TY - JOUR
T1 - Effects of Workload on Return to Work After Elective Lumbar Spine Surgery
AU - Singh, Supriya
AU - McIntosh, Greg
AU - Dea, Nicolas
AU - Hall, Hamilton
AU - Paquet, Jerome
AU - Abraham, Edward
AU - Bailey, Christopher S.
AU - Weber, Michael H.
AU - Johnson, Michael G.
AU - Nataraj, Andrew
AU - Glennie, R. Andrew
AU - Attabib, Najmedden
AU - Kelly, Adrienne
AU - Rampersaud, Y. Raja
AU - Manson, Neil
AU - Phan, Philippe
AU - Rachevitz, Maria
AU - Thomas, Ken
AU - Fisher, Charles
AU - Charest-Morin, Raphaële
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022
Y1 - 2022
N2 - Study Design: Retrospective analysis was performed of a multi-center Canadian Spine Outcomes and Research Network (CSORN) surgical database. Objective: To determine the rate and time to return to work (RTW) based on workload intensity after elective degenerative lumbar spine surgery. Methods: Patients working pre-operatively, aged greater than 18, who underwent a primary one- or two-level elective lumbar spine surgery for degenerative conditions between January 2015 and October 2020 were evaluated. The percentage of patients who returned to work at 1 year and the time to RTW post-operatively were analyzed based on workload intensity. Results: Of the 1290 patients included in the analysis, the overall rate of RTW was 82% at 1 year. Based on workload there was no significant difference in time to RTW after a fusion procedure, with median time to RTW being 10 weeks. For non-fusion procedure, the sedentary group had a statistically significantly quicker time to RTW than the light-moderate (P <.005) and heavy-very heavy (<.027) groups. Conclusions: The rate of RTW ranged between 84% for patients with sedentary work to 77% for patient with a heavy-very heavy workload. Median time to resumption of work was about 10 weeks following a fusion regardless of work intensity. There was more variability following non-fusion surgeries such as laminectomy and discectomy reflecting the patient’s job demands.
AB - Study Design: Retrospective analysis was performed of a multi-center Canadian Spine Outcomes and Research Network (CSORN) surgical database. Objective: To determine the rate and time to return to work (RTW) based on workload intensity after elective degenerative lumbar spine surgery. Methods: Patients working pre-operatively, aged greater than 18, who underwent a primary one- or two-level elective lumbar spine surgery for degenerative conditions between January 2015 and October 2020 were evaluated. The percentage of patients who returned to work at 1 year and the time to RTW post-operatively were analyzed based on workload intensity. Results: Of the 1290 patients included in the analysis, the overall rate of RTW was 82% at 1 year. Based on workload there was no significant difference in time to RTW after a fusion procedure, with median time to RTW being 10 weeks. For non-fusion procedure, the sedentary group had a statistically significantly quicker time to RTW than the light-moderate (P <.005) and heavy-very heavy (<.027) groups. Conclusions: The rate of RTW ranged between 84% for patients with sedentary work to 77% for patient with a heavy-very heavy workload. Median time to resumption of work was about 10 weeks following a fusion regardless of work intensity. There was more variability following non-fusion surgeries such as laminectomy and discectomy reflecting the patient’s job demands.
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U2 - 10.1177/21925682221109558
DO - 10.1177/21925682221109558
M3 - Article
C2 - 35725390
AN - SCOPUS:85132810996
SN - 2192-5682
JO - Global Spine Journal
JF - Global Spine Journal
ER -