{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T05:51:01Z","timestamp":1760248261878},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T00:00:00Z","timestamp":1588809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The relationship between hand function, employment status and return to work (RTW) after carpal tunnel decompression (CTD) is unclear.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To investigate predictors of RTW following CTD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We prospectively collected pre-operative and 1-year post-operative outcomes and RTW data for all patients undergoing CTD at one centre between 29 May 2014 and 29 May 2017. We used the Standard Occupation Classification 2010.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Pre- and post-operative results were available for 469 (79%) of the 597 patients who had CTD surgery. Pre-operatively, 219 (47%) were employed, 216 (46%) were retired, 26 (6%) were not working due to long-term illness and eight (2%) were unemployed. Complete data sets were available for 178 (81%) of the 219 employed patients, of whom 161 (90%) were able to RTW. Of the rest, five (3%) had changed jobs and 12 (7%) were unable to work. Median RTW time was 4 weeks (interquartile range [IQR] 2\u20136 weeks). Significantly more patients undertaking manual labour were unable to RTW (15% versus 5%; P &amp;lt; 0.05). There was no significant difference in mean number of weeks absent between manual (5.7; 95% confidence interval [CI] 4.9\u20136.5) and non-manual workers (6.2; 95% CI 4.8\u20137.6) (P &amp;gt; 0.05). Median pre-operative (difference 15.9; 95% CI 4.5\u201325) and post-operative (difference 43.2; 95% CI 13.6\u201343.2) hand function scores were significantly worse in patients who did not RTW (P &amp;lt; 0.05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Most patients can RTW within 1 year of CTD. Failure to RTW is more likely in manual workers and patients with poorer pre-operative hand function.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqaa061","type":"journal-article","created":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T03:29:08Z","timestamp":1586921348000},"page":"415-420","source":"Crossref","is-referenced-by-count":8,"title":["Occupation classification predicts return to work after carpal tunnel decompression"],"prefix":"10.1093","volume":"70","author":[{"given":"P H C","family":"Stirling","sequence":"first","affiliation":[{"name":"Queen Margaret Hospital, Dunfermline KY, UK"},{"name":"Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N 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