P Paul F M KuijerAmsterdam University Medical Centers - location AMC · Public and Occupational Health
P Paul F M Kuijer
PhD
Enhancing work participation among patients with musculoskeletal disorders by improving work-directed care & prevention
About
416
Publications
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Introduction
Enhancing work participation among patients with musculoskeletal disorders by improving work-directed patient-centred care and prevention, with a special focus on workers with end-stage knee and hip osteoarthritis and low back pain, is the goal Paul Kuijer tries to accomplish in his work. He works as a principal investigator and as a human movement specialist at the Amsterdam UMC, University of Amsterdam - location AMC, Department of Public and Occupational Health, Amsterdam.
Additional affiliations
January 2000 - February 2021
Amsterdam UMC, University of Amsterdam
Position
- Professor (Associate)
Description
- Principal Investigator and Human Movement Specialist
July 1991 - December 2006
Publications
Publications (416)
Invaliderende knieartrose treft steeds meer mensen tijdens hun werkzame leven, wat dit onderwerp relevant maakt voor bedrijfs-en verzekeringsartsen. De knieprothese wordt beschouwd als de gouden standaard bij de behandeling van eindstadium knieartrose. Er kleven echter ook nadelen aan een knieprothese voor relatief jonge, actieve patiënten. Het ris...
Het aantal werkenden met knieartrose neemt de komende jaren sterk toe. Doordat deze werkenden langer willen en moeten doorwerken, is het belangrijk dat gezond werk in de zogenoemde stepped care meer aandacht krijgt voor deze groep. Hier ligt een belangrijke taak voor de bedrijfsarts omdat deze medisch specialist kan adviseren over de meerwaarde van...
Background:
No single injection therapy has been proven to be superior in the treatment of lateral epicondylitis. In most studies, the injection technique is not standardized, which makes it challenging to compare outcomes.
Questions/purposes:
(1) Does injection with autologous blood, dextrose, or needle perforation only at the extensor carpi ra...
Background:
Anatomic total shoulder arthroplasty (aTSA) and hemiarthroplasty (HA) have demonstrated significant improvement in shoulder function and pain relief. Work-related outcomes have become increasingly important, while the current literature lacks evidence related to return-to-work (RTW) and which factors might have an influence on it.
Aim...
Een groeiend aantal Nederlanders is werkzaam als zelfstandig ondernemer, veelal in fysiek zware beroepssectoren als de bouwnijverheid, zorg en landbouw. Het uitvoeren van fysiek zware werkzaamheden kan leiden tot aandoeningen aan het bewegingsapparaat met mogelijk verminderde werkparticipatie als gevolg. Zelfstandig ondernemers zijn verantwoordelij...
Objective:
To investigate whether preoperative expectations regarding performing work-related knee-straining activities were associated with being dissatisfied six months after total knee arthroplasty (TKA) among working patients, and, to identify prognostic factors for being dissatisfied with performing these work-related knee-straining activitie...
Inleiding: Onderzoek heeft hoge beroepseisen gekoppeld aan meerdere nadelige gezondheidsresultaten, zowel fysiek als mentaal. Voor zover bekend, hebben onderzoekers de eigenschappen van militair politiepersoneel niet geïdentificeerd op basis van beroepseisen. De huidige studie heeft als doel profielen te identificeren op basis van zelfwaargenomen b...
Abstract Background The number of primary knee arthroplasties (KAs) performed annually is rising, especially among active, working age patients. Consequently, revision KA is also increasingly performed. Our aim was to systematically review the extent to which patients were physically active following revision KA, and the rate and timing of return t...
Draaien van de arm: bij hoe vaak per dag spreek je van ‘hoge blootstelling op werk’ en ‘kans op arbeidsgebonden overbelastingsletsel van de laterale epicondylitis of tenniselleboog’? Dr. Paul Kuijer en collega’s vatten het uitgebreide artikel hieronder samen.
Introduction:
Research has linked high occupational demands to multiple adverse health outcomes, both physical and mental. As far as we know, researchers have not identified the profile characteristics of military police personnel based on occupational demands. The current study aims to identify profiles based on self-perceived occupational demand...
Background
Optimizing return to work (RTW) after knee arthroplasty (KA) is becoming increasingly important due to a growing incidence of KA and poor RTW outcomes after KA. We developed the Back At work After Surgery (BAAS) clinical pathway for optimized RTW after KA. Since the effectiveness and cost analysis of the BAAS clinical pathway are still u...
