Journal of hand therapy : official journal of the American Society of Hand Therapists · 2017
Experts' perspective on a definition for delayed return-to-work after surgery for nontraumatic upper extremity disorders: Recommendations and implications.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Peters Susan E, Coppieters Michel W, Ross Mark, Johnston Venerina
Аннотация
STUDY DESIGN: Descriptive study.
INTRODUCTION: A delayed return to work (RTW) is often associated with poorer outcomes after a workplace injury but is ill defined.
PURPOSE OF THE STUDY: To define delayed RTW after surgery for nontraumatic upper extremity conditions.
METHODS: Experts were consulted to define delayed RTW and whether a universal time point can determine the transition from early to delayed RTW.
RESULTS: Forty-two experts defined a delayed RTW as either a worker not returning to preinjury (or similar) work within the expected time frame (45%); not returning to any type of work (36%); or recovering slower than expected (12%). Two-thirds of experts believed that universal time points to delineate delayed RTW should be avoided.
DISCUSSION: Multiple factors complicate a uniform definition of delayed RTW.
CONCLUSION: Defining delayed RTW should be individualized with due consideration to the type of work. Time-based cutoffs for outcome measurement may not be appropriate with continuous measures more appropriate in research.
LEVEL OF EVIDENCE: Decision analysis V.
INTRODUCTION: A delayed return to work (RTW) is often associated with poorer outcomes after a workplace injury but is ill defined.
PURPOSE OF THE STUDY: To define delayed RTW after surgery for nontraumatic upper extremity conditions.
METHODS: Experts were consulted to define delayed RTW and whether a universal time point can determine the transition from early to delayed RTW.
RESULTS: Forty-two experts defined a delayed RTW as either a worker not returning to preinjury (or similar) work within the expected time frame (45%); not returning to any type of work (36%); or recovering slower than expected (12%). Two-thirds of experts believed that universal time points to delineate delayed RTW should be avoided.
DISCUSSION: Multiple factors complicate a uniform definition of delayed RTW.
CONCLUSION: Defining delayed RTW should be individualized with due consideration to the type of work. Time-based cutoffs for outcome measurement may not be appropriate with continuous measures more appropriate in research.
LEVEL OF EVIDENCE: Decision analysis V.