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February 18, 1983, Vol 249, No. 7 >
ARTICLE | February 18, 1983

Predictors of Employment Status After Cardiac Surgery FREE

Babette A. Stanton, PhD; C. David Jenkins, PhD; Philip Denlinger; Judith A. Savageau, MPH; Ronald M. Weintraub, MD; Richard L. Goldstein, MD
[+] Author Affiliations

Reprint requests to Boston University School of Medicine, Suite 800A, 720 Harrison Ave, Boston, MA 02118 (Dr Stanton).


JAMA. 1983;249(7):907-911. doi:10.1001/jama.1983.03330310037023
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References

Preoperative predictors of postoperative employment status were studied in 228 patients (aged 25 to 64 years) who underwent cardiac surgery. Of the 150 patients working in the year before surgery, 73% returned within six months. Of those not so employed, 18% started working. Patients who expected preoperatively to return to work did so at an 82% rate compared with 39% of the others. This was a strong predictor in the multiple regression analysis. Educational level and family income were stronger predictors than occupation or level of physical exertion required. Rates of return were higher in patients with less severe angina and less fatigue preoperatively, but did not differ significantly by sex, surgical procedure, or duration of illness. Seven variables predicted work status correctly for 86% of persons. These results suggest that determinants of return to work are largely present before surgery and that patients' attitudes and expectations play an important role.

(JAMA 1983;249:907-911)

REFERENCES

1 +
Zyzanski SJ, Stanton BA, Jenkins CD, et al:  Medical and psychosocial outcomes in survivors of major heart surgery . J Psychosom Res 1981;; 23:213-221.
2 +
Rimm AA, Barboriak JJ, Anderson AJ, et al:  Changes in occupation after aortocoronary vein-bypass operation . JAMA 1976;;236:361-364.
3 +
Anderson AJ, Barboriak JJ, Hoffmann RG, et al:  Retention or resumption of employment after aortocoronary bypass operations . JAMA 1980;;243:543-545.
4 +
Barnes GK, Ray MJ, Oberman A, et al:  Changes in working status of patients following coronary bypass surgery . JAMA 1977;;238:1259-1262.
5 +
Symmes JC, Lenkei CM, Berman ND:  Influence of aortocoronary bypass surgery on employment . Can Med Assoc J 1978;;118:268-270.
6 +
Ross JK, Diwell AE, Marsh J, et al:  Wessex cardiac surgery follow-up surgery: The quality of life after operation . Thorax 1978;;33:3-10.
7 +
Westaby S, Sapsford RN, Benthall HH:  Return to work and quality of life after surgery for coronary artery disease . Br Med J 1979;; 2:1028-1031.
8 +
Wallwork J, Potter B, Caves PK:  Return to work after coronary artery surgery for angina . Br Med J 1978;;2:1680-1681.
9 +
Mignault J:  Influence sur le retour au travail d'un programme de reconditionnement du coronarient . Union Med Can 1979;;108:1040-1045.
10 +
Hammermeister KE, DeRouen TA, English MT, et al:  Effect of surgical versus medical therapy on return to work in patients with coronary artery disease . Am J Cardiol 1979;; 44:105-111.
11 +
Frick MH, Harjola PT, Valle M:  Work status after coronary bypass surgery . Acta Med Scand 1979;;206:61-64.
12 +
Danchin N, David P, Bourassa MG, et al:  Factors predicting working status after aortocoronary bypass surgery . Can Med Assoc J 1982;;126:255-260.
13 +
Draper NR, Smith H: Applied Regression Analysis . New York, John Wiley & Sons Inc, 1966;,  chap 6 .
14 +
Warner WL, Meeker M, Ellis K: Social Class in America . Chicago, Science Research Associates, 1949;.
15 +
McNair DM, Lorr M, Droppleman LF: Profile of Mood States: Manual . San Diego, Educational and Industrial Testing Service, 1971;.
16 +
Smith RC: Job Attitudes of Air Traffic Controllers: A Comparison of Three Air Traffic Control Specialties , Federal Aviation Administration publication (FAA-AM-73-2). Oklahoma City, FAA Civil Aeromedical Institute, 1973;.
17 +
Reitan RM:  The relation of the Trail-Making Test to organic brain damage . J Consult Psych 1955;;19:393-394.
18 +
Smith HC, Hammes LN, Gupta S, et al:  Employment status after coronary artery bypass surgery . Circulation 1982;;65( (suppl 2) ):120-125.
19 +
Niles NW II, Vander Salm TJ, Cutler BS:  Return to work after coronary artery bypass operation . J Thorac Cardiovasc Surg 1980;;79:916-921.
20 +
David P, Tenaille H, Blain ML, et al:  Étude sur les facteurs de non-retour au travail des cardiaques opérés . Union Med Can 1976;; 105:1199-1205.