Sand–cement-bound screed floor layers are at risk of work-related lower back pain, lumbosacral radicular syndrome and knee osteoarthritis, given their working technique of levelling screed with their trunk bent while mainly supported by their hands and knees. To reduce the physical demands of bending of the trunk and kneeling, a manually movable sc...
Background:
With the worldwide rising obesity epidemic and the aging population, it is essential to deliver (cost-)effective care that results in enhanced societal participation among knee arthroplasty patients. The purpose of this study is to describe the development, content, and protocol of our (cost-)effectiveness study that assesses a periope...
Purpose
Worldwide there is a steep rising demand for total knee arthroplasty (TKA), especially among patients of working age. Return to work (RTW) rates among these TKA patients vary between 40 and 98% with a mean time to return to work between 8 and 17 weeks. These findings are in contrast with orthopaedic guidelines advising RTW within 3 months,...
Bedrijfs- en verzekeringsartsen zien regelmatig beroepsziekten aan hand en pols in hun praktijk. Het Nederlands Centrum voor Beroepsziekten maakte een overzicht van de kenmerken van deze beroepsziekten in de laatste tien jaar. Het ging hierbij om 2139 meldingen. De meestgemelde diagnose was L686 ‘RSI van pols en hand’ met 805 meldingen. De twee mee...
Aandoeningen van de bovenste extremiteit geven vaak beperkingen in werk. Voor behandelend orthopeden is een vragenlijst ontwikkeld (WORQ-UP) met als doel het signaleren van beperkingen. Daarmee kunnen, in overleg met de bedrijfs- of verzekeringsarts, behandelingen worden aangepast aan specifieke werkgerelateerde behoeften van patiënten.
Overuse injuries of the ankle and foot are common injuries in athletes but also in the working
population.
� When imaging of suspected overuse injuries of the ankle and foot is necessary, different modalities can be used, starting with radiography mainly followed by MR imaging; however, new techniquessuch as dual energy computed tomography (CT) and...
Background
Work-related musculoskeletal disorders (WMSDs) are a key topic in occupational health. In the primary prevention of these disorders, interventions to minimize exposure to work-related physical risk factors are widely advocated. Besides interventions aimed at the work organisation and the workplace, interventions are also aimed at the beh...
Wat is de associatie tussen verschillende activiteitenniveaus en het risico op een revisieoperatie op midden (3-10 jaar) en lange termijn (>10 jaar) bij patiënten met een totale knieprothese (TKP)?
Uit deze systematische literatuurstudie blijkt dat er tijdens de eerste 12 postoperatieve jaren na een TKP geen verhoogd risico is op een revisieopera...
Background
With the worldwide rising obesity epidemic and the aging population, it is essential to deliver (cost-)effective care that results in enhanced societal participation among knee arthroplasty patients. The purpose of this study is to describe the development, content, and protocol of our cost-effectiveness study that assesses a perioperati...
Co rrection to:
Knee Surgery, Sports Traumatology, Arthroscopy
https://doi.org/10.1007/s00167-022-07229-3
Authors would like to update the title of the Electronic
Supplementary Material. The revised version of ESM files
updated to the original publication.
The original article has been corrected.
Background
Optimizing return to work (RTW) after knee arthroplasty (KA) is becoming increasingly important due to a growing incidence of KA and poor RTW outcomes after KA. We developed the Back At work After Surgery (BAAS) clinical pathway for optimized RTW after KA. Since the effectiveness and cost analysis of the BAAS clinical pathway are still u...
Purpose:
The purpose of this study was to establish the gold standard for surgical technique, fixation, and rehabilitation for HTO in patients with unicompartmental knee osteoarthritis.
Methods:
Medline, Embase, and SPORTDiscus databases were searched up to April 2022. Included were (1) randomized controlled trials (RCTs) comparing opening-wedge...
Background
High physical activity (HPA) levels after total knee arthroplasty (TKA) might be related to increased wear and subsequent aseptic loosening, negatively affecting TKA survival. This systematic review studied the association between activity levels and risk of revision surgery at medium (3–10 years) and long term (>10 years) follow up in p...
A short introduction on the importance of better work-directed care for workers with knee osteoarthritis including two promising Dutch examples! :-) Feel free to use these slides.
