The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery

Zieger, Margrit; Luppa, Melanie; Meisel, Hans Jörg; Günther, Lutz; Winkler, Dirk; Toussaint, René; Stengler, Katarina; Angermeyer, Matthias C.; König, Hans‐Helmut; Riedel‐Heller, Steffi G.

doi:10.1007/s10926-010-9257-1

Cited by 19 publications

(15 citation statements)

References 32 publications

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“…Other studies confirmed the negative impact of presence of co-morbidity on work outcome [19][20][21][22]. Although in our study the presence of one co-morbid condition failed to reach significance, the trend is showing decreased odds on higher work ability.…”

Section: Discussionsupporting

confidence: 70%

Work-ability assessment in young adults with disabilities applying for disability benefits

Holwerda

Groothoff

Boer

et al. 2012

Disability and Rehabilitation

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Section: Discussionsupporting

confidence: 70%

Work-ability assessment in young adults with disabilities applying for disability benefits

Holwerda

Groothoff

Boer

et al. 2012

Disability and Rehabilitation

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“…Nguyen et al [5] note that only 26% of the patients who had surgery of lumbar spine returned to work, compared with 67% of the patients from a control group who had received conservative treatment. In a German study, Ziegler et al [6] note a high percentage of patients who returned to work. They studied 305 patients treated surgically for spinal disc disorder and considered the psychological and socio-economic burdens placed on the patients.…”

Section: Ijomeh 2013;26(3) 397mentioning

confidence: 98%

“…Three months after the operation, 84.5% of the patients were able to return to work. According to Ziegler et al [6], the factors that cause working activity disorders are lower-level education, unemployment, poor subjective job opportunities, long-term in-hospital treatment, prior spinal surgery, pain in other segments of the spine, as well as high intensity of subjectively-felt pain. According to the authors, the high-risk patients should receive a therapy that would involve medical, social, pain relief and psychological support.…”

Section: Ijomeh 2013;26(3) 397mentioning

confidence: 99%

Return to work after spinal stenosis surgery and the patient’s quality of life

Truszczyńska¹,

Rapała²,

Truszczyński³

et al. 2013

International Journal of Occupational Medicine and Environmental Health

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Introduction: The return to work of patients who undergo spinal surgery poses important medical and social challenge. Objectives: 1) To establish whether patients who undergo spinal stenosis surgery later return to work. 2) To establish the patient's attitude towards employment. 3) To assess the quality of life of the patients and its influence on their attitude to work. Materials and Methods: The study population consisted of 58 patients aged from 21 to 80 years (the mean age was 52.33±14.12). There were 29 women (50%) and 29 men (50%) in the group. The patients' quality of life was measured by the use of the WHOQOL-BREF instrument. Individual interviews were conducted 3 to 8 months (a mean of 5.72 months ±1.6) after the surgery. Results: 1) Although 13 patients (22.3%) returned to work, 44 (75.9%) did not, these being manual workers of vocational secondary education. 2) Almost half of the patients (27 patients, i.e. 44%) intend to apply for disability pension, 16 patients (27.6%) consider themselves unfit to work, 22 patients (37.9%) do not feel like working again.3) The quality of life of the patients decreased. Domain scores for the WHOQOL-BREF are transformed to a 0-100 scale. The mean physical health amounted to 60.67 (±16.31), the mean psychological health was 58.78 (±16.01), while the mean social relations with family and friends were 59.91 (±20.69), and the mean environment 59.62 (±12.48). Conclusions: 1) A total of 75% of the patients operated for lumbar spinal stenosis do not return to their preoperative work. Difficulties in returning to work and decreased quality of life are associated with female sex, lower-level education, hard physical work and low income. 2) Physical health, psychological health, social relations and environment decreased to the mean of approximately 60.3) The quality of life of the patients who did return to work was similar to that of healthy people.

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“…Ein zentrales Ziel der Rehabilitation ist daher nicht nur die Vorbeugung des Fortschreitens einer chronischen Erkrankung sowie das ganze oder teilweise Beseitigen oder Kompensieren von Fähigkeitsverlusten oder -einschränkungen, sondern auch die Ermöglichung einer erfolgreichen Rückkehr in das Berufsleben [ 1 ] . Obwohl man davon ausgeht, dass Rückenoperationen mit einer höheren Frühberentungsrate assoziiert sind [ 7 -10 ] , gibt es bisher nur wenige Untersuchungen darüber, welche Einfl ussfaktoren die Rückkehr in das Erwerbsleben bei bandscheibenoperierten Patienten beeinfl ussen [ 11 ] . Unter anderem lassen sich hier Alter [ 12 ] , Berufsstatus [ 13 ] , negative Arbeitsfaktoren [ 13 ] , berufl iche Zufriedenheit [ 14 ] , berufsbedingte psychische Belastungen [ 13 ] sowie Schmerzen [ 12 , 14 , 15 ] …”

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“…Bisher gab es nur wenige Studien, die den Einfl uss psychischer Komorbidität auf die berufl iche Wiedereingliederung bei bandscheibenoperierten Patienten untersucht haben [ 11 ] . Zudem gibt es kaum Untersuchungen, deren Ergebnisse sich auf kategoriale Diagnosen psychischer Stö-rungen mittels standardisierter klinischer Interviews stützen.…”

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Bandscheibenoperation, Rehabilitation, Rückkehr in den Beruf – Einflussfaktoren auf die berufliche Wiedereingliederung bei Patienten nach Bandscheibenvorfall

et al. 2012

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Zusammenfassung Fragestellung: Untersucht werden Berufsr?ckkehrer-Raten und Einflussfaktoren auf die Berufsr?ckkehr 3 Monate nach Bandscheiben-OP. Methoden: In der L?ngsschnittstudie wurden 534 bandscheibenoperierte Patienten (18?55 Jahre) in pers?nlichen Interviews im Akutkrankenhaus befragt. Eine telefonische Follow-up-Befragung fand 3 Monate sp?ter mit 486 Patienten statt (Dropout-Rate: 9%). Ergebnisse: 3 Monate nach der Bandscheiben-OP arbeiten 40,9% der Patienten wieder. Als Risikofaktoren f?r eine erschwerte berufliche Wiedereingliederung erwiesen sich u.?a. psychische Beeintr?chtigung, Schmerz, eine schlechtere gesundheitsbezogene Lebensqualit?t, Berufsstatus und eine schlechtere subjektive Erwerbsprognose. Berufsr?ckkehrer nahmen signifikant h?ufiger an ambulanten Reha-Ma?nahmen teil als Nicht-Berufsr?ckkehrer. Schlussfolgerung: Das fr?hzeitige Erkennen einer Risikogruppe f?r eine erschwerte berufliche Wiedereingliederung nach Bandscheiben-OP kann Ausgangspunkt f?r gezielte Ma?nahmen sein, um das Rehabilitationsergebnis zu verbessern und eine Berufsr?ckkehr zu unterst?tzen.

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The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery

Cited by 19 publications

References 32 publications

Work-ability assessment in young adults with disabilities applying for disability benefits

Work-ability assessment in young adults with disabilities applying for disability benefits

Return to work after spinal stenosis surgery and the patient’s quality of life

Bandscheibenoperation, Rehabilitation, Rückkehr in den Beruf – Einflussfaktoren auf die berufliche Wiedereingliederung bei Patienten nach Bandscheibenvorfall

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