Specialty: Musculoskeletal disorders, Primary sub-specialty: Other
Conditions
Interventions
Phase 1
Cohort study 1: A minimum of 150 patients undergoing hip or knee replacement who are currently working will be recruited overall from the study centres. Patients will be asked
Sponsors
South Tees Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Phase 1: 1. Age 16 years and above 2. Patients undergoing primary hip or knee replacement 3. In work within 6 months prior to joint replacement (including Full time, Part time, Paid & unpaid job roles) Phase 2 1. Inclusion criteria as listed for Phase 1 2. Patients intending to return to work following surgery Stakeholder interviews/focus groups (phase 1 & 2) or Delphi consensus process (phase 2) will include some patients (as above), AHP, GPs, Orthopaedic surgeons and Employer representatives. Orthopaedic surgeons, AHPs , GPs and employers would have to be involved directly in the care of patients undergoing hip and knee replacement procedures in the preceding 12 months. Orthopaedic consultants undertaking a minimum of 20 Total Hip or Knee Replacement operations per year will be eligible as this threshold will encompass surgeons with a specific interest in hip and knee replacements that are more likely to have experience of patients that return to work following surgery. AHPs involved in the current care pathways at each centre will be recruited. GPs with experience of treating patients undergoing either hip and knee replacements in the previous twelve months will be eligible.
Exclusion criteria
Exclusion criteria: Phase 1 & 2: 1. Lack of mental capacity to understand and participate in the cohort study 2. Patients who do not understand written and spoken English 3. Emergency surgical procedure e.g. Surgery for an indication of trauma 4. Surgery for cancer 5. Surgery for infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Return to work rate is assessed at 16 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Following outcomes are measured at baseline, 8 and 16 weeks. Also measured at 24 weeks for first 45 patients. 1. Functional status: 1.1. Joint function, measured using the Oxford hip / knee score 1.2. Health utility, measured using the EQ5D-5L 1.3. Workplace disability and participation, measured using the Workplace limitations Questionnaire (WLQ), Elements of the Workplace design questionnaire (WDQ), PHQ - 9 (Patient health questionnaire), Brief resilience scale (BRS) and GAD-2 (Generalised anxiety disorder scale - 2) 2. Occupational information 3. Use of fit notes 4. Healthcare utilisation and adherence with rehabilitation programmes 5. Details of interactions with occupational health practitioners / departments 6. Details of occupational advice received 7. Return to driving following surgery | — |
Countries
United Kingdom
Outcome results
None listed