Factors affecting return to work after surgical treatment of trapeziometacarpal joint osteoarthritis

Mark J.W. van der Oest, Joris S. Teunissen*, the Hand-Wrist Study Group, Ralph Poelstra, Reinier Feitz, Alex Burdorf, Ruud W. Selles

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)
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This study aimed to identify factors contributing to the timing of return to work after surgical treatment of trapeziometacarpal joint osteoarthritis and to calculate the costs of lost productivity. We included 627 patients with paid employment who underwent trapeziectomy and ligament reconstruction with tendon interposition. Time to return to work was measured through filling online questionnaires and analysed using survival analysis at 6 weeks and 3, 6 and 12 months after the surgery. Patients also filled in the Michigan Hand Outcomes Questionnaire. Costs of lost productivity were calculated using the human capital method. After 1 year, 78% of the patients returned to work. The median time to return to work was 12 weeks. Factors that significantly affected the time to return to work were occupational intensity (light, moderate or heavy physical labour), whether the dominant hand was treated and the Michigan Hand Outcomes Questionnaire work score and hand function score of the unoperated side at baseline. The costs of lost productivity were estimated at €11,000 on the patient level, resulting in €16.8 million on the Dutch population level per year. Level of evidence: II

Original languageEnglish
Pages (from-to)979-984
Number of pages6
JournalJournal of Hand Surgery: European Volume
Issue number9
Early online date7 Dec 2020
Publication statusPublished - Nov 2021

Bibliographical note

Funding Information:
The Hand-Wrist Study Group non-author collaborators: Arjen Blomme, Berbel Sluijter, Corinne Schouten, Dirk-Jan van der Avoort, Erik Walbeehm, Gijs van Couwelaar, Guus Vermeulen, Hans de Schipper, Hans Temming, Jeroen van Uchelen, Luitzen de Boer, Nicoline de Haas, Oliver Z?phel, Sebastiaan Souer, Steven Hovius, Thybout Moojen, Xander Smit, Rob van Huis, Pierre-Yves Pennehouat, Karin Schoneveld, Yara van Kooij, Paul Zagt, Folkert van Ewijk, Frederik Moussault, Rik van Houwelingen, Joris Veltkamp, Alexandra Fink, Jonathan Tsehaie, Jak Dekker, Marloes ter Stege, Lisa Hoogendam, Elrozy Andrinopoulou. The authors received no financial support for the research, authorship, and/or publication of this article.

Publisher Copyright:
© The Author(s) 2020.


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