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

doi:10.1177/1753193420978631

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

Xpert Clinics; Hand and Wrist Center
Radboud University Medical Center

Research output: Contribution to journal › Article › Academic › peer-review

22 Citations (Scopus)

63 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 language	English
Pages (from-to)	979-984
Number of pages	6
Journal	Journal of Hand Surgery: European Volume
Volume	46
Issue number	9
Early online date	7 Dec 2020
DOIs	https://doi.org/10.1177/1753193420978631
Publication status	Published - 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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Factors affecting return to work after surgical treatment of trapeziometacarpal joint osteoarthritisFinal published version, 184 KBLicence: CC BY-NC

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@article{690e5fb2dc524afaaf107bdd099cec99,

title = "Factors affecting return to work after surgical treatment of trapeziometacarpal joint osteoarthritis",

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",

author = "\{van der Oest\}, \{Mark J.W.\} and Teunissen, \{Joris S.\} and \{the Hand-Wrist Study Group\} and Ralph Poelstra and Reinier Feitz and Alex Burdorf and Selles, \{Ruud W.\} and Arjen Blomme and Berbel Sluijter and Corinne Schouten and \{van der Avoort\}, \{Dirk Jan\} and Erik Walbeehm and \{van Couwelaar\}, Gijs and Guus Vermeulen and \{de Schipper\}, Hans and Hans Temming and \{van Uchelen\}, Jeroen and \{de Boer\}, Luitzen and \{de Haas\}, Nicoline and Oliver Zophel and Sebastiaan Souer and Steven Hovius and Thybout Moojen and Xander Smit and \{van Huis\}, Rob and Pennehouat, \{Pierre Yves\} and Karin Schoneveld and \{van Kooij\}, Yara and Paul Zagt and \{van Ewijk\}, Folkert and Frederik Moussault and \{van Houwelingen\}, Rik and Joris Veltkamp and Alexandra Fink and Jonathan Tsehaie and Jak Dekker and \{ter Stege\}, Marloes and Lisa Hoogendam and Elrozy Andrinopoulou",

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: {\textcopyright} The Author(s) 2020.",

year = "2021",

month = nov,

doi = "10.1177/1753193420978631",

language = "English",

volume = "46",

pages = "979--984",

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AU - van der Oest, Mark J.W.

AU - Teunissen, Joris S.

AU - the Hand-Wrist Study Group

AU - Poelstra, Ralph

AU - Feitz, Reinier

AU - Burdorf, Alex

AU - Selles, Ruud W.

AU - Blomme, Arjen

AU - Sluijter, Berbel

AU - Schouten, Corinne

AU - van der Avoort, Dirk Jan

AU - Walbeehm, Erik

AU - van Couwelaar, Gijs

AU - Vermeulen, Guus

AU - de Schipper, Hans

AU - Temming, Hans

AU - van Uchelen, Jeroen

AU - de Boer, Luitzen

AU - de Haas, Nicoline

AU - Zophel, Oliver

AU - Souer, Sebastiaan

AU - Hovius, Steven

AU - Moojen, Thybout

AU - Smit, Xander

AU - van Huis, Rob

AU - Pennehouat, Pierre Yves

AU - Schoneveld, Karin

AU - van Kooij, Yara

AU - Zagt, Paul

AU - van Ewijk, Folkert

AU - Moussault, Frederik

AU - van Houwelingen, Rik

AU - Veltkamp, Joris

AU - Fink, Alexandra

AU - Tsehaie, Jonathan

AU - Dekker, Jak

AU - ter Stege, Marloes

AU - Hoogendam, Lisa

AU - Andrinopoulou, Elrozy

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PY - 2021/11

Y1 - 2021/11

N2 - 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

AB - 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

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DO - 10.1177/1753193420978631

M3 - Article

AN - SCOPUS:85097390386

SN - 1753-1934

VL - 46

SP - 979

EP - 984

JO - Journal of Hand Surgery: European Volume

JF - Journal of Hand Surgery: European Volume

IS - 9

ER -

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

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