Workers' compensation claims and outcomes after reverse shoulder arthroplasty

Morris, Brent J.; Haigler, Richard E.; Laughlin, Mitzi S.; Elkousy, Hussein; Gartsman, Gary M.; Edwards, T. Bradley

doi:10.1016/j.jse.2014.07.009

Cited by 58 publications

(39 citation statements)

References 41 publications

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“…Patients receiving WC are widely recognized to have significantly worse outcomes following surgery than the general population. 3,10,13,19,25,30 Although the reasons for suboptimal surgical outcomes in this group are incompletely understood, they are likely the result of a multitude of factors. 10,19,29 Earlier studies in the general population have demonstrated a particularly strong correlation between psychosocial or psychiatric conditions and disability of the upper extremity.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers’ Compensation Population

Kho

Gaspar

Kane

et al. 2016

Hand (New York, N,Y.)

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WC patients with depression, anxiety, or fibromyalgia and other chronic pain disorders were significantly more likely to have delayed RTW following CTR than were WC patients without these conditions. In addition, those who use opioid medications preoperatively and those with preoperative work restrictions were also found to have a significantly delayed RTW after CTR. Knowledge of these risk factors may help care providers and employers identify those WC patients who are most likely to have a protracted postoperative recovery period.

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Section: Discussionmentioning

confidence: 99%

Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers’ Compensation Population

Kho

Gaspar

Kane

et al. 2016

Hand (New York, N,Y.)

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“…WCB recipients fared more poorly than control groups after lumber fusion operations [Carreon et al, ] even when compared to people receiving other forms of long term disability coverage [Gum et al, ]. Although shoulder surgery in WCB recipients has been associated with worse outcomes in a number of studies [Lopez et al, ; Cuff and Pupello, ; Kim et al, ; Morris et al, ], Balyk et al [] reported that the differences that they observed were no longer significant when preoperative patient characteristics in the WCB population was included in the analysis. Nicholson [] did not observe a difference in outcomes for a WCB population having arthroscopic acromioplasty for subacromial impingement syndrome, although this group did have a longer time off work, possibly having to do with their heavier work demands.…”

Section: Discussionmentioning

confidence: 99%

“…Our study had around 200 to over 2,500 WCB covered procedures depending on the site. By comparison most other studies comparing WCB to non WCB populations that reported the number of WCB cases in their study had fifty or less [Lopez et al, ; Barrett et al, ; Nicholson ; de Beer et al, ; Balyk et al, ; Duncan et al, ; Cuff and Pupello, ; Gum et al, ; Kim et al, ; Morris et al, ] with one study including 60 WCB claimants [Carreon et al, ]. We also had detailed information for opioid prescriptions from a comprehensive source to allow for accurate calculation of the prescribed amount of ME/day.…”

Section: Discussionmentioning

confidence: 99%

A comparison of opioid use between WCB recipients and other Manitobans for knee, shoulder, back and carpal tunnel release procedures

Kraut

Raymond

Ekuma

et al. 2016

American J Industrial Med

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BackgroundThis study's objectives were to evaluate whether WCB claimants with conditions requiring certain surgical procedures are more likely to be prescribed outpatient opioids than other Manitobans and whether those prescribed opioids are more likely to still be on opioid medications 6 months post procedure.MethodsWe compared 7,246 WCB claims for a number of surgical procedures to 65,032 similar procedures performed in other Manitobans. Logistic regression was used to explore the association between being a WCB claimant and being prescribed opioids, while controlling for type of surgical procedure and other potential confounders.ResultsWCB claimants were more likely than other Manitobans to be prescribed opioids (adjusted OR 1.38; 95%CI 1.30–1.47). Amongst those prescribed opioids, the odds of being still on opioids 6 months post‐procedure were not significantly elevated for WCB claimants (adjusted OR 1.09 95%CI 0.97–1.23).ConclusionsWCB claimants are prescribed opioids more often than non‐claimants for similar procedures. Am. J. Ind. Med. 59:257–263, 2016. © 2016 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc.

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“…2016; 39(2):e230-e235.] ris et al 12 evaluated return to work after RTSA, but this study evaluated patients with workers' compensation claims rather than rate of return of all patients undergoing RTSA. Unfortunately, excluding studies of patients with workers' compensation claims and studies of subacromial decompression, few articles on shoulder surgery have addressed return to employment.…”

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confidence: 99%

Reverse Total Shoulder Arthroplasty and Work-Related Outcomes

et al. 2016

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The average retirement age is increasing, and the indications for reverse total shoulder arthroplasty (RTSA) are being broadened. The goal of the current study was to determine objective findings for rate of return to work and time to return to work after RTSA. The authors performed retrospective data collection for consecutive patients who underwent RTSA at their institution between 2007 and 2013. All patients were asked to complete a questionnaire about their work history and their ability to participate in work-related activities. A total of 40 patients reported working before surgery. Average patient age was 74.7 years (range, 56-82 years). Average follow-up was 2.6 years (range, 1-4.7 years). Average American Shoulder and Elbow Surgeons score improved from 34.0 to 81.7 (P<.001). Average visual analog scale pain score decreased from 6.5 to 0.7 (P<.001). Most patients (65.4%) classified their job as sedentary, 34.6% classified their job as light work, and no patients classified their job as heavy work. Of patients who worked preoperatively, 65% (n=26) returned to work after RTSA. Only a previous diagnosis of heart disease affected return to work (P=.04). Overall, average time to return to work was 2.3 months (range, 0.5-11 months). Patients with sedentary jobs returned to work more quickly (1.4 months) than those with light work (4.0 months). A total of 96.2% of patients reported good to excellent surgical outcomes. Of patients who worked before RTSA, 65% were still working at final follow-up. Only 5% of patients retired for reasons attributed to the operated shoulder. On average, patients returned to work less than 3 months after surgery.

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Workers' compensation claims and outcomes after reverse shoulder arthroplasty

Cited by 58 publications

References 41 publications

Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers’ Compensation Population

Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers’ Compensation Population

A comparison of opioid use between WCB recipients and other Manitobans for knee, shoulder, back and carpal tunnel release procedures

Reverse Total Shoulder Arthroplasty and Work-Related Outcomes

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