Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands.
Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands.
J Hand Surg Eur Vol. 2021 Nov;46(9):979-984. doi: 10.1177/1753193420978631. Epub 2020 Dec 7.
This study aimed to identify factors contributing to the timing of return to work after surgical treatment of trapeziometacarpal joint osteoarthritis and to calculate the costs of lost productivity. We included 627 patients with paid employment who underwent trapeziectomy and ligament reconstruction with tendon interposition. Time to return to work was measured through filling online questionnaires and analysed using survival analysis at 6 weeks and 3, 6 and 12 months after the surgery. Patients also filled in the Michigan Hand Outcomes Questionnaire. Costs of lost productivity were calculated using the human capital method. After 1 year, 78% of the patients returned to work. The median time to return to work was 12 weeks. Factors that significantly affected the time to return to work were occupational intensity (light, moderate or heavy physical labour), whether the dominant hand was treated and the Michigan Hand Outcomes Questionnaire work score and hand function score of the unoperated side at baseline. The costs of lost productivity were estimated at €11,000 on the patient level, resulting in €16.8 million on the Dutch population level per year. II.
本研究旨在确定影响掌指关节骨关节炎手术后工作恢复时间的因素，并计算生产力损失的成本。我们纳入了 627 名有薪酬工作的患者，他们接受了腕掌关节切开术和韧带重建伴肌腱间置术。通过在线问卷填写来测量工作恢复时间，并在术后 6 周和 3、6 和 12 个月进行生存分析。患者还填写了密歇根手部结果问卷。使用人力资本法计算生产力损失的成本。1 年后，78%的患者重返工作岗位。工作恢复的中位数时间为 12 周。显著影响工作恢复时间的因素包括职业强度（轻、中或重体力劳动）、优势手是否接受治疗以及基线时未手术侧的密歇根手部结果问卷工作评分和手部功能评分。基于患者层面，生产力损失的成本估计为 11000 欧元，每年在荷兰人群层面则达到 1680 万欧元。
