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Total hip replacement - College of Occupational Therapists

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Appendix 5: Evidence- based review tables<br />

Source Design and participants Intervention Outcomes Results Quality and comment<br />

Bohm (2010) Prospective cohort study<br />

Aim: to investigate the impact<br />

<strong>of</strong> total <strong>hip</strong> <strong>replacement</strong> on a<br />

service user’s work ability<br />

84 service users on waiting list<br />

who were in work preoperatively<br />

(working age only)<br />

Response rate 54/60 at the one<br />

year follow- up. Not all data<br />

provided by respondents<br />

Return to work group:<br />

Mean age 49.9 years<br />

Male: female ratio = 21:19<br />

Not returning to work group:<br />

Mean age 60.3 years<br />

Male: female ratio = 1:5<br />

Canada.<br />

<strong>Total</strong> <strong>hip</strong> <strong>replacement</strong>. Self- administered<br />

questionnaire emailed to<br />

participants at 12 months<br />

post- operatively<br />

Measures varied and<br />

included employment<br />

status aspects, physical<br />

function, <strong>hip</strong> function,<br />

job motivation and<br />

satisfaction, workplace<br />

demands and flexibility<br />

and productivity.<br />

• 38 out <strong>of</strong> 44 service users who<br />

were working pre- operatively had<br />

returned to work one year postoperatively<br />

(86%)<br />

• Only one service user attributed<br />

stopping work to the <strong>hip</strong> condition<br />

(2%)<br />

• 34 out <strong>of</strong> the 38 service users who<br />

returned to work returned to<br />

doing the same job<br />

• Two <strong>of</strong> the ten service users who<br />

were <strong>of</strong>f work pre- operatively had<br />

returned to work 1 year postoperatively<br />

(20%). Those who<br />

were working pre- operatively<br />

returned to work at a much higher<br />

rate than those not working preoperatively<br />

(p

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