caa a22 4500 397577109 CHVBK 20180308164859.0 cr unu---uuuuu 161202e199603 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024461 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024461 Relationship between health status and postoperative return to work [Elektronische Daten] [Kate Lawrence, Helen Doll, Douglas McWhinnie] Background Time back to work or normal activity is often regarded as an outcome measure of interest after surgery. It has recently been used as a way of quantifying the benefits of minimal access surgery. However, the extent to which variation in time back to normal reflects differences in health status is unclear. Methods The relationship was examined in 140 patients recovering from inguinal hernia repair. A multi-dimensional measure of health status, the Short Form 36 (SF-36), was administered preoperatively, and at ten days and six weeks postoperatively. The relationship between scores on the SF-36 dimensions and return to normal activity was examined using correlation statistics and stepwise regression. Results Health status dimensions measuring role limitation owing to physical restriction at 10 days and 6 weeks, and role limitation owing to mental problems at ten days were associated with time to return to normal on univariate analysis. Social class was also strongly associated. Using stepwise regression these two dimensions of health status together explained 33 per cent of the variance in time to normal. Other factors unrelated to health status clearly contributed to this outcome. Conclusion Time back to normal activity postoperatively is influenced by a number of factors unrelated to health status and is an unreliable proxy for it Time to normal is therefore not a good outcome measure for quantifying the benefits of surgical interventions. Claims currently being made to justify investment in some minimal access interventions should be interpreted in the light of this. © Oxford University Press Articles nationallicence quality of life nationallicence laparoscopy nationallicence SF-36 nationallicence Lawrence Kate Health Services Research Unit, Department of Public Health and Primary Care, Oxford University Oxford aut Doll Helen Health Services Research Unit, Department of Public Health and Primary Care, Oxford University Oxford aut McWhinnie Douglas Department of Surgery, Milton Keynes Hospital Milton Keynes aut Journal of Public Health Oxford University Press 18/1(1996-03), 49-53 1741-3842 18:1<49 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024461 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024461 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lawrence Kate Health Services Research Unit, Department of Public Health and Primary Care, Oxford University Oxford aut NATIONALLICENCE 700 1- Doll Helen Health Services Research Unit, Department of Public Health and Primary Care, Oxford University Oxford aut NATIONALLICENCE 700 1- McWhinnie Douglas Department of Surgery, Milton Keynes Hospital Milton Keynes aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/1(1996-03), 49-53 1741-3842 18:1<49 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford