I-CHER, Interuniversity Center for Health Economics Research; Pain in Motion International Research Group; Department of Public Health (GEWE), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Building K, Laarbeeklaan 103, 1090 Jette, Belgium; Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel, Building F, Laarbeeklaan 103, 1090 Jette, Belgium; Department of Physical Medicine and Physiotherapy, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.
Pain in Motion International Research Group; Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel, Building F, Laarbeeklaan 103, 1090 Jette, Belgium; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.
Spine J. 2018 Sep;18(9):1694-1714. doi: 10.1016/j.spinee.2018.05.030. Epub 2018 May 22.
Informing patients about postoperative return to work (RTW) expectations is of utmost importance because of the influence of realistic expectations on RTW outcomes.
We aimed to give an overview of the duration of sick leave and RTW rates after surgery for lumbar radiculopathy and to list predictors of and factors related to RTW.
A systematic review was carried out.
A systematic literature search was conducted in PubMed, Web of Science, EMBASE, and SCOPUS. Full-text articles on RTW following surgery for lumbar radiculopathy were included through double-blind screening. Risk of bias was assessed using a modified version of the Downs and Black checklist.
Sixty-three full-text articles (total sample size: 7,100 patients) were included. Risk of bias was scored low to high. Mean duration of sick leave ranged from 0.8 to 20 weeks. Within 0.1-240 months post surgery, 3%-100% of patients resumed work. Most important predictors for work resumption were preoperative work status, presence of comorbidities, age, sex and duration of preoperative symptoms. Duration of sick leave can be predicted by the preoperative level of pain or disability and presence of symptoms of depression, occupational mental stress, and lateral disc prolapse. Furthermore, less invasive surgical techniques were found to result in better RTW outcomes compared with more invasive techniques.
Diverse results were found for RTW rates and duration of sick leave. Preoperative work status, presence of comorbidities, and several demographic factors were retrieved as predictors of RTW and duration of sick leave.
告知患者术后重返工作岗位（RTW）的预期情况非常重要，因为现实预期对 RTW 结果有影响。
我们旨在概述腰椎神经根病手术后的病假和 RTW 率，并列出 RTW 的预测因素和相关因素。
系统评价。
在 PubMed、Web of Science、EMBASE 和 SCOPUS 中进行了系统的文献搜索。通过双盲筛选纳入了关于腰椎神经根病手术后 RTW 的全文文章。使用 Downs 和 Black 清单的修改版本评估偏倚风险。
纳入了 63 篇全文文章（总样本量：7100 名患者）。偏倚风险评分从低到高。病假的平均持续时间从 0.8 周到 20 周不等。术后 0.1-240 个月内，3%-100%的患者恢复工作。重返工作的最重要预测因素是术前工作状态、合并症、年龄、性别和术前症状持续时间。病假的持续时间可以通过术前疼痛或残疾水平以及存在抑郁症状、职业心理压力和侧方椎间盘突出来预测。此外，与更具侵入性的技术相比，发现微创手术技术更能带来更好的 RTW 结果。
对于 RTW 率和病假持续时间，我们发现了不同的结果。术前工作状态、合并症和几个人口统计学因素被确定为 RTW 和病假持续时间的预测因素。
