Andersen Mikkel Ø, Ernst Carsten, Rasmussen Jesper, Dahl Søren, Carreon Leah Y
Dan Med J. 2017 Jul;64(7).
Lumbar disc herniation (LDH) is associated with high morbidity and significant socio-economic impact as the majority of the patients are of working age. The purpose of this study was to determine the impact of length of sick leave on the return-to-work rate after lumbar disc herniation surgery.
This was a single-centre study of LDH patients who underwent surgery from 18 May 2009 through 28 November 2014. Data were collected prospectively from the DaneSpine database. Questions in DaneSpine include preoperative length of sick leave and working status one year post-operatively.
A total of 678 patients were included and 72% of the patients had returned to work one year after their surgery. The rate of patients returning to work decreases significantly with the length of preoperative sick leave. Among the patients who were on sick leave prior to their surgery, 83% returned to work if surgically treated within three months. In contrast, only 50% of those whose sick leave exceeded three months returned to work.
The present analysis suggests that the return-to-work rate after lumbar disc herniation surgery is affected by the length of sick leave.
none.
This study was registered with the Danish Data Protection Agency.
腰椎间盘突出症（LDH）发病率高，且对社会经济影响重大，因为大多数患者处于工作年龄。本研究的目的是确定病假时长对腰椎间盘突出症手术后重返工作岗位率的影响。
这是一项对2009年5月18日至2014年11月28日期间接受手术的LDH患者进行的单中心研究。数据前瞻性地从丹麦脊柱数据库收集。丹麦脊柱数据库中的问题包括术前病假时长和术后一年的工作状态。
共纳入678例患者，72%的患者术后一年重返工作岗位。术前病假时长越长，患者重返工作岗位的比例显著降低。在术前休病假的患者中，若在三个月内接受手术治疗，83%的患者重返工作岗位。相比之下，病假超过三个月的患者中只有50%重返工作岗位。
目前的分析表明，腰椎间盘突出症手术后的重返工作岗位率受病假时长的影响。
无。
本研究已在丹麦数据保护局注册。
