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The effect of total hip replacement on employment in patients with ankylosing spondylitis

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Abstract

Although total hip replacement (THR) has been proven to be effective, the effect of THR on employment in ankylosing spondylitis (AS) in Chinese population is still unknown. We aimed to demonstrate whether or not patients with AS returned to work following THR and factors associated with the work ability after THR. We performed a retrospective study including a total number of 128 AS patients undergoing THR between 2009 and 2013. Presurgery and postsurgery data including disease state, work status, type of job, and time of resuming work were collected. Factors associated with early return to work were assessed through ordinal regression. Eighty-seven of 128 patients (68 %) were employed within 1 year before THR and 98 returned to work after surgery. Among them, 21, 46, and 31 resumed work by 3, 6, and 12 months postoperation, respectively. Multivariate ordinal regression showed that patients with unilateral THR, younger age, lower BASFI score, employed presurgery, and low or moderate physical demand were more likely to resume work earlier. Most individuals working presurgery returned to work after THR. For young AS patients with hip involvement, THR is an effective treatment for improving and maintaining work ability.

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Authors and Affiliations

  1. Department of Orthopaedics, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433, China

    Chongru He, Wenwen Tong, Wei Zheng & Weidong Xu

  2. Department of Orthopedics, First People’s Hospital, Aksu Prefecture, Xinjiang Uygur Autonomous Region, China

    Xiaokang He

  3. The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003, Zhejiang province, China

    Tianfang Zhang

  4. Department of Orthopedics, No.401 Hospital of PL, Qingdao, Shandong province, People’s Republic of China

    Jinzhu Zhao

Authors
  1. Chongru He
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  2. Xiaokang He
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  3. Wenwen Tong
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  4. Wei Zheng
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  5. Tianfang Zhang
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  7. Weidong Xu
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Corresponding author

Correspondence to Weidong Xu.

Ethics declarations

The study was conducted by orthopedics department of our hospital and was approved by the clinical research ethics committee of our hospital.

Disclosures

None.

Ethics approval

The protocol was approved by the institutional review board of Changhai Hospital. Patients signed informed consent to collect, file, and use the data.

Additional information

Chongru He, Xiaokang He, Wenwen Tong contributed equally to this work as co-first authors.

Jinzhu Zhao and Weidong Xu contributed equally to this work as co-corresponding authors.

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

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He, C., He, X., Tong, W. et al. The effect of total hip replacement on employment in patients with ankylosing spondylitis. Clin Rheumatol 35, 2975–2981 (2016). https://doi.org/10.1007/s10067-016-3431-6

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  • DOI: https://doi.org/10.1007/s10067-016-3431-6

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