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Type: Journal article
Title: Return to work after coronary artery bypass surgery in a population of long-term survivors
Author: Bradshaw, P.
Jamrozik, K.
Gilfillan, I.
Thompson, P.
Citation: Heart Lung and Circulation, 2005; 14(3):191-196
Publisher: Blackwell Publishing Asia
Issue Date: 2005
ISSN: 1443-9506
Statement of
Pamela J. Bradshaw, Konrad Jamrozik, Ian S. Gilfillan and Peter L. Thompson
Abstract: Background: Return to paid employment may be facilitated by coronary artery bypass graft (CABG) surgery. We assessed work status in a population-based study of long-term outcomes of CABG. Aim: To determine the association between returning to work after CABG and clinical and socio-demographic factors. Methods: A postal survey of 2500 randomly selected patients 6–20 years post-CABG. The outcomes assessed were work status in the year before and after CABG and health-related quality of life (HRQOL) measured with SF-36. Results: Response was 82% (n = 2061). Employment fell from 56% in the year prior to CABG to 42% in the year after. Workers in ‘blue-collar’ occupations were more likely to reduce their work status than those in ‘white collar’ occupations (46% versus 29%, p < 0.001). Independent predictors of reducing employment were increasing age (9% per year, 99% CI: 1.06–1.11, p < 0.001), ‘blue-collar’ versus ‘white collar’ occupation (OR: 2.1, 99% CI: 1.4–3.1) and female sex (OR: 2.1, 99% CI: 1.1–3.6). HRQOL among participants under 60 years of age at follow-up was better for those who returned to work after CABG surgery. Conclusion: CABG surgery is followed by a net loss to paid employment of working age patients which increases with age, and is more likely for those in blue-collar occupations and women.
Keywords: Return to work
DOI: 10.1016/j.hlc.2004.12.022
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