TY - JOUR T1 - Sickness absence after carpal tunnel release: a systematic review of the literature JO - Scandinavian Journal of Work, Environment & Health PY - 2018/11VL - 44 IS - 6 SP - 557 EP - 567 AU - Newington, Lisa AU - Stevens, Martin AU - Warwick, David AU - Adams, Jo AU - Walker-Bone, Karen M3 - doi: 10.5271/sjweh.3762 UR - https://www.sjweh.fi/show_abstract.php?abstract_id=3762 KW - carpal tunnel KW - carpal tunnel release KW - carpal tunnel syndrome KW - CTS KW - elective hand surgery KW - return to work KW - return-to-work KW - review KW - RTW KW - sick leave KW - sickness absence KW - systematic review N2 - '

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OBJECTIVES ': 'The aim of this systematic review was to provide an overview of time to return to work (RTW) after carpal tunnel release (CTR), including return to different occupations and working patterns.

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METHODS ': 'A systematic search from inception to 2016 was conducted using nine electronic databases, trial registries and grey literature repositories. Randomized controlled trials and observational studies reporting RTW times after CTR were included. Study risk of bias was assessed using Cochrane risk of bias assessment tools. Time to RTW was summarized using median and range.

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RESULTS ': 'A total of 56 relevant studies were identified: 18 randomized controlled trials and 38 observational studies. Only 4 studies were rated as having a low risk of bias. Reported RTW times ranged from 4–168 days. Few studies reported occupational information. Among 6 studies, median time to return to non-manual work was 21 days (range 7–41), compared with 39 days for manual work (range 18–101). Median time to return to modified or full duties was 23 days (ranges 12–50 and 17–64, respectively), as reported by 3 studies. There was no common method of defining, collecting or reporting RTW data.

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CONCLUSIONS ': 'This review highlights wide variation in reported RTW times after CTR. Whilst occupational factors may play a role, these were poorly reported, and there is currently limited evidence to inform individual patients of their expected duration of work absence after CTR. A standardized definition of RTW is needed, as well as an agreed method of collecting and reporting related data.

SN - 0355-3140 ER -