Cheng Titi J, Nieuwenhuijsen Karen, Kuijer P Paul F M
Amsterdam UMC Location University , of Amsterdam, Public and Occupational Health, Meibergdreef 9, Amsterdam, The Netherlands.
Research Center for Insurance Medicine (KCVG), Amsterdam, The Netherlands.
J Occup Rehabil. 2024 Sep 10. doi: 10.1007/s10926-024-10234-7.
Optimal timing of knee arthroplasty (KA) is complex: operating at a younger age increases life time risk of revision, while delay results in an increased risk of job loss. This study evaluates whether disability benefits recipients due to knee osteoarthritis have an increased odds of returning to work (RTW) following KA.
A retrospective cohort study was performed among long-term disability benefits recipients due to knee osteoarthritis using data of the Dutch Employee Insurance Agency. Logistic regression assessed whether recipients with KA had a higher odds of RTW in 10 years following start of disability benefits, compared to those without KA.
A total of 159 participants were included. During 10-year follow up, 42% had received KA and 37% had returned to work. No association was observed between KA and RTW (OR 1.39, 95% CI 0.62-3.12). Prognostic factors for RTW were being the main breadwinner (OR 7.93, 95% CI 2.95-21.32) and classification as 100% work disability (OR 0.20, 95% CI 0.09-0.45).
KA has no beneficial effect on RTW among patients with knee osteoarthritis granted long-term disability in the Netherlands. For RTW, KA is probably best performed within the two years of paid sick leave before long-term disability is assessed in the Netherlands.
膝关节置换术（KA）的最佳时机很复杂：在年轻时进行手术会增加翻修的终身风险，而延迟手术则会增加失业风险。本研究评估因膝关节骨关节炎领取残疾津贴的患者在接受KA后重返工作岗位（RTW）的几率是否增加。
利用荷兰雇员保险机构的数据，对因膝关节骨关节炎领取长期残疾津贴的人群进行了一项回顾性队列研究。逻辑回归分析评估了与未接受KA的患者相比，接受KA的患者在开始领取残疾津贴后的10年内RTW的几率是否更高。
共纳入159名参与者。在10年的随访期间，42%的人接受了KA，37%的人重返工作岗位。未观察到KA与RTW之间存在关联（比值比1.39，95%置信区间0.62-3.12）。RTW的预后因素是作为主要养家糊口者（比值比7.93，95%置信区间2.95-21.32）以及被归类为100%工作残疾（比值比0.20，95%置信区间0.09-0.45）。
在荷兰，KA对因膝关节骨关节炎获得长期残疾津贴的患者的RTW没有有益影响。对于RTW，在荷兰评估长期残疾之前，KA可能最好在带薪病假的两年内进行。
