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World Journal of Surgery

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01-03-2019 | Original Scientific Report (including Papers Presented at Surgical Conferences)

Labour Market Participation After Emergency Laparotomy: A Nationwide Cohort Study with Long-Term Follow-Up

Authors: Lau Caspar Thygesen, Ismail Gögenur

Published in: World Journal of Surgery | Issue 3/2019

Abstract

Background

Many patients who undergo emergency laparotomy are working, which is a key determinant for an individual’s socio-economic status and financial security. The objectives of this study were to compare labour market participation and sick leave in a nationwide patient population undergoing non-malignant emergency resections with a matched reference population.

Methods

This nationwide prospective cohort study included all patients aged 18+ years undergoing emergency laparotomy for non-malignant disease resulting in intestinal resections, ostomy or drainage at Danish hospitals 2003–2014 and who were active on the labour market (n = 2895). We included a sex- and age-matched reference population (n = 11,422) and followed all persons in nationwide registers. We used survival analyses and logistic regression.

Results

The proportion of people active in the labour market was 85% and 66% 1 and 2 years after surgery compared to 96% and 79% among the reference population. The hazard ratio of dropout was 1.15 (95% CI 1.05–1.25, p = 0.002) among patients compared to reference population. Increased dropout was observed for disability pension (2.58; 2.14–3.11; p < 0.0001), while patients did not have increased rate of age-related pensions. The proportion on sick leave was 66% the month following surgery compared to 3–4% among references. The proportion decreased thereafter but was higher up to 3 years after surgery.

Conclusions

This nationwide study including all patients undergoing resections demonstrated marked increase in disability pensioning and sick leave after surgery compared to a matched reference group. This supports the need for interventions and programmes during hospital stay and after discharge focusing on labour market participation.

Awad S, Herrod PJ, Palmer R et al (2012) One- and two-year outcomes and predictors of mortality following emergency laparotomy: a consecutive series from a United Kingdom teaching hospital. World J Surg 36:2060–2067. https://doi.org/10.1007/s00268-012-1614-0 CrossRefPubMed

Saunders DI, Murray D, Pichel AC et al (2012) Variations in mortality after emergency laparotomy: the first report of the UK Emergency Laparotomy Network. Br J Anaesth 109:368–375CrossRefPubMed

Allvin R, Berg K, Idvall E et al (2007) Postoperative recovery: a concept analysis. J Adv Nurs 57:552–558CrossRefPubMed

Bhalla A, Williams JP, Hurst NG et al (2014) One-third of patients fail to return to work 1 year after surgery for colorectal cancer. Tech Coloproctol 18:1153–1159CrossRefPubMed

Jakobsen DH, Andersen J (2009) Convalescence and sick leave after colonic surgery. Ugeskr Laeger 171:2907–2910 (in Danish) PubMed

Gordon L, Lynch BM, Newman B (2008) Transitions in work participation after a diagnosis of colorectal cancer. Aust N Z J Public Health 32:569–574CrossRefPubMed

van den Brink M, van den Hout WB, Kievit J et al (2005) The impact of diagnosis and treatment of rectal cancer on paid and unpaid labor. Dis Colon Rectum 48:1875–1882CrossRefPubMed

Sanchez KM, Richardson JL, Mason HR (2004) The return to work experiences of colorectal cancer survivors. AAOHN J 52:500–510CrossRefPubMed

Carlsen K, Harling H, Pedersen J et al (2013) The transition between work, sickness absence and pension in a cohort of Danish colorectal cancer survivors. BMJ Open 3:e002259CrossRefPubMedPubMedCentral

10.

Pedersen CB (2011) The Danish civil registration system. Scand J Public Health 39:22–25CrossRefPubMed

11.

Lynge E, Sandegaard JL, Rebolj M (2011) The Danish national patient register. Scand J Public Health 39:30–33CrossRefPubMed

12.

Schmidt M, Schmidt SA, Sandegaard JL et al (2015) The Danish National Patient Registry: a review of content, data quality, and research potential. Clin Epidemiol 7:449–490CrossRefPubMedPubMedCentral

13.

Harboe KM, Anthonsen K, Bardram L (2009) Validation of data and indicators in the Danish Cholecystectomy Database. Int J Qual Health Care 21:160–168CrossRefPubMed

14.

Kjaergaard J, Clemmensen IH, Thomsen BL et al (2002) Validity of diagnoses of and operations for nonmalignant gynecological conditions in the Danish National Hospital Registry. J Clin Epidemiol 55:137–142CrossRefPubMed

15.

Thygesen LC, Daasnes C, Thaulow I et al (2011) Introduction to Danish (nationwide) registers on health and social issues: structure, access, legislation, and archiving. Scand J Public Health 39:12–16CrossRefPubMed

16.

Petersson F, Baadsgaard M, Thygesen LC (2011) Danish registers on personal labour market affiliation. Scand J Public Health 39:95–98CrossRefPubMed

17.

Jensen VM, Rasmussen AW (2011) Danish education registers. Scand J Public Health 39:91–94CrossRefPubMed

18.

Baadsgaard M, Quitzau J (2011) Danish registers on personal income and transfer payments. Scand J Public Health 39:103–105CrossRefPubMed

19.

Johansen K, Andersen JS, Mikkelsen S et al (2008) Controlling sickness absence: a study of changes in the Danish sickness absence legislation since 1973. Health Policy 86:109–118CrossRefPubMed

20.

Thygesen SK, Christiansen CF, Christensen S et al (2011) The predictive value of ICD-10 diagnostic coding used to assess Charlson comorbidity index conditions in the population-based Danish National Registry of Patients. BMC Med Res Methodol 11:83CrossRefPubMedPubMedCentral

21.

von Elm E, Altman DG, Egger M et al (2014) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg 12:1495–1499CrossRef

22.

VanDenKerkhof EG, Hopman WM, Reitsma ML et al (2012) Chronic pain, healthcare utilization, and quality of life following gastrointestinal surgery. Can J Anaesth 59:670–680CrossRefPubMed

23.

Jeppesen M, Tolstrup MB, Gogenur I (2016) Chronic pain, quality of life, and functional impairment after surgery due to small bowel obstruction. World J Surg 40:2091–2097. https://doi.org/10.1007/s00268-016-3616-9 CrossRefPubMed

24.

Torp S, Gudbergsson SB, Dahl AA et al (2011) Social support at work and work changes among cancer survivors in Norway. Scand J Public Health 39:33–42CrossRefPubMed

25.

Varekamp I, van Dijk FJ (2010) Workplace problems and solutions for employees with chronic diseases. Occup Med (Lond) 60:287–293CrossRef

26.

de Boer AG, Taskila TK, Tamminga SJ, et al (2015) Interventions to enhance return-to-work for cancer patients. Cochrane Database Syst Rev CD007569

27.

Thygesen LC, Ersboll AK (2014) When the entire population is the sample: strengths and limitations in register-based epidemiology. Eur J Epidemiol 29:551–558CrossRefPubMed

Title: Labour Market Participation After Emergency Laparotomy: A Nationwide Cohort Study with Long-Term Follow-Up
Authors: Lau Caspar Thygesen
Ismail Gögenur
Publication date: 01-03-2019
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 3/2019
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-018-4830-4

At a glance: The STEP trials

Springer Medicine

Labour Market Participation After Emergency Laparotomy: A Nationwide Cohort Study with Long-Term Follow-Up

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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