Background and Aims: Carpal tunnel syndrome (CTS) is the most common peripheral
nerve entrapment syndrome with a high prevalence among workers. Insights on the
physical work‐related risk factors is necessary to develop appropriate preventative
methods. The objective of this systematic review, including meta‐analyses, is to assess
which physical wor...
De Functionele Mogelijkhedenlijst (FML) is een obsoleet instrument voor de medisch specialist van werk en gezondheid. Volgens de FML is een normaal belastbaar mens in staat om per uur 1200 keer te reiken en 600 keer een voorwerp van 1 kg te hanteren. Dergelijke repeterende handelingen zijn een bewezen risicofactor voor het ontwikkelen van beroepszi...
Objective:
To assess personal and work-related characteristics of construction workers with knee osteoarthritis (KO) associated with their ability to perform their current profession in the following two years.
Methods:
A cross-sectional study was performed among Dutch construction workers diagnosed with KO using data from the Worker Health Surv...
Purpose
The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS.
Methods
A multi-center prospective cohort study was performed among working TKA patients, aged 18...
Background
Low back pain (LBP) is a world leading cause of disability and has substantial impact on individuals and society as a whole. The largest part of the societal burden of LBP is caused by indirect costs, including sick leave.
Aims
We aimed to describe occupational recovery and associated costs for workers consulting an occupational physici...
Background: Work-related musculoskeletal disorders (WMSDs) are a key topic in occupational health. In the primary prevention of these disorders, interventions to minimize exposure to work-related physical risk factors are widely advocated. Besides interventions aimed at the work organisation and the workplace, interventions are also aimed at the be...
Background and purpose:
Recommendations concerning the return to daily life activities, including work and sport, after knee arthroplasty (KA) are essential for setting realistic patient expectations. Fulfillment of these expectations contributes to more satisfaction and enhanced recovery after KA. However, scientific evidence for such recommendat...
“The older I get, the better I used to be.”John McEnroe
Knee osteotomy is a valuable treatment option for younger knee osteoarthritis patients. Improved surgical techniques, including double-level osteotomies to address femoral and tibial malalignment, have led to reappreciation of this joint-sparing alternative to knee arthroplasty. Yet, postopera...
Purpose:
Optimizing return to work after knee arthroplasty is becoming more important because of the growing incidence of KA among workers and poor return to work outcomes. The purpose of this study is to investigate the feasibility of Back At work After Surgery (BAAS): an integrated clinical pathway for return to work after knee arthroplasty.
Me...
Het gros van de patiënten met een knieprothese keert pas een half jaar na de operatie terug op het werk. En drie op de tien gaan zelfs helemaal niet terug binnen een jaar.1 Voor mensen met knieartrose en een baan, is het hervatten van werk een belangrijk doel na hun knieprotheseoperatie (KP).2 Om dit te bevorderen, is in het Nij Smellinghe Ziekenhu...
Background
This study aimed to quantify the absenteeism costs of knee and hip osteoarthritis in the Netherlands for the Dutch workforce and specific groups of workers.
Methods
We used a longitudinal, dynamic database from a large occupational health service in which occupational physicians register information about personal information and sick l...
Purpose
Optimizing return to work after knee arthroplasty becomes more important because of the growing incidence of KA among workers and poor return to work outcomes. The purpose of this study is to investigate the feasibility of Back At work After Surgery (BAAS): an integrated clinical pathway for return to work after knee arthroplasty.
Method
W...
Purpose: Optimizing return to work after knee arthroplasty is becoming more important because of the growing incidence of KA among workers and poor return to work outcomes. The purpose of this study is to investigate the feasibility of Back At work After Surgery (BAAS): an integrated clinical pathway for return to work after knee arthroplasty.
Meth...
Introduction: After total knee arthroplasty (TKA) only 70% of patients return to work (RTW) and in general timely RTW is associated with successful RTW. This study aimed to examine whether patients who consulted an occupational physician (OP) RTW earlier than patients who did not consult an OP.
Materials and methods: A multi-center prospective coh...
Introduction: Worldwide the construction industry is characterized by high physical work demands and prevalent work-related musculoskeletal disorders (MSDs). The two body regions with the highest one-year prevalence are the low back (51%, 95%CI 41–61) and the knee (37%, 95%CI 22–52). A job were workers are exposed to high physical work demands that...
There is sparsity although increasing data about the variety of outcomes following total knee arthroplasty in the working population. On average, one in three patients do not return to work after knee arthroplasty. Patients return to work around 12 weeks post-surgery, although large differences exist between patients and full return to work may tak...
