Journal of Occupational Rehabilitation

, Volume 23, Issue 1, pp 74–81 | Cite as

Prognostic Factors for Sustained Work Participation in Early Osteoarthritis: A Follow-Up Study in the Cohort Hip and Cohort Knee (CHECK)

  • Hendrik J. Bieleman
  • Michiel F. Reneman
  • K. Wiepke Drossaers-Bakker
  • Johan W. Groothoff
  • Frits G. J. Oosterveld
Original Paper


Objective To identify prognostic factors for the 2-year course of work participation in early osteoarthritis (OA) of hips or knees. Methods In this prospective cohort study, questionnaire data from 925 subjects was analyzed. Rate ratios were calculated to compare work participation with the general Dutch population, corrected for age, sex and education. The overall participation rate at T2 was compared to baseline. Personal factors, self-reported health status (Western Ontario McMasters Arthritis Index—WOMAC), medical consumption and physical work demands were compared between subjects with sustained work participation and subject who stopped working; factors that differed significantly were included in a logistic regression analysis. Results Work participation in the cohort (mean age 58, 79 % females) decreased from 51 to 46 %, a similar rate to the general population. Subjects who continued working were younger than those who stopped working (mean 4.2 years) and they had less frequently reported sick-leave at baseline; the regression model included both factors. 11 % Of the workers reported sick-leave in the past year because of hip/knee complaints (similar to baseline). 20 % Reported work adaptations, compared to 14 % at baseline. Conclusion The 2-year course of work participation of people with early OA was similar to the general Dutch population. Sustained work participation was predicted by lower age, not by OA related factors.


Osteoarthritis Knee Hip Work participation Cohort 



CHECK is funded by the Dutch Arthritis Association on the lead of a steering committee comprising 16 members with expertise in different fields of OA chaired by Prof. J.W.J.Bijlsma and coordinated by J.Wesseling, MSc. Involved are: Academic Hospital Maastricht; Erasmus Medical Center Rotterdam; Jan van Breemen Institute/VU Medical Center Amsterdam; Kennemer Gasthuis Haarlem; Martini Hospital Groningen/Allied Health Care Center for Rheumatology and Rehabilitation Groningen; Medical Spectrum Twente Enschede/Twenteborg Hospital Almelo; St. Maartenskliniek Nijmegen; Leiden University Medical Center; University Medical Center Utrecht and Wilhelmina Hospital Assen. This work was supported by NutsOhra Fonds (SNO-T-08-80) and Mobiliteitsfonds HBO (PR0512-C).

Conflict of interest

The authors declare no conflicts on interest.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Hendrik J. Bieleman
    • 1
    • 2
    • 3
  • Michiel F. Reneman
    • 4
  • K. Wiepke Drossaers-Bakker
    • 5
  • Johan W. Groothoff
    • 2
    • 3
  • Frits G. J. Oosterveld
    • 1
  1. 1.Expertise Center Health, Social Care and TechnologySaxion Universities of Applied SciencesEnschedeThe Netherlands
  2. 2.Graduate School for Health Research, University Medical Center GroningenUniversity of GroningenGroningenThe Netherlands
  3. 3.Department of Health Sciences, University Medical Center GroningenUniversity of GroningenGroningenThe Netherlands
  4. 4.Center for Rehabilitation, University Medical Centre GroningenUniversity of GroningenGroningenThe Netherlands
  5. 5.Rheumatology Twente. Department of RheumatologyMedisch Spectrum TwenteEnschedeThe Netherlands

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