Factors associated with work ability in patients undergoing surgery for cervical radiculopathy

Ng, Eunice, Johnston, Venerina, Wibault, Johanna, Löfgren, Hakan, Dedering, Asa, Öberg, Birgitta, Zsigmond, Peter and Peolsson, Anneli (2015) Factors associated with work ability in patients undergoing surgery for cervical radiculopathy. Spine, 40 16: 1270-1276. doi:10.1097/BRS.0000000000001010


Author Ng, Eunice
Johnston, Venerina
Wibault, Johanna
Löfgren, Hakan
Dedering, Asa
Öberg, Birgitta
Zsigmond, Peter
Peolsson, Anneli
Title Factors associated with work ability in patients undergoing surgery for cervical radiculopathy
Journal name Spine   Check publisher's open access policy
ISSN 0362-2436
1528-1159
Publication date 2015-08-15
Year available 2015
Sub-type Article (original research)
DOI 10.1097/BRS.0000000000001010
Volume 40
Issue 16
Start page 1270
End page 1276
Total pages 7
Place of publication Philadelphia, PA United States
Publisher Lippincott Williams and Wilkins
Collection year 2016
Language eng
Formatted abstract
STUDY DESIGN: Cross-sectional study.

OBJECTIVE: To investigate the factors associated with work ability in patients undergoing surgery for cervical radiculopathy.

SUMMARY OF BACKGROUND DATA: Surgery is a common treatment of cervical radiculopathy in people of working age. However, few studies have investigated the impact on the work ability of these patients.

METHODS: Patients undergoing surgery for cervical radiculopathy (n = 201) were recruited from spine centers in Sweden to complete a battery of questionnaires and physical measures the day before surgery. The associations between various individual, psychological, and work-related factors and self-reported work ability were investigated by Spearman rank correlation coefficient, multivariate linear regression, and forward stepwise regression analyses. Factors that were significant (P < 0.05) in each statistical analysis were entered into the successive analysis to reveal the factors most related to work ability. Work ability was assessed using the Work Ability Index.

RESULTS: The mean Work Ability Index score was 28 (SD, 9.0). The forward stepwise regression analysis revealed 6 factors significantly associated with work ability, which explained 62% of the variance in the Work Ability Index. Factors highly correlated with greater work ability included greater self-efficacy in performing self-cares, lower physical load on the neck at work, greater self-reported chance of being able to work in 6 months' time, greater use of active coping strategies, lower frequency of hand weakness, and higher health-related quality of life.

CONCLUSION: Psychological, work-related and individual factors were significantly associated with work ability in patients undergoing surgery for cervical radiculopathy. High self-efficacy was most associated with greater work ability. Consideration of these factors by surgeons preoperatively may provide optimal return to work outcomes after surgery.
Keyword Work ability
Work Ability Index
Cervical radiculopathy
Self efficacy
Neck pain
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Mon, 14 Sep 2015, 15:49:46 EST by Dr Venerina Johnston on behalf of School of Health & Rehabilitation Sciences