Introduction: Uniform and multidisciplinary recommendations concerning the return to daily life activities including work and sport after knee arthroplasty (KA) are essential for setting realistic patient expectations. However, scientific evidence for such recommendations is limited, and recommendations are often only based on expert opinions of he...
Background
International consensus is needed on case definitions of work-related musculoskeletal disorders and diseases (MSDs) for use in epidemiological research. We aim to: 1) study what information is needed for the case definition of work-related low back pain (LBP), lumbosacral radicular syndrome (LRS), subacromial pain syndrome (SAPS), carpal...
Background: Lateral epicondylitis (LE) is a highly prevalent musculoskeletal disorder in workers, often associated with physically demanding work. Knowledge of work‐relatedness of LE is crucial to develop appropriate preventive measures. This study
investigates the prospective association between work‐related physical risk factors and LE.
Methods:...
Naar aanleiding van het rapport 'Beroepsziekten in beeld' van de Inspectie SZW en het ministerie van SZW gaat bedrijfsarts Bas Sorgdrager dieper in op de meest voorkomende beroepsziekten. Deze keer behandelt hij samen met Paul Kuijer beroepsziekten van de bovenste ledematen.
Beroepsziekten van de bovenste ledematen zijn aandoeningen van de schoude...
Purpose This study compared the preoperative levels and postoperative recovery courses of physical and mental impairments, activity limitations and participation restrictions of working-age patients who return to work (RTW) by 3, 6 or 12 months after total knee arthroplasty (TKA). Methods A prospective survey study including TKA patients (aged < 65...
'Bij werkende patiënten die een totale heup- of knieoperatie ondergaan is de situatie van vóór de operatie - wat betreft ziekteverzuim en verwachtingen over de terugkeer naar werk - belangrijk voor de kans op werkhervatting ná de ingreep.' Zo luidt de conclusie uit het proefschrift van Claudia S. Leichtenberg dat zij in september 2020 verdedigde.
C...
Purpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with...
Background:
Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70-80%of TKA patients return to work within three to six months.
Objective:
What are patients' perspectives regarding beneficial and limiting factors in RTW after TKA?
Methods:
Focus groups were formed in accordance with the Consolidated Crit...
Purpose Objective measurements of sedentary and physical activity (PA) behavior are scarce among working-age patients who undergo total knee arthroplasty (TKA). Aim was to assess sedentary and PA behaviors using accelerometers and to identify compensation effects between occupational and leisure time of sedentary and PA behavior. Methods One year p...
Wat bekend is, is dat het uitvoeren van fysiek werk met veel romprotatie, tillen en dragen een risico is voor het ontwikkelen van lage rugpijn. Ongeveer 75% van alle werkenden in Nederland krijgt met lage rugklachten te maken, vaak resulterend in werkverzuim en medische zorg die de Nederlandse maatschappij jaarlijks ongeveer 3 miljard euro kosten....
Knee joint distraction (KJD) is a novel technique for relatively young knee osteoarthritis (OA) patients. With KJD, an external distraction device creates temporary total absence of contact between cartilage surfaces, which results in pain relief and possibly limits the progression of knee OA. Recently, KJD showed similar clinical outcomes compared...
De bedrijfsartsen moesten het doen met een richtlijn uit 2006 en verzekeringsartsen hadden twee protocollen, uit 2007 en 2008, om op terug te vallen. We hebben het over de richtlijn en protocollen voor de arbeidsgerichte ondersteuning van werkenden met lage rugklachten. Vanaf nu kunnen beide disciplines het weer doen met nieuwe aanbevelingen.
Begin...
Posterior ankle impingement syndrome (PAIS) involves pain at the posterior aspect of the ankle, due in dancers largely to repetitive hyperplantarflexion. In daily practice, corticosteroid injection is often used to relieve the pain of PAIS, but little has been recorded with regard to its effectiveness. The primary objective of this study was to det...
Knieartrose is niet te genezen, de prevalentie neemt de komende jaren sterk toe, vooral bij werkenden, veel patiënten zijn niet tevreden over het effect van hun niet-operatieve behandeling voor werk, en helaas heeft de laatste behandeloptie - een knieprothese - voor een groot aantal patiënten ernstige bijwerkingen voor werkhervatting.
Daarom is het...
Background
The aim of this study was to identify case definitions of diagnostic criteria for specific musculoskeletal disorders (MSDs) for use in occupational healthcare, surveillance or research.
