Can We Improve Work Status after Surgery?
Abstract
It has been shown quite conclusively that coronary artery bypass surgery decreases myocardial ischemia, improves the quality of life, and prolongs survival in selected subsets of patients (National Institutes of Health Consensus-Development Conference Statement 1981; CASS principal investigators and their associates 1983, p 939–950). Surprisingly however, bypass surgery has apparently not succeeded in returning more patients to gainful employment (Oberman et al. 1983; CASS principal investigators and their associates 1983, p 951–960). We investigated the work status of four subgroups of patients who underwent coronary surgery between September 1969 and March 1980. The objectives of these studies were: (1) to determine what percentage of patients return to work after operation; (2) to identify which patient characteristics appear to influence return to work, and (3) to compare the results obtained with and without a postoperative rehabilitation program. This information should enable us to develop policies to improve the percentage of patients returning to work after coronary bypass surgery.
Keywords
Bypass Surgery Coronary Artery Bypass Surgery Constrictive Pericarditis Coronary Bypass Surgery Improve Work StatusPreview
Unable to display preview. Download preview PDF.
References
- Almeida D, Bradford JM, Wenger NK, King SB, Hurst JW (1983) Return to work after coronary bypass surgery. Circulation [Suppl II] 68:II 205–II 213Google Scholar
- Anderson AJ, Barboriak JJ, Hoffmann RG, Mullen DC (1980) Retention or resumption of employment after aortocoronary bypass operations. JAMA 243:543–545PubMedCrossRefGoogle Scholar
- Barnes GK, Ray MJ, Oberman A, Kouchoukos NT (1977) Changes in working status of patients following coronary bypass surgery. JAMA 238:1259–1262PubMedCrossRefGoogle Scholar
- Benton AL (ed) (1965) Manuel du test de rétention visuelle, applications cliniques et expérimentales. Centre de Psychologie Appliquée, ParisGoogle Scholar
- Bortner RW (1969) A short rating scale as a potential measure of pattern a behavior. J Chronic Dis 22:87–91PubMedCrossRefGoogle Scholar
- CASS principal investigators and their associates (1983) Coronary artery surgery study (CASS): A randomized trial of coronary artery bypass surgery. Survival data. Circulation 68:939–960Google Scholar
- Cattell RB, Scheier (eds) (1964) Handbook for the IPAT anxiety scale. Institute for Personality and Ability testing. ChampaignGoogle Scholar
- Cattell RB, Eber WE (eds) (1964) Handbook for the 16 personality factor questionnaire. The Institute for Personality and Ability Testing. ChampaignGoogle Scholar
- Croog S (1976) Personality self-perception of male heart patients and their wives: Issues of congruence and “coronary personality”. Percept Mot Skills 43:927–938PubMedCrossRefGoogle Scholar
- Danchin N, David P, Robert P, Bourassa MG (1980) Evolution du statut de travail après pontage aorto-coronarien dans une population canadienne française. Arch Mal Coeur 73:585–592PubMedGoogle Scholar
- Danchin N, David P, Robert P, Bourassa MG (1982) Return to work after coronary surgery: is there a need for a comprehensive rehabilitation program? In: Mathes P, Halhuber MJ (eds) Controversies in cardiac rehabilitation. Springer, Berlin Heidelberg New York Tokyo, pp 81–83CrossRefGoogle Scholar
- David H, Juneau M (1975) Le pontage aortocoronarien, étude socioeconomique. Actual Car-diovasc Medicochir 7:94–105Google Scholar
- Feighner JP (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26:57–63PubMedGoogle Scholar
- Goldberg DP (ed) (1972) The detection of psychiatric illness by questionnaire. Oxford University Press, LondonGoogle Scholar
- Gundle MJ, Reeves BR, Tate S, Raft D, McLaurin LP (1980) Psychosocial outcome after coronary artery surgery. Am J Psychiatry 137:1591–1594PubMedGoogle Scholar
- Gutmann MC, Knapp DN, Pollock ML, Schmidt DH, Simon K, Walcott G (1982) Coronary artery bypass patients and work status. Circulation [Suppl III] 66:III 33–III 42Google Scholar
- Hammermeister KE, DeRouen TA, English MT, Dodge MT (1979) Effect of surgical versus medical therapy on return to work in patients with coronary artery disease. Am J Cardiol 44:105–111PubMedCrossRefGoogle Scholar
- Melzack R (1975) The McGill pain questionnaire, major properties and scoring method. Pain 1:277–299PubMedCrossRefGoogle Scholar
- National Institutes of Health Consensus-Development Conference Statement (1981) Coronary-artery bypass surgery. Scientific and clinical aspects. N Engl J Med 304:680–684CrossRefGoogle Scholar
- Niles NW, Vandersalm TJ, Cutler BS (1980) Return to work after coronary artery bypass operation. J Thorac Cardiovasc Surg 79:916–921PubMedGoogle Scholar
- Oberman A, Wayne JB, Kouchoukos NT, Charles ED, Russel RO, Rogers WJ (1983) Employment status after coronary artery bypass surgery. Circulation [Suppl II] 65:II 115–II 119Google Scholar
- Rotter JB (1975) Some problems and misconceptions related to the construct of Interval VS. External control of reinforcement. J Consult Clin Psychol 43:56–67CrossRefGoogle Scholar
- Smith HC, Hammes LN, Gupta S, Vlietstra RE, Elveback L (1982) Employment status after coronary artery bypass surgery. Circulation 65 [Suppl II] 65:II 120–II 125Google Scholar
- Symmes JC, Lenkey SCM, Berman MD (1978) Influence of aortocoronary bypass surgery on employment. Can Med Assoc J 118:268–270PubMedGoogle Scholar
- Weissman M (1975) The assessment of social adjustment: A review of techniques. Arch Gen Psychiatry 32:357–365PubMedGoogle Scholar
- Welsch GS, Dahlstrom WG (eds) (1956) Basic readings on the MMPI. University of Minnesota Press, MinneapolisGoogle Scholar
- Witkin HA (ed) (1974) Field dependence-independence and psychological differentiation. A bibliography through 1972 with index. Educational Testing Service, PrincetonGoogle Scholar
- Zung WWK (1965) A self-rating depression scale. Arch Gen Psychiatry 12:63–70PubMedGoogle Scholar