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

1 Citation (Scopus)
1 Downloads (Pure)

Abstract

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
Volume46
Issue number9
Early online date7 Dec 2020
DOIs
Publication statusPublished - Nov 2021

Fingerprint

Dive into the research topics of 'Factors affecting return to work after surgical treatment of trapeziometacarpal joint osteoarthritis'. Together they form a unique fingerprint.

Cite this