Methods
A scoping review was performed in Medline and Web of Science from 2000 to 2020 by an international team of researchers and clinicians, using the...
Background: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing joint estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of experts. Evidence from mechanistic data suggests that occupational exposure to ergonomic risk factors ma...
Background:
The World Health Organization (WHO) and the International Labour Organization (ILO) are developing joint estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of experts. Evidence from mechanistic and human data suggests that occupational exposure to ergonomic (or...
Zijn de chronische rugklachten het gevolg van het jarenlang werken als helikopter- en vleugelpiloot? Deze vraag heeft de Polikliniek Mens en Arbeid in een multidisciplinair team onderzocht bestaande uit een orthopedisch chirurg, een bewegingspecialist werk en een bedrijfsarts aan de hand van het zes-stappenplan voor diagnostiek en preventie van ber...
Background:
This case report describes whether a female civil servant who developed bilateral ulnar neuropathy can be classified as having an occupational disease.
Methods:
The Dutch six-step protocol for the assessment and prevention of occupational diseases is used.
Results:
Based on the six-step protocol, we propose that pressure on the uln...
Knee joint distraction (KJD) is a novel technique for relatively young knee osteoarthritis (OA) patients. With KJD, an external distraction device creates temporary total absence of contact between cartilage surfaces, which results in pain relief and possibly limits the progression of knee OA. Recently, KJD showed similar clinical outcomes compared...
Knieartrose neemt sterk toe en vooral onder werkenden.
Deze presentatie voor de Volandis Deskundigendag 2020 laat zien wat werkt voor werk - van preventie tot en met betere postoperatie zorg: https://bouwinfra.volandis.nl/kennissessie-1-2020
De powerpoint beantwoordt de volgende vragen over:
- Is duwen en trekken een risicofactor voor werkgerelateerde klachten en specifieke ziekten?
- Hoeveel werkenden in Nederland duwen en trekken regelmatig op het werk?
- In welke Nederlandse sectoren is er vooral sprake van beroepsziekten door duwen en trekken?
- Wat is de meerwaarde van de beroepsz...
Purpose
To examine the impact of rotator cuff calcific tendinitis on patients’ self-reported work ability and sick leave, to compare work ability and sick leave with shoulder function after minimally invasive treatment, and to assess which prognostic factors influence the change in work ability.
Methods
A prospective cohort was analyzed in this st...
Purpose Clinicians need to know whether inguinal hernia (IH) can be attributed to work to answer questions regarding prevention and medical causation. This review describes whether work-related risk factors are associated with IH.MethodsA systematic review was performed in Medline via PubMed until February 3rd, 2020. Inclusion criteria were that IH...
Background and purpose — Guidelines for managing hip and knee osteoarthritis (OA) advise extensive non-surgical treatment prior to surgery. We evaluated what percentage of hip and knee OA patients received non-surgical treatment prior to arthroplasty, and assessed patient satisfaction regarding alleviation of symptoms and performance of activities....
BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70-80% of TKA patients return to work within three to six months.
OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA?
METHODS: Focus groups were formed in accordance with the Consolidated Criteri...
In the upcoming decades, hospitals and clinics around the world face a steep rise in demand from patients seeking knee replacement surgery. An absolute increase in knee replacement surgery of 297% – to 57 893 procedures – is forecasted in The Netherlands between 2005 and 2030 (1). The situation is similar in many countries: Sweden, 163% to 21 700 (...
Evidence for recommendations concerning the resumption of activities of daily life, including work and sport, after knee arthroplasty is lacking. Therefore, recommendations vary considerably between hospitals and healthcare professionals. We aimed to obtain multidisciplinary consensus for such recommendations. Using a Delphi procedure, we strived t...
Unicompartmental and total knee arthroplasty are well established treatment options, primarily aimed at reducing pain and improving joint function for patients with end-stage knee osteoarthritis. Although
most patients receiving knee arthroplasty have good clinical outcomes, core outcome definitions suggest that societal participation after surgery...
Een tenniselleboog (tendinopathie van de polsextensoren) is een veelvoorkomende oorzaak van pijn aan de laterale zijde van de elleboog. Er zijn veel behandelingen beschikbaar die mogelijk bijdragen aan het reduceren van de duur van deze klachten, zoals fysiotherapie, orale medicatie, verschillende injectietherapieën, chirurgische ingrepen en het ge...
