{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T04:06:50Z","timestamp":1741666010262,"version":"3.38.0"},"reference-count":25,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T00:00:00Z","timestamp":1741564800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ActaO"],"abstract":"<jats:p>Background and purpose:\u00a0Return to work (RTW) following primary total hip arthroplasty (THA) is important for patients and society. We aimed to investigate the association between markers of socioeconomic status (SES) and RTW after primary THA, and whether the association is influenced by sex, age, and comorbidity.Methods:\u00a0Using Danish population-based registries we included 9,431 patients aged 18 to 59 years, undergoing primary THA for osteoarthritis from 2008\u20132018. Exposure was individual-level data on SES markers (education, income, and cohabitation). Work status information before and after THA was obtained from the Danish Register for Evaluation of Marginalization. We computed cumulative incidence of RTW up to 24 months after THA. The association between SES and RTW was analyzed using Cox regression by hazard ratios with 95% confidence intervals (CI).Results:\u00a0The median time to RTW was 54 days. Cumulative incidence of RTW was 86% by 6 months and 93% by 24 months. The adjusted hazard ratio for RTW was 1.9 (CI 1.8\u20132.0) for high vs low education, 2.2 (CI 2.1\u20132.3) for high vs low income, and 1.3 (CI 1.3\u20131.4) for cohabiting vs living alone. Associations were stronger in male than female patients for all SES markers.Conclusion:\u00a0Most patients returned to work within 24 months, with the largest proportion within 6 months. Markers of low SES were associated with delayed RTW, highlighting the importance of enhanced focus on THA patients in socially vulnerable positions to reduce health and financial implications of delayed RTW.<\/jats:p>","DOI":"10.2340\/17453674.2025.43189","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T09:16:25Z","timestamp":1741598185000},"source":"Crossref","is-referenced-by-count":0,"title":["Association of socioeconomic status on return to work following primary total hip arthroplasty: a Danish population-based cohort study on 9,431 patients from 2008\u20132018"],"prefix":"10.2340","volume":"96","author":[{"given":"Peter","family":"Alsing","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3976-1627","authenticated-orcid":false,"given":"Julie B","family":"Pajaniaye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8743-8616","authenticated-orcid":false,"given":"Martin G","family":"Stisen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6829-4787","authenticated-orcid":false,"given":"S\u00f8ren","family":"Overgaard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erzs\u00e9bet","family":"Horv\u00e1th-Puh\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5432-8691","authenticated-orcid":false,"given":"Inger","family":"Mechlenburg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3288-9401","authenticated-orcid":false,"given":"Alma B","family":"Pedersen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2025,3,10]]},"reference":[{"key":"102257","doi-asserted-by":"crossref","unstructured":"Vina E R, Kwoh C K. