Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis patients. Stigmar, K., Dahlberg, L. E., Zhou, C., Lidgren, H. J., Petersson, I. F., & Englund, M. Acta Orthopaedica, 88(2):152–157, March, 2017.
Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis patients. [link]Paper  doi  abstract   bibtex   
Background and purpose — Little is know about patterns of sick leave in connection with total hip and knee joint replacement (THR and TKR) in patients with osteoarthritis (OA).Patients and methods — Using registers from southern Sweden, we identified hip and knee OA patients aged 40–59 years who had a THR or TKR in the period 2004–2012. Patients who died or started on disability pension were excluded. We included 1,307 patients with THR (46% women) and 996 patients with TKR (56% women). For the period 1 year before until 2 years after the surgery, we linked individual-level data on sick leave from the Swedish Social Insurance Agency. We created a matched reference cohort from the general population by age, birth year, and area of residence (THR: n = 4,604; TKR: n = 3,425). The mean number of days on sick leave and the proportion (%) on sick leave 12 and 24 months before and after surgery were calculated.Results — The month after surgery, about 90% of patients in both cohorts were on sick leave. At the two-year follow-up, sick leave was lower for both cohorts than 1 year before surgery, except for men with THR, but about 9% of the THR patients and 12–17% of the TKR patients were still sick-listed. In the matched reference cohorts, sick leave was constant at around 4–7% during the entire study period.Interpretation — A long period of sick leave is common after total joint replacement, especially after TKR. There is a need for better knowledge on how workplace adjustments and rehabilitation can facilitate the return to work and can postpone surgery.
@article{stigmar_sick_2017,
	title = {Sick leave in {Sweden} before and after total joint replacement in hip and knee osteoarthritis patients.},
	volume = {88},
	issn = {1745-3674},
	url = {http://dx.doi.org/10.1080/17453674.2016.1269051},
	doi = {10.1080/17453674.2016.1269051},
	abstract = {Background and purpose — Little is know about patterns of sick leave in connection with total hip and knee joint replacement (THR and TKR) in patients with osteoarthritis (OA).Patients and methods — Using registers from southern Sweden, we identified hip and knee OA patients aged 40–59 years who had a THR or TKR in the period 2004–2012. Patients who died or started on disability pension were excluded. We included 1,307 patients with THR (46\% women) and 996 patients with TKR (56\% women). For the period 1 year before until 2 years after the surgery, we linked individual-level data on sick leave from the Swedish Social Insurance Agency. We created a matched reference cohort from the general population by age, birth year, and area of residence (THR: n = 4,604; TKR: n = 3,425). The mean number of days on sick leave and the proportion (\%) on sick leave 12 and 24 months before and after surgery were calculated.Results — The month after surgery, about 90\% of patients in both cohorts were on sick leave. At the two-year follow-up, sick leave was lower for both cohorts than 1 year before surgery, except for men with THR, but about 9\% of the THR patients and 12–17\% of the TKR patients were still sick-listed. In the matched reference cohorts, sick leave was constant at around 4–7\% during the entire study period.Interpretation — A long period of sick leave is common after total joint replacement, especially after TKR. There is a need for better knowledge on how workplace adjustments and rehabilitation can facilitate the return to work and can postpone surgery.},
	number = {2},
	urldate = {2017-04-18},
	journal = {Acta Orthopaedica},
	author = {Stigmar, Kjerstin and Dahlberg, Leif E. and Zhou, Caddie and Lidgren, Helena Jacobson and Petersson, Ingemar F. and Englund, Martin},
	month = mar,
	year = {2017},
	pmid = {27996342},
	pages = {152--157},
}
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