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Function and employment after total hip replacement in older adults: a narrative review

Function and employment after total hip replacement in older adults: a narrative review
Function and employment after total hip replacement in older adults: a narrative review

The burden of osteoarthritis (OA) has increased steadily due to an aging population, increasing life expectancy, obesity and lifestyle factors. Total hip replacement has become one of the most prevalent and successful operations globally and it is projected that demand will continue to grow as the incidence of OA continues to increase. Patients undergoing the operation expect much-improved function and pain relief but also increasingly need to return to work postoperatively, especially given the growing demand for the procedure and the encouragement of older people to continue working by most governments in the developed world. This review provides an overview of function and employment outcomes after hip arthroplasty. Despite the generally good success rate, some patients do not attain good functional outcomes and it is important that we develop ways to identify these patients preoperatively. We describe the effect of demographic, clinical and other factors on functional outcomes, as well as trajectories of physical function and pain recovery beyond the first few weeks after total hip replacement. Regarding employment outcomes, many people in work preoperatively are likely to resume to work after recovery; however, patients feel that they lack guidance from clinicians about returning to work postoperatively. Our review encompasses factors associated with return to work, timing of return to work, and potential temporary or permanent limitations that people might experience at work depending on type of employment.

Employment, Function, Total hip replacement
0378-5122
8-16
Zaballa Lasala, Elena
f18e08de-4986-4a7c-b925-849f83d33ddb
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Zaballa Lasala, Elena
f18e08de-4986-4a7c-b925-849f83d33ddb
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109

Zaballa Lasala, Elena, Dennison, Elaine and Walker-Bone, Karen (2023) Function and employment after total hip replacement in older adults: a narrative review. Maturitas, 167, 8-16. (doi:10.1016/j.maturitas.2022.09.005).

Record type: Review

Abstract

The burden of osteoarthritis (OA) has increased steadily due to an aging population, increasing life expectancy, obesity and lifestyle factors. Total hip replacement has become one of the most prevalent and successful operations globally and it is projected that demand will continue to grow as the incidence of OA continues to increase. Patients undergoing the operation expect much-improved function and pain relief but also increasingly need to return to work postoperatively, especially given the growing demand for the procedure and the encouragement of older people to continue working by most governments in the developed world. This review provides an overview of function and employment outcomes after hip arthroplasty. Despite the generally good success rate, some patients do not attain good functional outcomes and it is important that we develop ways to identify these patients preoperatively. We describe the effect of demographic, clinical and other factors on functional outcomes, as well as trajectories of physical function and pain recovery beyond the first few weeks after total hip replacement. Regarding employment outcomes, many people in work preoperatively are likely to resume to work after recovery; however, patients feel that they lack guidance from clinicians about returning to work postoperatively. Our review encompasses factors associated with return to work, timing of return to work, and potential temporary or permanent limitations that people might experience at work depending on type of employment.

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Accepted/In Press date: 4 September 2022
e-pub ahead of print date: 14 September 2022
Published date: 1 January 2023
Additional Information: Funding Information: This work was supported by the MRC Versus Arthritis Centre for Musculoskeletal Health and Work [award number 22090 ]. Publisher Copyright: © 2022 The Author(s)
Keywords: Employment, Function, Total hip replacement

Identifiers

Local EPrints ID: 471978
URI: http://eprints.soton.ac.uk/id/eprint/471978
ISSN: 0378-5122
PURE UUID: a63c031d-a069-4272-bd12-f8e8696d8571
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Karen Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459

Catalogue record

Date deposited: 23 Nov 2022 17:38
Last modified: 06 Jun 2024 01:38

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Contributors

Author: Elena Zaballa Lasala
Author: Elaine Dennison ORCID iD

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