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol 2018; 30(2): 160-7. doi: 10.1097\/BOR.0000000000000479.","DOI":"10.1097\/BOR.0000000000000479"},{"key":"102258","doi-asserted-by":"crossref","unstructured":"Barbour K E, Lui L Y, Nevitt M C, Murphy L B, Helmick C G, Theis K A, et al. Hip osteoarthritis and the risk of all-cause and disease-specific mortality in older women: a population-based cohort study. Arthritis Rheumatol 2015; 67(7): 1798-805. doi: 10.1002\/art.39113.","DOI":"10.1002\/art.39113"},{"key":"102259","doi-asserted-by":"crossref","unstructured":"Lespasio M J, Sultan A A, Piuzzi N S, Khlopas A, Husni M E, Muschler G F, et al. Hip osteoarthritis: a primer. Perm J 2018; 22: 17-084. doi: 10.7812\/TPP\/17-084.","DOI":"10.7812\/TPP\/17-084"},{"key":"102260","doi-asserted-by":"crossref","unstructured":"Zhang W, Moskowitz R W, Nuki G, Abramson S, Altman R D, Arden N, et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 2008; 16(2): 137-62. doi: 10.1016\/j.joca.2007.12.013.","DOI":"10.1016\/j.joca.2007.12.013"},{"key":"102261","unstructured":"(DHR) TDHAR. National Annual Report 2023. Available from: https:\/\/www.sundhed.dk\/content\/cms\/98\/4698_dhr_aarsrapport_2023_udgivet_2024_offentliggjort_version.pdf"},{"key":"102262","doi-asserted-by":"crossref","unstructured":"Nemes S, Gordon M, Rogmark C, Rolfson O. Projections of total hip replacement in Sweden from 2013 to 2030. Acta Orthop 2014; 85(3): 238-43. doi: 10.3109\/17453674.2014.913224.","DOI":"10.3109\/17453674.2014.913224"},{"key":"102263","unstructured":"Waddell G, Burton A. Is work good for your health and well-being? London: TSO; 2006. 246 p."},{"key":"102264","doi-asserted-by":"crossref","unstructured":"Soleimani M, Babagoli M, Baghdadi S, Mirghaderi P, Fallah Y, Sheikhvatan M, et al. Return to work following primary total hip arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res 2023; 18(1): 95. doi: 10.1186\/s13018-023-03578-y.","DOI":"10.1186\/s13018-023-03578-y"},{"key":"102265","doi-asserted-by":"crossref","unstructured":"Tilbury C, Schaasberg W, Plevier J W, Fiocco M, Nelissen R G, Vliet Vlieland T P. Return to work after total hip and knee arthroplasty: a systematic review. Rheumatology (Oxford) 2014; 53(3): 512-25. doi: 10.1093\/rheumatology\/ket389.","DOI":"10.1093\/rheumatology\/ket389"},{"key":"102266","doi-asserted-by":"crossref","unstructured":"Braveman P, Gottlieb L. The social determinants of health: it\u2019s time to consider the causes of the causes. Public Health Rep 2014; 129 Suppl 2(Suppl 2): 19-31. doi: 10.1177\/00333549141291S206.","DOI":"10.1177\/00333549141291S206"},{"key":"102267","doi-asserted-by":"crossref","unstructured":"Stisen M B, Klen\u00f8 A N, Jacobsen J S, O\u2019Connell M D L, Ayis S, Sackley C, et al. Do changes in outcomes following primary and revision hip replacement differ and relate to markers of socioeconomic status? A 1-year population-based cohort study. Acta Orthop 2022; 93: 397-404. doi: 10.2340\/17453674.2022.2430.","DOI":"10.2340\/17453674.2022.2430"},{"key":"102268","doi-asserted-by":"crossref","unstructured":"Gundtoft P H, Varnum C, Pedersen A B, Overgaard S. The Danish Hip Arthroplasty Register. Clin Epidemiol 2016; 8: 509-14. doi: 10.2147\/CLEP.S99498.","DOI":"10.2147\/CLEP.S99498"},{"key":"102269","unstructured":"Danish Hip Arthroplasty Register. Danish Hip Arthroplasty Register (DHR) \u2013 National Annual Reports 2004. Available from: http:\/\/danskhoftealloplastikregister.dk\/da\/publikationer\/aarsrapporter\/."},{"key":"102270","unstructured":"Statistics Denmark. About us 2024. Available from: https:\/\/www.dst.dk\/en\/OmDS"},{"key":"102271","doi-asserted-by":"crossref","unstructured":"Hjollund N H, Larsen F B, Andersen J H. Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey. Scand J Public Health 2007; 35(5): 497-502. doi: 10.1080\/14034940701271882.","DOI":"10.1080\/14034940701271882"},{"key":"102272","doi-asserted-by":"crossref","unstructured":"Biering K, Hj\u00f8llund N H, Lund T. Methods in measuring return to work: a comparison of measures of return to work following treatment of coronary heart disease. J Occup Rehabil 2013; 23(3): 400-5. doi: 10.1007\/s10926-012-9405-x.","DOI":"10.1007\/s10926-012-9405-x"},{"key":"102273","doi-asserted-by":"crossref","unstructured":"Laasik R, Lankinen P, Kivim\u00e4ki M, Aalto V, Saltychev M, M\u00e4kel\u00e4 K, et al. Return to work after primary total hip arthroplasty: a nationwide cohort study. Acta Orthop 2019; 90(3): 209-13. doi: 10.1080\/17453674.2019.1591081.","DOI":"10.1080\/17453674.2019.1591081"},{"key":"102274","doi-asserted-by":"crossref","unstructured":"Tilbury C, Leichtenberg C S, Tordoir R L, Holtslag M J, Verdegaal S H, Kroon H M, et al. Return to work after total hip and knee arthroplasty: results from a clinical study. Rheumatol Int 2015; 35(12): 2059-67. doi: 10.1007\/s00296-015-3311-4.","DOI":"10.1007\/s00296-015-3311-4"},{"key":"102275","doi-asserted-by":"crossref","unstructured":"Schmidt M, Schmidt S A, Sandegaard J L, Ehrenstein V, Pedersen L, S\u00f8rensen H T. The Danish National Patient Registry: a review of content, data quality, and research potential. Clin Epidemiol 2015; 7: 449-90. doi: 10.2147\/CLEP.S91125.","DOI":"10.2147\/CLEP.S91125"},{"key":"102276","doi-asserted-by":"crossref","unstructured":"Charlson M E, Pompei P, Ales K L, MacKenzie C R. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40(5): 373-83. doi: 10.1016\/0021-9681(87)90171-8.","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"102277","doi-asserted-by":"crossref","unstructured":"Schmidt M, Pedersen L, S\u00f8rensen H T. The Danish Civil Registration System as a tool in epidemiology. Eur J Epidemiol 2014; 29(8): 541-9. doi: 10.1007\/s10654-014-9930-3.","DOI":"10.1007\/s10654-014-9930-3"},{"key":"102278","doi-asserted-by":"crossref","unstructured":"Hoffmann R, Kr\u00f6ger H, Geyer S. Social causation versus health selection in the life course: does their relative importance differ by dimension of SES? Social Indicators Res 2019; 141(3): 1341-67. doi: 10.1007\/s11205-018-1871-x","DOI":"10.1007\/s11205-018-1871-x"},{"key":"102279","doi-asserted-by":"crossref","unstructured":"Berkman L F, Glass T. Social integration, social networks, social support, and health. New York: Oxford University Press; 2000. p 186-233.","DOI":"10.1093\/oso\/9780195083316.003.0007"},{"key":"102280","doi-asserted-by":"crossref","unstructured":"Bohm E R. The effect of total hip arthroplasty on employment. J Arthroplasty 2010; 25(1): 15-18. doi: 10.1016\/j.arth.2008.11.011.","DOI":"10.1016\/j.arth.2008.11.011"},{"key":"102281","doi-asserted-by":"crossref","unstructured":"Leichtenberg C S, Tilbury C, Kuijer P, Verdegaal S, Wolterbeek R, Nelissen R, et al. Determinants of return to work 12 months after total hip and knee arthroplasty. Ann R Coll Surg Engl 2016; 98(6): 387-95. doi: 10.1308\/rcsann.2016.0158.","DOI":"10.1308\/rcsann.2016.0158"}],"container-title":["Acta Orthopaedica"],"original-title":[],"link":[{"URL":"https:\/\/actaorthop.org\/actao\/article\/download\/43189\/49364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaorthop.org\/actao\/article\/download\/43189\/49409","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaorthop.org\/actao\/article\/download\/43189\/49410","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaorthop.org\/actao\/article\/download\/43189\/49364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T09:16:35Z","timestamp":1741598195000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaorthop.org\/actao\/article\/view\/43189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,10]]},"references-count":25,"URL":"https:\/\/doi.org\/10.2340\/17453674.2025.43189","relation":{},"ISSN":["1745-3682","1745-3674"],"issn-type":[{"value":"1745-3682","type":"electronic"},{"value":"1745-3674","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3,10]]}}}