title: Predictors of successful work role functioning after carpal tunnel release surgery.
abstract: This study identified the clinical, individual, and workplace predictors of successful work role functioning (WRF) after carpal tunnel release surgery (CTRS). A community-based cohort (n = 197) was followed for 6 months post-CTRS. Predictors of successful WRF were analyzed prospectively using ordinal logistic regression. Baseline WRF predicted successful WRF at 2 months, whereas being depressed and a workers' compensation claimant predicted being out of work. Baseline WRF, improved self-efficacy, and a supportive organization predicted 6-month successful WRF. Supportive organizations have an impact on the effectiveness of medical interventions for CTS. The significance of improved self-efficacy at 6 months and depression at 2 months postsurgery highlights the importance of psychosocial management of musculoskeletal disorders.
authors.affiliation: University of Texas, School of Public Health, Houston, Texas, USA. bamick@sph.uth.tmc.edu
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Amick
authors.forename: Rochelle V
authors.initials: RV
authors.lastname: Habeck
authors.forename: Janet
authors.initials: J
authors.lastname: Ossmann
authors.forename: Anne H
authors.initials: AH
authors.lastname: Fossel
authors.forename: Robert
authors.initials: R
authors.lastname: Keller
authors.forename: Jeffrey N
authors.initials: JN
authors.lastname: Katz
mesh_terms: D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D004185:Disability Evaluation; D006801:Humans; D016015:Logistic Models; D016272:Occupational Health; D011446:Prospective Studies; D012959:Socioeconomic Factors