Clinical and socioeconomic factors predicting return-to-work times after cholecystectomy.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI:10.1093/occmed/kqae074

M-C Li, S-Y Wu, Y-H Chao, B-C Shia

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Abstract

Background: Cholecystectomy, a type of surgery commonly performed globally, has possible mutual effects on the socioeconomic conditions of different countries due to various postoperative recovery times.

Aims: This study evaluated the medical and socioeconomic factors affecting delayed return-to-work (RTW) time after elective cholecystectomy.

Methods: This retrospective study analysed patients who underwent elective cholecystectomy for benign gallbladder diseases from January 2022 to April 2023. The patients' medical and socioeconomic data were collected to investigate the clinical and socioeconomic factors correlated with RTW time of >30 days after surgery.

Results: This study included 180 consecutive patients. Significant correlations were found between delayed RTW time (>30 days) and age (odds ratio [OR]: 1.059, 95% confidence interval [CI] 1.008-1.113, P = 0.024), lack of medical insurance (OR: 2.935, 95% CI 1.189-7.249, P = 0.02) and high-intensity labour jobs (OR: 3.649, 95% CI 1.495-8.909, P = 0.004). Patients without medical insurance (26.6 versus 18.9 days) and those with high-intensity labour jobs (23.9 versus 18.8 days) had a higher mean RTW time than those with insurance and a less-intense labour job (P < 0.001).

Conclusions: After cholecystectomy, older age, lack of medical insurance and high-intensity labour job were correlated with a delayed RTW time. Informing patients about their expected RTW time after surgery can help reduce costs.

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预测胆囊切除术后重返工作岗位时间的临床和社会经济因素。

背景：目的：本研究评估了影响选择性胆囊切除术后延迟重返工作岗位（RTW）时间的医疗和社会经济因素：这项回顾性研究分析了2022年1月至2023年4月期间因良性胆囊疾病接受择期胆囊切除术的患者。收集患者的医疗和社会经济数据，研究与术后复工时间大于 30 天相关的临床和社会经济因素：结果：本研究共纳入 180 名连续患者。发现延迟复工时间（>30 天）与年龄（几率比 [OR]：1.059，95% 置信区间 [CI]：1.008-1.113，P = 0.024）、缺乏医疗保险（OR：2.935，95% 置信区间 [CI]：1.189-7.249，P = 0.02）和高强度劳动工作（OR：3.649，95% 置信区间 [CI]：1.495-8.909，P = 0.004）显著相关。没有医疗保险的患者（26.6 天对 18.9 天）和从事高强度劳动工作的患者（23.9 天对 18.8 天）的平均复工时间高于有医疗保险且从事低强度劳动工作的患者（P 结论：没有医疗保险的患者和从事高强度劳动工作的患者的复工时间更长：胆囊切除术后，年龄较大、缺乏医疗保险和从事高强度劳动与延迟复工时间有关。告知患者术后预计的复工时间有助于降低成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Occupational Medicine-Oxford 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

3.90%

发文量

120

审稿时长

4-8 weeks

期刊介绍： Occupational Medicine is an international peer-reviewed journal which provides vital information for the promotion of workplace health and safety. The key strategic aims of the journal are to improve the practice of occupational health professionals through continuing education and to raise the profile of occupational health with key stakeholders including policy makers and representatives of employers and employees. Topics covered include work-related injury and illness, accident and illness prevention, health promotion, occupational disease, health education, the establishment and implementation of health and safety standards, monitoring of the work environment, and the management of recognized hazards. Contributions are welcomed from practising occupational health professionals and research workers in related fields.