Prognostic Factors for Return to Work After Low-Back Disc Herniation Surgery

Return to work (RTW) is an important outcome following disc herniation surgery. The present study aimed at determining factors that may affect early RTW after disc herniation surgery. Data were collected from 603 patients who underwent disc herniation surgery in an educational hospital via phone int...

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Bibliographic Details
Published in:Asia-Pacific journal of public health 2015-03, Vol.27 (2), p.NP1775-NP1784
Main Authors: Seyedmehdi, Mohammad, Attarchi, Mirsaeed, Ghaffari, Mostafa, Mohammadi, Saber, Darnahal, Maryam, Sadeghi, Zargham
Format: Article
Language:English
Subjects:
Academic Medical Centers
Adult
Age Factors
Female
Humans
Intervertebral Disc Displacement - surgery
Iran
Job Satisfaction
Male
Middle Aged
Occupations - statistics & numerical data
Pain, Postoperative - epidemiology
Return to Work - psychology
Return to Work - statistics & numerical data
Sex Factors
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Summary:Return to work (RTW) is an important outcome following disc herniation surgery. The present study aimed at determining factors that may affect early RTW after disc herniation surgery. Data were collected from 603 patients who underwent disc herniation surgery in an educational hospital via phone interviews during a 4-year period (2005-2009). Delayed RTW and failed RTW were associated with female gender, lower educational levels, longer hospitalization periods, greater BMI, biological age exceeding 40 years, employment in manual labor, lack of encouragement by the physician to RTW, being in pain at the time of the phone interview, having negative expectations about the outcome of surgery preoperatively, and low job satisfaction (P < .05). Psychological and occupational factors have direct effects on RTW. Important factors include positive expectations about the outcome of surgery, encouragement by the physician to RTW, job characteristics, and job satisfaction. RTW can be accelerated by appropriate strategies and team work.
ISSN:1010-5395
1941-2479
DOI:10.1177/1010539512471072