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Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis patients

Stigmar, Kjerstin LU ; Dahlberg, Leif E LU ; Zhou, Caddie LU ; Jacobson Lidgren, Helena; Petersson, Ingemar F LU and Englund, Martin LU (2017) In Acta orthopaedica 88(2). p.152-157
Abstract

Background and purpose - Little is know about patterns of sick leave in connection with total hip and knee joint replacement (THR and TKR) in patients with osteoarthritis (OA). Patients and methods - Using registers from southern Sweden, we identified hip and knee OA patients aged 40-59 years who had a THR or TKR in the period 2004-2012. Patients who died or started on disability pension were excluded. We included 1,307 patients with THR (46% women) and 996 patients with TKR (56% women). For the period 1 year before until 2 years after the surgery, we linked individual-level data on sick leave from the Swedish Social Insurance Agency. We created a matched reference cohort from the general population by age, birth year, and area of... (More)

Background and purpose - Little is know about patterns of sick leave in connection with total hip and knee joint replacement (THR and TKR) in patients with osteoarthritis (OA). Patients and methods - Using registers from southern Sweden, we identified hip and knee OA patients aged 40-59 years who had a THR or TKR in the period 2004-2012. Patients who died or started on disability pension were excluded. We included 1,307 patients with THR (46% women) and 996 patients with TKR (56% women). For the period 1 year before until 2 years after the surgery, we linked individual-level data on sick leave from the Swedish Social Insurance Agency. We created a matched reference cohort from the general population by age, birth year, and area of residence (THR: n = 4,604; TKR: n = 3,425). The mean number of days on sick leave and the proportion (%) on sick leave 12 and 24 months before and after surgery were calculated. Results - The month after surgery, about 90% of patients in both cohorts were on sick leave. At the two-year follow-up, sick leave was lower for both cohorts than 1 year before surgery, except for men with THR, but about 9% of the THR patients and 12-17% of the TKR patients were still sick-listed. In the matched reference cohorts, sick leave was constant at around 4-7% during the entire study period. Interpretation - A long period of sick leave is common after total joint replacement, especially after TKR. There is a need for better knowledge on how workplace adjustments and rehabilitation can facilitate the return to work and can postpone surgery.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta orthopaedica
volume
88
issue
2
pages
152 - 157
publisher
Taylor & Francis
external identifiers
  • scopus:85006958585
  • wos:000399484400007
ISSN
1745-3682
DOI
10.1080/17453674.2016.1269051
language
English
LU publication?
yes
id
abc2c3e4-b181-4ad7-a198-cb890b7753ef
date added to LUP
2016-12-28 12:49:26
date last changed
2018-01-07 11:42:48
@article{abc2c3e4-b181-4ad7-a198-cb890b7753ef,
  abstract     = {<p>Background and purpose - Little is know about patterns of sick leave in connection with total hip and knee joint replacement (THR and TKR) in patients with osteoarthritis (OA). Patients and methods - Using registers from southern Sweden, we identified hip and knee OA patients aged 40-59 years who had a THR or TKR in the period 2004-2012. Patients who died or started on disability pension were excluded. We included 1,307 patients with THR (46% women) and 996 patients with TKR (56% women). For the period 1 year before until 2 years after the surgery, we linked individual-level data on sick leave from the Swedish Social Insurance Agency. We created a matched reference cohort from the general population by age, birth year, and area of residence (THR: n = 4,604; TKR: n = 3,425). The mean number of days on sick leave and the proportion (%) on sick leave 12 and 24 months before and after surgery were calculated. Results - The month after surgery, about 90% of patients in both cohorts were on sick leave. At the two-year follow-up, sick leave was lower for both cohorts than 1 year before surgery, except for men with THR, but about 9% of the THR patients and 12-17% of the TKR patients were still sick-listed. In the matched reference cohorts, sick leave was constant at around 4-7% during the entire study period. Interpretation - A long period of sick leave is common after total joint replacement, especially after TKR. There is a need for better knowledge on how workplace adjustments and rehabilitation can facilitate the return to work and can postpone surgery.</p>},
  author       = {Stigmar, Kjerstin and Dahlberg, Leif E and Zhou, Caddie and Jacobson Lidgren, Helena and Petersson, Ingemar F and Englund, Martin},
  issn         = {1745-3682},
  language     = {eng},
  number       = {2},
  pages        = {152--157},
  publisher    = {Taylor & Francis},
  series       = {Acta orthopaedica},
  title        = {Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis patients},
  url          = {http://dx.doi.org/10.1080/17453674.2016.1269051},
  volume       = {88},
  year         = {2017},
}