Nakao Yuki, Hamai Satoshi, Yamate Satoshi, Konishi Toshiki, Kawahara Shinya, Motomura Goro, Utsunomiya Takeshi, Inoue Hayato, Nakashima Yasuharu
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan.
Faculty of Medical Sciences, Department of Artificial Joints and Biomaterials, Kyushu University, Fukuoka, Japan.
J Artif Organs. 2025 Aug 25. doi: 10.1007/s10047-025-01522-x.
This study investigated return to work (RTW) patterns following total hip arthroplasty (THA), focusing on factors influencing RTW, RTW timing, and the relationship between postoperative employment and patient-reported outcome measures (PROMs). This retrospective cohort study included 310 patients who underwent THA between 2012 and 2016 in Japan. Mailed surveys assessed employment status, occupation type, RTW timing, and PROMs, including the Oxford Hip Score, Forgotten Joint Score-12, visual analog scale (VAS) for satisfaction, and Ikigai-9 for life purpose. Regression analyses were performed to identify predictive factors. Employment rates were 55% preoperatively and 45% postoperatively, with an overall RTW rate of 81%. Younger age (≤ 62 years) significantly predicted RTW (odds ratio, 0.94; p < 0.01). Among those returning to work, 66% did so within 3 months. Sedentary workers had a significantly higher RTW rate within 1 month (40.8%, p = 0.022), however, overall RTW rates did not differ significantly across occupational categories (p = 0.590). Anxiety about dislocation was the most common reason for delayed RTW. Postoperative employment significantly correlated with higher VAS satisfaction (β = 2.31, p = 0.01) and Ikigai-9 scores (β = 1.28, p < 0.01). The RTW rate was 81%, with higher rates in younger age. Sedentary work was associated with earlier RTW. Addressing anxiety about dislocation through appropriate education and rehabilitation may facilitate RTW after THA. Postoperative employment was linked to higher satisfaction and Ikigai for life purpose. Communicating these findings may improve patient RTW rates, satisfaction, and overall well-being.
本研究调查了全髋关节置换术（THA）后的重返工作（RTW）模式，重点关注影响RTW的因素、RTW时间以及术后就业与患者报告结局指标（PROMs）之间的关系。这项回顾性队列研究纳入了2012年至2016年在日本接受THA的310例患者。通过邮寄调查问卷评估就业状况、职业类型、RTW时间和PROMs，包括牛津髋关节评分、遗忘关节评分-12、满意度视觉模拟量表（VAS）和生活目的生趣量表-9。进行回归分析以确定预测因素。术前就业率为55%，术后为45%，总体RTW率为81%。年龄较小（≤62岁）显著预测RTW（优势比，0.94；p<0.01）。在重返工作的患者中，66%在3个月内实现了RTW。久坐工作的患者在1个月内的RTW率显著更高（40.8%，p=0.022），然而，不同职业类别的总体RTW率差异无统计学意义（p=0.590）。对脱位的焦虑是RTW延迟的最常见原因。术后就业与更高的VAS满意度（β=2.31，p=0.01）和生趣量表-9评分（β=1.28，p<0.01）显著相关。RTW率为81%，年龄较小者的RTW率更高。久坐工作与更早的RTW相关。通过适当的教育和康复解决对脱位的焦虑可能有助于THA后的RTW。术后就业与更高的满意度和生活目的生趣相关。传达这些研究结果可能会提高患者的RTW率、满意度和总体幸福感。
