Research Article
Volume 12 Issue 1 - 2021
Role of Demographics, Medical and Psychosocial Factors in a Successful Return to Work Following a Compensated Rotator Cuff Surgery
Dragana Boljanovic PT, MSc1,2, Helen Razmjou PT, PhD1,2,3* and Amr Elmaraghy MD, FRCSC4,5
1Holland Orthopaedic and Arthritic Centre, Working Condition Program, Sunnybrook Health Sciences Centre, Toronto, Canada
2Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, Canada
3Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Canada
4Division of Orthopaedic Surgery, Department of Surgery, St. Joseph’s Health Centre Unity Health Toronto, Toronto, Canada
5Department of Orthopedic Surgery, Faculty of Medicine, University of Toronto, Toronto, Canada
*Corresponding Author: Helen Razmjou, Holland Orthopaedic and Arthritic Centre, Working Condition Program, Sunnybrook Health Sciences Centre.
Received: November 18, 2020; Published: December 28, 2020


Objectives: The purpose of this study was to examine the impact of patient characteristics on return to work (RTW) following a work-related rotator cuff (RC) injury which required surgery.

Methods: This was a retrospective review of the electronic files of injured workers who had their assessment and surgery performed at an Upper Extremity Specialty Program. The baseline patient-oriented outcome measures were the Quick DASH, the Hospital Anxiety and Depression Scale (HADS) and the Numeric Pain Rating scale (NPRS).

Results: Data of 210 patients, 73 (35%) females, 137 (65%) males, (mean age = 54, SD = 9) who had a balanced number of surgeries (70 RC repair, 70 RC decompression, and 70 RC decompression and repair) were reviewed. At the time of final assessment, 20(10%) patients were performing regular duties, 111 (53%) were performing modified duties and 79 (38%) were not working. The univariable logistic regressions of baseline demographics showed that pre-operative work status was a significant predictor of work-status at final assessment (X2: 7.05, p = 0.01). Female workers were more successful in their RTW as compared with their male counterpart (X2: 8.45, p = 0.01). Post-operative medical barriers (injury-related and pre-existing conditions) (X2: 5.42, p = 0.02) and psychological barriers (worker, workplace) (X2: 4.19, p = 0.04) contributed significantly to a successful RTW. Age, job demands, type of surgery, Quick DASH, pain, depression or anxiety did not have a statistically significant relationship with RTW. In the forward stepwise logistic regression that included all factors, the same variables maintained their significance as independent predictors of RTW.

Conclusions: Pre-operative work status, medical/psychological barriers, and gender play important roles in return to regular duties following a work-related rotator cuff surgery.

Keywords: Compensation; Predictor; Return to Work; Psychosocial Factors


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Citation: Helen Razmjou PT., et al. “Role of Demographics, Medical and Psychosocial Factors in a Successful Return to Work Following a Compensated Rotator Cuff Surgery”.EC Orthopaedics 12.1 (2021): 17-23.

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