原发性膝关节置换术后体重指数与恢复工作之间的关系:一项基于人群的队列研究,来自丹麦国家登记的6128名患者。

IF 2.5 2区 医学 Q1 ORTHOPEDICS
Julie B Pajaniaye, Peter Alsing, Martin G Stisen, Erzsébet Horváth-Puhó, Maaike G J Gademan, Alma B Pedersen, Inger Mechlenburg Mechlenburg
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引用次数: 0

摘要

背景和目的:随着工作年龄患者膝关节置换术(KAs)的增加,对重返工作(RTW)的兴趣增加。我们的目的是调查原发性KA后体重指数(BMI)与RTW之间的关系,以及这种关系是否因性别、年龄、合并症和社会经济地位而异。方法:从丹麦国家登记处中,我们纳入了2008-2018年期间6128名年龄在18至60岁之间接受KA的患者。暴露的BMI分为< 25.0、25.0-29.9、30.0-34.9、35.0-39.9和≥40.0。结果是KA后的RTW。我们估计RTW的累积发生率(CIP)。采用Cox回归计算95%可信区间的风险比(hr)。结果:到RTW的中位时间为70天。3个月时RTW的总CIP为63% (CI 62-65)。以BMI < 25为参照,BMI为25.0 ~ 29.9的CIP为65% (n = 1,401), BMI为30.0 ~ 34.9的CIP为64% (n = 1,130), BMI为35.0 ~ 39.9的CIP为60% (n = 528), BMI≥40.0的CIP为60% (n = 260),相应的校正风险比分别为1.06 (CI 0.98 ~ 1.15)、1.02 (CI 0.94 ~ 1.11)、0.97 (CI 0.88 ~ 1.06)和0.96 (CI 0.85 ~ 1.08)。BMI为35.0 ~ 39.9和≥40的男性调整后风险比分别为0.89 (CI 0.76 ~ 1.05)和0.87 (CI 0.70 ~ 1.10)。这些关联都没有统计学意义。年龄、合并症和社会经济地位没有改变BMI和RTW之间的关系。结论:超过60%的患者在3个月内发生RTW,但我们发现原发性KA后BMI与RTW没有关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between body mass index and return to work following primary knee arthroplasty: a population-based cohort study on 6,128 patients from Danish national registers.

Background and purpose:  With more knee arthroplasties (KAs) performed in working-age patients, interest in return to work (RTW) increases. We aimed to investigate the association between body mass index (BMI) and RTW after primary KA and whether the association varies by sex, age, comorbidity, and socioeconomic position.

Methods:  From Danish national registries, we included 6,128 patients aged 18 to 60 years undergoing KA from 2008-2018. Exposure was BMI in categories < 25.0, 25.0-29.9, 30.0-34.9, 35.0-39.9, and ≥ 40.0. Outcome was RTW after KA. We estimated cumulative incidence proportions (CIP) of RTW. Cox regression was used to calculate hazard ratios (HRs) with 95% confidence intervals (CI).

Results:  Median time to RTW was 70 days. Overall CIP for RTW was 63% (CI 62-65) at 3 months. With BMI < 25 as reference, CIP was 65% (n = 1,401) for BMI 25.0-29.9, 64% (n = 1,130) for BMI 30.0-34.9, 60% (n = 528) for BMI 35.0-39.9, and 60% (n = 260) for BMI ≥ 40.0, corresponding to an adjusted HR of 1.06 (CI 0.98-1.15), 1.02 (CI 0.94-1.11), 0.97 (CI 0.88-1.06), and 0.96 (CI 0.85-1.08). Men with BMI 35.0-39.9 and ≥ 40 had an adjusted HR of 0.89 (CI 0.76-1.05) and 0.87 (CI 0.70-1.10). None of the associations were statistically significant. Age, comorbidity, and socioeconomic position did not modify the association between BMI and RTW.

Conclusion:  More than 60% of patients RTW within 3 months but we found no association between BMI and RTW after primary KA.

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来源期刊
Acta Orthopaedica
Acta Orthopaedica 医学-整形外科
CiteScore
6.40
自引率
8.10%
发文量
105
审稿时长
4-8 weeks
期刊介绍: Acta Orthopaedica (previously Acta Orthopaedica Scandinavica) presents original articles of basic research interest, as well as clinical studies in the field of orthopedics and related sub disciplines. Ever since the journal was founded in 1930, by a group of Scandinavian orthopedic surgeons, the journal has been published for an international audience. Acta Orthopaedica is owned by the Nordic Orthopaedic Federation and is the official publication of this federation.
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