National survey of occupational advice for lower limb arthroplasty patients

B. Tsang*, D. McDonald, I. McNamara, L. Kottam, A. Rangan, P. Baker

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background
Little is known what advice or support patients are given about return to work (RTW) after hip or knee replacement surgery.

Aims
This study aims to understand the delivery, timing and content of ‘RTW’ advice currently delivered by surgical teams offering hip and knee replacements across the UK.

Methods
National online survey exploring five specific areas relating to ‘RTW’ advice: (i) timings of interactions between hospital orthopaedic teams and patients prior to surgery, (ii) routine delivery of ‘RTW’ advice, (iii) methods used to deliver ‘RTW’ advice, (iv) confidence delivering advice and (v) need for an occupational ‘RTW’ advice intervention.

Results
A total of 152 participants including surgeons, physiotherapists, occupational therapists and nurses from 59 different public and private health providers responded. Only 20% (n = 30) of respondents reported that working patients were identified as a specific subgroup in need of additional support. Overall, 62% (n = 92) stated that they did not routinely offer ‘RTW’ advice. When given, ‘RTW’ advice was almost always verbal, generic advice using blanket timescales and based on the respondent’s anecdotal experience rather than the patients individualized needs. Overall, 116 (78%) felt an occupational advice intervention was needed.

Conclusions
This national survey demonstrated wide variation in the timing, content and delivery of information and advice for patients in work and intending to RTW after hip and knee replacement surgery. Current RTW advice provided to hip and knee replacement patients is inadequate.
Original languageEnglish
Article numberkqaa006
Number of pages4
JournalOccupational Medicine
DOIs
Publication statusPublished - 3 Feb 2020

Fingerprint

Return to Work
Arthroplasty
Lower Extremity
Hip
Knee
Surveys and Questionnaires
Physical Therapists
Orthopedics
Public Health
Nurses

Keywords

  • arthroplasty
  • hip
  • knee
  • occupation
  • rehabiliation
  • work

Cite this

Tsang, B. ; McDonald, D. ; McNamara, I. ; Kottam, L. ; Rangan, A. ; Baker, P. / National survey of occupational advice for lower limb arthroplasty patients. In: Occupational Medicine. 2020.
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abstract = "BackgroundLittle is known what advice or support patients are given about return to work (RTW) after hip or knee replacement surgery.AimsThis study aims to understand the delivery, timing and content of ‘RTW’ advice currently delivered by surgical teams offering hip and knee replacements across the UK.MethodsNational online survey exploring five specific areas relating to ‘RTW’ advice: (i) timings of interactions between hospital orthopaedic teams and patients prior to surgery, (ii) routine delivery of ‘RTW’ advice, (iii) methods used to deliver ‘RTW’ advice, (iv) confidence delivering advice and (v) need for an occupational ‘RTW’ advice intervention.ResultsA total of 152 participants including surgeons, physiotherapists, occupational therapists and nurses from 59 different public and private health providers responded. Only 20{\%} (n = 30) of respondents reported that working patients were identified as a specific subgroup in need of additional support. Overall, 62{\%} (n = 92) stated that they did not routinely offer ‘RTW’ advice. When given, ‘RTW’ advice was almost always verbal, generic advice using blanket timescales and based on the respondent’s anecdotal experience rather than the patients individualized needs. Overall, 116 (78{\%}) felt an occupational advice intervention was needed.ConclusionsThis national survey demonstrated wide variation in the timing, content and delivery of information and advice for patients in work and intending to RTW after hip and knee replacement surgery. Current RTW advice provided to hip and knee replacement patients is inadequate.",
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National survey of occupational advice for lower limb arthroplasty patients. / Tsang, B.; McDonald, D.; McNamara, I.; Kottam, L.; Rangan, A.; Baker, P.

In: Occupational Medicine, 03.02.2020.

Research output: Contribution to journalArticle

TY - JOUR

T1 - National survey of occupational advice for lower limb arthroplasty patients

AU - Tsang, B.

AU - McDonald, D.

AU - McNamara, I.

AU - Kottam, L.

AU - Rangan, A.

AU - Baker, P.

N1 - Acceptance and AAM req'd 14/2/20 AAM: 12m embargo

PY - 2020/2/3

Y1 - 2020/2/3

N2 - BackgroundLittle is known what advice or support patients are given about return to work (RTW) after hip or knee replacement surgery.AimsThis study aims to understand the delivery, timing and content of ‘RTW’ advice currently delivered by surgical teams offering hip and knee replacements across the UK.MethodsNational online survey exploring five specific areas relating to ‘RTW’ advice: (i) timings of interactions between hospital orthopaedic teams and patients prior to surgery, (ii) routine delivery of ‘RTW’ advice, (iii) methods used to deliver ‘RTW’ advice, (iv) confidence delivering advice and (v) need for an occupational ‘RTW’ advice intervention.ResultsA total of 152 participants including surgeons, physiotherapists, occupational therapists and nurses from 59 different public and private health providers responded. Only 20% (n = 30) of respondents reported that working patients were identified as a specific subgroup in need of additional support. Overall, 62% (n = 92) stated that they did not routinely offer ‘RTW’ advice. When given, ‘RTW’ advice was almost always verbal, generic advice using blanket timescales and based on the respondent’s anecdotal experience rather than the patients individualized needs. Overall, 116 (78%) felt an occupational advice intervention was needed.ConclusionsThis national survey demonstrated wide variation in the timing, content and delivery of information and advice for patients in work and intending to RTW after hip and knee replacement surgery. Current RTW advice provided to hip and knee replacement patients is inadequate.

AB - BackgroundLittle is known what advice or support patients are given about return to work (RTW) after hip or knee replacement surgery.AimsThis study aims to understand the delivery, timing and content of ‘RTW’ advice currently delivered by surgical teams offering hip and knee replacements across the UK.MethodsNational online survey exploring five specific areas relating to ‘RTW’ advice: (i) timings of interactions between hospital orthopaedic teams and patients prior to surgery, (ii) routine delivery of ‘RTW’ advice, (iii) methods used to deliver ‘RTW’ advice, (iv) confidence delivering advice and (v) need for an occupational ‘RTW’ advice intervention.ResultsA total of 152 participants including surgeons, physiotherapists, occupational therapists and nurses from 59 different public and private health providers responded. Only 20% (n = 30) of respondents reported that working patients were identified as a specific subgroup in need of additional support. Overall, 62% (n = 92) stated that they did not routinely offer ‘RTW’ advice. When given, ‘RTW’ advice was almost always verbal, generic advice using blanket timescales and based on the respondent’s anecdotal experience rather than the patients individualized needs. Overall, 116 (78%) felt an occupational advice intervention was needed.ConclusionsThis national survey demonstrated wide variation in the timing, content and delivery of information and advice for patients in work and intending to RTW after hip and knee replacement surgery. Current RTW advice provided to hip and knee replacement patients is inadequate.

KW - arthroplasty

KW - hip

KW - knee

KW - occupation

KW - rehabiliation

KW - work

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