老年膝骨关节炎患者。
The older worker with osteoarthritis of the knee.
机构信息
MRC Lifecourse Epidemiology Unit, University of Southampton, UK.
出版信息
Br Med Bull. 2012 Jun;102:79-88. doi: 10.1093/bmb/lds011. Epub 2012 Apr 26.
Abstract
BACKGROUND
Changing demographics mean that many patients with large joint arthritis will work beyond traditional retirement age. This review considers the impact of knee osteoarthritis (OA) on work participation and the relation between work and total knee replacement (TKR).
SOURCES
Two systematic searches in Embase and Medline, supplemented by three systematic reviews.
AREAS OF AGREEMENT
Probably, although evidence is limited, knee OA considerably impairs participation in work (labour force participation, work attendance and work productivity). AREAS OF UNCERTAINTY/RESEARCH NEED: Little is known about effective interventions (treatments, work changes and policies) to improve vocational participation in patients with knee OA; or how type of work affects long-term clinical outcomes (e.g. pain, function and the need for revision surgery) in patients with TKRs. The need for such research is pressing and opportune, as increasing numbers of patients with knee OA or TKR expect to work on.
摘要
背景
人口结构的变化意味着许多患有大关节关节炎的患者将在传统退休年龄之后继续工作。本综述考虑了膝关节骨关节炎（OA）对工作参与的影响，以及工作与全膝关节置换术（TKR）之间的关系。
资料来源
在 Embase 和 Medline 中进行了两次系统搜索，并辅以三项系统评价。
共识领域
可能，尽管证据有限，但膝关节 OA 会严重影响工作参与（劳动力参与、工作出勤和工作生产力）。
不确定/研究需求领域：对于改善膝关节 OA 患者职业参与的有效干预措施（治疗、工作改变和政策）知之甚少；或者工作类型如何影响 TKR 患者的长期临床结果（例如疼痛、功能和翻修手术的需求）。对于这种研究的需求是紧迫和适时的，因为越来越多的膝关节 OA 或 TKR 患者期望继续工作。
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