among process, plant and machine operatives and workers in elementary occupations. 7% reported subsequently leaving work because of their replaced hip and the risk of this was strongly associated with: standing >4 hours/day (HR 3.81, 95% CI 1.62 to 8.96); kneeling/squatting (HR 3.32, 95% CI 1.46 to 7.55) and/or carrying/lifting ≥10 kg (HR 5.43, 95% CI 2.29 to 12.88).
Conclusions It may be more difficult to return to some (particularly physically demanding) jobs post-THA than others. Rehabilitation may need to be targeted to these types of workers or it may be that redeployment or job change counselling are required.
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Accepted/In Press date: 22 December 2021
e-pub ahead of print date: 13 January 2022
Published date: 13 January 2022
Additional Information:
Funding Information:
This study was funded by MRC versus Arthritis (formerly Arthritis Research UK) Centre for Musculoskeletal Health and Work award (ref 22090).
Publisher Copyright:
© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
Keywords:
epidemiology, exercise, longitudinal studies, occupational health, osteoarthritis
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Local EPrints ID: 454391
URI: http://eprints.soton.ac.uk/id/eprint/454391
ISSN: 1351-0711
PURE UUID: 727965a8-e17c-46f1-9445-e5ceffc478d0
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Date deposited: 09 Feb 2022 17:30
Last modified: 18 Mar 2024 02:51
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Author:
Elena Zaballa Lasala
Author:
E. Clare Harris
Author:
Anne Lubbeke
Author:
Didier Hannouche
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