{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:03:47Z","timestamp":1788843827790,"version":"build-2803163510"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T00:00:00Z","timestamp":1631404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T00:00:00Z","timestamp":1631404800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Major trauma often results in long-term disabilities. The aim of this study was to assess health-related quality of life, cognition, and return to work 1\u00a0year after major trauma from a trauma network perspective.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>All major trauma patients in 2016 (Injury Severity Score\u2009&gt;\u200915, <jats:italic>n<\/jats:italic>\u2009=\u2009536) were selected from trauma region Southwest Netherlands. Eligible patients (<jats:italic>n<\/jats:italic>\u2009=\u2009365) were sent questionnaires with the EQ-5D-5L and questions on cognition, level of education, comorbidities, and resumption of paid work 1\u00a0year after trauma.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A 50% (<jats:italic>n<\/jats:italic>\u2009=\u2009182) response rate was obtained. EQ-US and EQ-VAS scored a median (IQR) of 0.81 (0.62\u20130.89) and 70 (60\u201380), respectively. Limitations were prevalent in all health dimensions of the EQ-5D-5L; 90 (50%) responders reported problems with mobility, 36 (20%) responders reported problems with self-care, 108 (61%) responders reported problems during daily activities, 129 (73%) responders reported pain or discomfort, 70 (39%) responders reported problems with anxiety or depression, and 102 (61%) of the patients reported problems with cognition. Return to work rate was 68% (37% full, 31% partial). A median (IQR) EQ-US of 0.89 (0.82\u20131.00) and EQ-VAS of 80 (70\u201390) were scored for fully working responders; 0.77 (0.66\u20130.85, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and 70 (62\u201380, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) for partial working respondents; and 0.49 (0.23\u20130.69, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and 55 (40\u201372, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) for unemployed respondents.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The majority experience problems in all health domains of the EQ-5D-5L and cognition. Return to work status was associated with all health domains of the EQ-5D-5L and cognition.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-021-01781-2","type":"journal-article","created":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T17:02:35Z","timestamp":1631466155000},"page":"2421-2431","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Health-related quality of life and return to work 1\u00a0year after major trauma from a network perspective"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0765-0092","authenticated-orcid":false,"given":"Jan C.","family":"van Ditshuizen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther M. 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