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1 +
Zyzanski SJ, Stanton BA, Jenkins CD, et al:  Medical and psychosocial outcomes in survivors of major heart surgery . J Psychosom Res 1981;; 23:213-221.
2 +
Rimm AA, Barboriak JJ, Anderson AJ, et al:  Changes in occupation after aortocoronary vein-bypass operation . JAMA 1976;;236:361-364.
3 +
Anderson AJ, Barboriak JJ, Hoffmann RG, et al:  Retention or resumption of employment after aortocoronary bypass operations . JAMA 1980;;243:543-545.
4 +
Barnes GK, Ray MJ, Oberman A, et al:  Changes in working status of patients following coronary bypass surgery . JAMA 1977;;238:1259-1262.
5 +
Symmes JC, Lenkei CM, Berman ND:  Influence of aortocoronary bypass surgery on employment . Can Med Assoc J 1978;;118:268-270.
6 +
Ross JK, Diwell AE, Marsh J, et al:  Wessex cardiac surgery follow-up surgery: The quality of life after operation . Thorax 1978;;33:3-10.
7 +
Westaby S, Sapsford RN, Benthall HH:  Return to work and quality of life after surgery for coronary artery disease . Br Med J 1979;; 2:1028-1031.
8 +
Wallwork J, Potter B, Caves PK:  Return to work after coronary artery surgery for angina . Br Med J 1978;;2:1680-1681.
9 +
Mignault J:  Influence sur le retour au travail d'un programme de reconditionnement du coronarient . Union Med Can 1979;;108:1040-1045.
10 +
Hammermeister KE, DeRouen TA, English MT, et al:  Effect of surgical versus medical therapy on return to work in patients with coronary artery disease . Am J Cardiol 1979;; 44:105-111.
11 +
Frick MH, Harjola PT, Valle M:  Work status after coronary bypass surgery . Acta Med Scand 1979;;206:61-64.
12 +
Danchin N, David P, Bourassa MG, et al:  Factors predicting working status after aortocoronary bypass surgery . Can Med Assoc J 1982;;126:255-260.
13 +
Draper NR, Smith H: Applied Regression Analysis . New York, John Wiley & Sons Inc, 1966;,  chap 6 .
14 +
Warner WL, Meeker M, Ellis K: Social Class in America . Chicago, Science Research Associates, 1949;.
15 +
McNair DM, Lorr M, Droppleman LF: Profile of Mood States: Manual . San Diego, Educational and Industrial Testing Service, 1971;.
16 +
Smith RC: Job Attitudes of Air Traffic Controllers: A Comparison of Three Air Traffic Control Specialties , Federal Aviation Administration publication (FAA-AM-73-2). Oklahoma City, FAA Civil Aeromedical Institute, 1973;.
17 +
Reitan RM:  The relation of the Trail-Making Test to organic brain damage . J Consult Psych 1955;;19:393-394.
18 +
Smith HC, Hammes LN, Gupta S, et al:  Employment status after coronary artery bypass surgery . Circulation 1982;;65( (suppl 2) ):120-125.
19 +
Niles NW II, Vander Salm TJ, Cutler BS:  Return to work after coronary artery bypass operation . J Thorac Cardiovasc Surg 1980;;79:916-921.
20 +
David P, Tenaille H, Blain ML, et al:  Étude sur les facteurs de non-retour au travail des cardiaques opérés . Union Med Can 1976;; 105:1199-1205.

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