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Subsequent Pain or Injury After Foot and Ankle Surgery in Patients Receiving Workers' Compensation.
Bui, Gabrielle; Gao, Yubo; Glass, Natalie; Cychosz, Christopher; Marsh, John Lawrence; Phisitkul, Phinit.
Afiliación
  • Bui G; Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Gao Y; University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Glass N; University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Cychosz C; University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Marsh JL; University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
  • Phisitkul P; Tri-State Specialists, LLP, Sioux City, IA, USA.
Foot Ankle Int ; 41(1): 17-24, 2020 01.
Article en En | MEDLINE | ID: mdl-31650857
BACKGROUND: Workers' compensation (WC) has been associated with poor outcomes following a variety of injuries and surgeries, but rates of subsequent pain or injury (SPI) following surgery have not been studied. The purpose of this study was to investigate the rates, locations, and risk factors of SPI in WC patients and non-WC patients who underwent the same surgeries. METHODS: With institutional review board approval, records from foot or ankle surgery performed by author P.P. from 2009 to 2015 were obtained. A retrospective chart review was performed on all WC and non-WC patients with at least 1 Current Procedural Terminology code of interest. SPI was defined as a new injury at a different anatomical location occurring 2 months to 2 years after the index surgery. Chi-square and 2-tailed t tests were used to compare risk factors and rates of SPI in both groups. RESULTS: The WC population had higher rates of SPI than the non-WC population. Specifically, 13 of 56 WC patients (23.2%) vs 12 of 165 non-WC patients (7.3%) reported SPI (P = .001). The hip, knee, and contralateral foot and ankle were common areas of SPI in both groups. Legal representation and increased age were risk factors for SPI in the WC population. Specifically, 10 of 13 WC patients with SPI had legal representation vs 16 of 43 WC patients without SPI (P = .02). Female sex was a risk factor for SPI in the non-WC population. CONCLUSIONS: WC patients had higher rates of subsequent pain or injury than non-WC patients. Legal representation was a risk factor for SPI in the WC population. LEVEL OF EVIDENCE: Level III, comparative series.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Accidentes de Trabajo / Traumatismos del Tobillo / Indemnización para Trabajadores / Traumatismos de los Pies Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Int Asunto de la revista: ORTOPEDIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Accidentes de Trabajo / Traumatismos del Tobillo / Indemnización para Trabajadores / Traumatismos de los Pies Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Int Asunto de la revista: ORTOPEDIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos