PMID- 34564731
OWN - NLM
STAT- MEDLINE
DCOM- 20220401
LR  - 20220716
IS  - 1795-990X (Electronic)
IS  - 0355-3140 (Print)
IS  - 0355-3140 (Linking)
VI  - 47
IP  - 8
DP  - 2021 Nov 1
TI  - Sickness absence and return to work among employees with knee osteoarthritis with 
      and without total knee arthroplasty: a prospective register linkage study among 
      Finnish public sector employees.
PG  - 600-608
LID - 3989 [pii]
LID - 10.5271/sjweh.3989 [doi]
AB  - OBJECTIVE: This study aimed to examine duration of sickness absence due to knee 
      osteoarthritis (OA) and sustained return to work (RTW) among municipal employees, 
      who had at least one compensated sickness absence period due to knee OA. The 
      contribution of sociodemographic characteristics, diabetes and previous sickness 
      absence were assessed. We differentiated between participants with and without 
      total knee arthroplasty (TKA). METHODS: Data from 123 506 employees in the 
      Finnish Public Sector Study were linked with national health and mortality 
      register information. There were 3 231 sickness absence periods (2372 
      participants) due to knee OA in 2005-2011. Kaplan-Meier curves for sustained RTW 
      were obtained and median time with inter-quartile range (IQR) calculated for 
      those with and without TKA. Cox regression analyses were carried out in 
      multivariable analyses. RESULTS: The median time to RTW from the beginning of 
      sickness absence was 21-28 days when TKA was not related to sickness absence and 
      92-145 days when it was. Among participants with no TKA, age 60-64, non-sedentary 
      work, diabetes, and previous sickness absences predicted longer time to RTW, 
      while pain medication predicted a shorter time. Among participants with TKA, 
      non-sedentary work and previous sickness absences predicted a longer time to RTW. 
      CONCLUSIONS: The clinical relevance of the difference in time to RTW between 
      employees with or without TKA was substantial. Employees with knee OA working in 
      physically demanding jobs need work modifications after TKA, and this calls for a 
      dialog between occupational health care professionals and workplaces.
FAU - Kaila-Kangas, Leena
AU  - Kaila-Kangas L
AD  - Finnish Institute of Occupational Health, Box 18, 00032 TYOTERVEYSLAITOS, 
      Finland. leena.kaila-kangas@ttl.fi.
FAU - Leino-Arjas, Paivi
AU  - Leino-Arjas P
FAU - Koskinen, Aki
AU  - Koskinen A
FAU - Takala, Esa-Pekka
AU  - Takala EP
FAU - Oksanen, Tuula
AU  - Oksanen T
FAU - Ervasti, Jenni
AU  - Ervasti J
FAU - Kausto, Johanna
AU  - Kausto J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210926
PL  - Finland
TA  - Scand J Work Environ Health
JT  - Scandinavian journal of work, environment & health
JID - 7511540
SB  - IM
MH  - *Arthroplasty, Replacement, Knee
MH  - Finland
MH  - Humans
MH  - Middle Aged
MH  - *Osteoarthritis, Knee/surgery
MH  - Public Sector
MH  - Return to Work
MH  - Sick Leave
PMC - PMC9058614
COIS- The authors declare no conflict of interest.
EDAT- 2021/09/27 06:00
MHDA- 2022/04/02 06:00
PMCR- 2021/11/01
CRDT- 2021/09/26 21:07
PHST- 2021/09/27 06:00 [pubmed]
PHST- 2022/04/02 06:00 [medline]
PHST- 2021/09/26 21:07 [entrez]
PHST- 2021/11/01 00:00 [pmc-release]
AID - 3989 [pii]
AID - 10.5271/sjweh.3989 [doi]
PST - ppublish
SO  - Scand J Work Environ Health. 2021 Nov 1;47(8):600-608. doi: 10.5271/sjweh.3989. 
      Epub 2021 Sep 26.