eprintid: 10132257
rev_number: 16
eprint_status: archive
userid: 608
dir: disk0/10/13/22/57
datestamp: 2021-08-04 13:14:48
lastmod: 2021-12-02 00:28:28
status_changed: 2021-08-04 13:14:48
type: article
metadata_visibility: show
creators_name: Laasik, R
creators_name: Lankinen, P
creators_name: Kivimaki, M
creators_name: Neva, MH
creators_name: Aalto, V
creators_name: Oksanen, T
creators_name: Vahtera, J
creators_name: Makela, KT
title: Return to work after lumbar disc herniation surgery: an occupational cohort study
ispublished: pub
divisions: UCL
divisions: B02
divisions: D12
divisions: G19
note: © 2021 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. 
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
abstract: Background and purpose — Lumbar disc herniation is a common surgically treated condition in the working-age population. We assessed health-related risk factors for return to work (RTW) after excision of lumbar disc herniation. Previous studies on the subject have had partly contradictory findings.

Patients and methods — RTW of 389 (n = 111 male, n = 278 female; mean age 46 years, SD 8.9) employees who underwent excision of lumbar disc herniation was assessed based on the Finnish Public Sector Study (FPS). Baseline information on occupation, preceding health, and health-risk behaviors was derived from linkage to national health registers and FPS surveys before the operation. The likelihood of RTW was analyzed using Cox proportional hazard univariable and multivariable modelling.

Results — 95% of the patients had returned to work at 12 months after surgery, after on average 78 days of sickness absence. Faster RTW in the univariable Cox model was associated with a small number of sick leave days (< 30 days) before operation (HR 1.3, 95% CI 1.1–1.6); high occupational position (HR 1.6, CI 1.2–2.1); and age under 40 years (HR 1.5, CI 1.1–1.9). RTW was not associated with sex or the health-related risk factors obesity, physical inactivity, smoking, heavy alcohol consumption, poor self-rated health, psychological distress, comorbid conditions, or purchases of pain or antidepressant medications in either the univariable or multivariable model.

Interpretation — Almost all employees returned to work after excision of lumbar disc herniation. Older age, manual job, and prolonged sick leave before the excision of lumbar disc herniation were risk factors for delayed return to work after the surgery.
date: 2021-07-16
date_type: published
publisher: TAYLOR & FRANCIS LTD
official_url: https://doi.org/10.1080/17453674.2021.1951010
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1878656
doi: 10.1080/17453674.2021.1951010
lyricists_name: Kivimaki, Mika
lyricists_id: MJKIV95
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: Acta Orthopaedica
pages: 6
citation:        Laasik, R;    Lankinen, P;    Kivimaki, M;    Neva, MH;    Aalto, V;    Oksanen, T;    Vahtera, J;           Laasik, R;  Lankinen, P;  Kivimaki, M;  Neva, MH;  Aalto, V;  Oksanen, T;  Vahtera, J;  Makela, KT;   - view fewer <#>    (2021)    Return to work after lumbar disc herniation surgery: an occupational cohort study.                   Acta Orthopaedica        10.1080/17453674.2021.1951010 <https://doi.org/10.1080/17453674.2021.1951010>.       Green open access   
 
document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10132257/1/Return%20to%20work%20after%20lumbar%20disc%20herniation%20surgery%20an%20occupational%20cohort%20study.pdf