Predictors of return to work after spinal surgery : systematic review and Meta-analysis

Abstract

PurposeTo analyze the situation and influencing factors of patients returning to work after spinal surgery, and to provide reference for clinical intervention measures of patients returning to work after spinal surgery.MethodsA computer search was conducted in Chinese and English database on the situation and influencing factors of patients returning to work after spinal surgery from the establishment of the database to February 2023. Meta-analysis was performed using RevMan 5.3 and StataMP 17.0 software.ResultsA total of 10 literatures were included, involving 11,548 subjects. Meta-analysis results showed that 58% of patients returned to work after spinal surgery [95%CI (0.47–0.69)]. Gender [OR = 2.41, 95%CI (1.58–3.37)], age [OR = 1.32, 95%CI (1.03–1.51)], job nature [OR = 5.94, 95%CI (3.54–9.62)], education level [OR = 0.23, 95%CI (0.06–0.48)], fear of disease progression [OR = 0.82, 95%CI (0.84–0.95)], and social support [OR = 1.21, 95%CI (1.12–1.37)] were the influencing factors for patients returning to work after spinal surgery.ConclusionThe rate of patients returning to work after spinal surgery is low, and is affected by many factors. Medical personnel should pay comprehensive attention to the above high-risk groups and give timely intervention and support.