Análisis de los determinantes que influyen en el retorno al trabajo tras intervención quirúrgica por síndrome del túnel carpiano

• Alicia Hernández Granados ^[1] ; José Manuel López Aragonés ^[2] ; Joaquín Peiró García ^[3] ; Markel Pérez García ^[4]
  1. [1] H.U 12 de Octubre
  2. [2] H.U Infanta Leono
  3. [3] H.G.U Gregorio Marañón
  4. [4] H.U Barrualde-Galdakao

  Mostrar afiliaciones +
• Localización: Medicina y seguridad del trabajo, ISSN-e 1989-7790, ISSN 0465-546X, Vol. 66, Nº. 258, 2020, págs. 26-46
• Idioma: español
• DOI: 10.4321/s0465-546x2020000100004
• Títulos paralelos:
  • Analysis of the Determinants that Influence the Return to Work After Surgery for Carpal Tunnel Syndrome
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Introducción: el síndrome del túnel carpiano es de importante repercusión en el ámbito laboral, debido a su alta prevalencia, reconociéndose recientemente como enfermedad profesional. Tras la cirugía de liberación del nervio, es de interés valorar los parámetros que repercuten en el retorno al trabajo.

    Objetivos: revisar la literatura existente relativa al estado funcional de trabajadores previo a ser intervenidos quirúrgicamente por síndrome del túnel carpiano, y su reincorporación laboral analizando los factores de mayor influencia sobre ésta.

    Material y métodos: revisión sistemática de artículos publicados entre 2009-2019 en bases de datos, escogiéndose los artículos en base a criterios de inclusión y exclusión que abarcaban factores con repercusión en la vuelta al trabajo tras una cirugía del síndrome del túnel carpiano.

    Resultados: se seleccionan 13 estudios observacionales, excluyéndose 1 metaanálisis, 9 revisiones sistemáticas, 20 ensayos clínicos y 1 opinión de expertos. Se analizan en mayor medida factores como el tiempo de retorno, tipo de cirugía empleada, compensación económica y sintomatología.

    Conclusión: se sugiere una evidencia limitada en la asociación entre los factores analizados y el retraso en el retorno a la actividad profesional. La evaluación posterior al tipo de cirugía empleada muestra la compensación económica como el parámetro de mayor predominancia

  • English

    Introduction: carpal tunnel syndrome is of great impact in the workplace, due to its high prevalence, recently being recognized as an occupational disease. After the nerve release surgery, it is of interest to assess the parameters that affect going back to work.

    Objectives: to review the existing literature regarding the functional status of workers prior to undergoing surgery for carpal tunnel syndrome, and their reinstatement, analyzing the factors with the greatest influence on it.

    Material and methods: systematic review of articles published between 2009-2019 in databases, choosing the articles based on inclusion and exclusion criteria that includes factors with an impact on going back to work after a carpal tunnel syndrome surgery.

    Results: 13 observational studies were selected, excluding 1 meta-analysis, 9 systematic evaluations, 20 clinical trials and 1 expert opinion. To analyze to a greater extent factors such as the time of return, type of surgery used, economic compensation and symptomatology.

    Conclusion: there was limited evidence in the association between the factors analyzed and the delay in the return to professional activity. The evaluation after the type of surgery used shows the economic compensation as the parameter of greater predominance.

• Referencias bibliográficas
  • 1. Balbastre Tejedor M, Andani Cervera J, Garrido Lahiguera R, López Ferreres A. Análisis de factores de riesgo laborales y no laborales en...
  • 2. Newington L, Harris CE, Walker-Bone K. Carpal tunnel syndrome and work. 2015 june;29(3): 440–453
  • 3. Gürpınar T, Polat B, Polat AE, Carkçı E, Kalyenci AS, Oztürkmen Y. Comparison of open and endoscopic carpal tunnel surgery regarding clinical...
  • 4. Cowan J, Makanji H, Mudgal C, Jupiter J, Ring D: Determinants of return to work after carpal tunnel release. J Hand Surg-Am. 2012 January;37A:18–27.
  • 5. Atroshi I, Zhou C, Jöud A, Petersson IF, Englund M. Sickness Absence from Work among Persons with New Physician-Diagnosed Carpal Tunnel...
  • 6. Moraes V, Godin K, Gomes dos Santos, JB, Faloppa F, Bhandari M, Belloti JC. Influence of compensation status on time off work after carpal...
  • 7. España. Real Decreto 1299/2006, de 10 de noviembre, de Ministerio de Trabajo y Asuntos Sociales. Boletín Oficial del Estado, de 19 de...
  • 8. Peters S, Johnston V, Hines S, Ross M, Coppieters M. Prognostic factors for return-to-work following surgery for carpal tunnel syndrome:...
  • 9. Kho JY, Gaspar MP, Kane PM, Jacoby SM, Shin EK. Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release...
  • 10. Sanati KA, Mansouri M, Macdonald D, Ghafghazi S, Macdonald E, Yadegarfar G. Surgical techniques and return to work following carpal tunnel...
  • 11. Roh YH, Koh YD, Kim JO, Lee KH, Gong HS, Baek GH. Preoperative Pain Sensitization Is Associated With Postoperative Pillar Pain After Open...
  • 12. Degeorge B, Coulomb R, Kouyoumdjian P, Mares O. Bilateral simultaneous endoscopic carpal tunnel release: Mean time to resume activities...
  • 13. Wipperman J, Goerl K. Carpal tunnel syndrome: Diagnosis and management. Am Fam Physician. 2016;94(12):993-9.
  • 14. Peters S, Johnston V, Hines S, Ross M, Coppieters M. Prognostic factors for return-to-work following surgery for carpal tunnel syndrome:...
  • 15. McDowell D, Garwood M, Barnes D, Minott M - Endoscopic Carpal Tunnel Release in Jamaica. West Indian Med J. 2012;61(2):158.
  • 16. Franklin GM, Friedman AS. Work-Related Carpal Tunnel Syndrome. Phys Med Rehabil Clin N Am. 2015 august;26(3):523-37.
  • 17. Cobb TK, Walden AL, Merrell PT, Lemke JH. Setting expectations following endoscopic cubital tunnel release. HAND 2014 april;9:356–363.
  • 18. Daniell WE, Fulton-Kehoe D, Franklin GM. Work-related carpal tunnel syndrome in Washington State workers’ compensation: Utilization of...
  • 19. Duncan SFM, Calandruccio JH, Merritt MV, Crockarell JR, Kakinoki R. A comparison of workers’ compensation patients and nonworkers´ compensation...
  • 20. Parot-Schinkel E, Roquelaure Y, Ha C, Leclerc A, Chastang JF, Raimbeau G, Chaise F, Descatha A: Factors affecting return to work after...
  • 21. Becker SJE, Makanji S, Ring D. Expected and Actual Improvement of Symptoms with Carpal Tunnel Release. J Hand Surg 2012 july;37A:1324–1329.
  • 22. Spector JT, Turner JA, Fulton-Kehoe D, and Franklin G. Pre-surgery Disability Compensation Predicts Long-Term Disability among Workers...
  • 23. Newington L. Return to work recommendations after carpal tunnel release: A survey of UK hand surgeons and hand therapists. J Hand Surg...
  • 24. Newington L, Stevens M, Warwick D, Adams J, Walker-Bone K. Sickness absence after carpal tunnel release: a systematic review of literature....