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P Paul F M Kuijer

P Paul F M Kuijer
Amsterdam University Medical Centers - location AMC · Public and Occupational Health

PhD
Enhancing work participation among patients with musculoskeletal disorders by improving work-directed care & prevention

About

382
Publications
60,970
Reads
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5,021
Citations
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
Vrije Universiteit Amsterdam

Publications

Publications (382)
Article
Full-text available
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...
Article
Full-text available
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...
Article
“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...
Article
Full-text available
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...
Article
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...
Article
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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...
Preprint
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 Wo...
Preprint
Full-text available
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...
Chapter
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...
Article
Full-text available
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...
Article
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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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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:...
Article
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...
Article
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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...
Article
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'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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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....
Article
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...
Article
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...
Article
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...
Article
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...
Article
Full-text available
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...
Article
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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...
Article
Full-text available
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...
Article
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...
Article
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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...
Article
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...
Presentation
Full-text available
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
Presentation
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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....
Preprint
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...
Article
Full-text available
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 (...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
Purpose: Total knee arthroplasty is increasingly performed on working-age individuals, but little is known about their recovery process. Therefore this study examined recovery courses of physical and mental impairments, activity limitations and participation restrictions among working-age total knee arthroplasty recipients. Associated sociodemograp...
Article
Deze meta-analyse is geschreven in het kader van een bachelorthesis in het derde jaar van de studie Geneeskunde. Het lumbosacraal radiculair syndroom (LRS) is een neurologische aandoening van de onderrug en deze aandoening gaat veelvuldig gepaard met uitstralende pijn in één been of bil.1 De LRS-incidentie is het hoogst in de leeftijdsgroep van 30-...
Article
Blootstelling aan trillingen wordt vaak niet herkend als risicovol in de praktijk, ondanks dat het kan leiden tot diverse klachten, schade aan de gezondheid en ziekteverzuim. Er wordt onderscheid gemaakt tussen hand-armtrillingen en lichaamstrillingen. We spreken van lichaamstrillingen als mechanische schokken of trillingen via het steunvlak (zitvl...
Article
Full-text available
Background: Knee arthroplasty (KA) is increasingly performed in relatively young, active patients. This heterogeneous patient population often has high expectations, including work resumption and performance of knee-demanding leisure-time activities. Goal attainment scaling (GAS) may personalize rehabilitation by using patient-specific, activity-o...
Article
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Het thema Arbeid en Gezondheid heeft de wind in de rug. De Wetenschappelijke Raad voor het Regeringsbeleid sprak bij de start van dit jaar voor ons bekende woorden: ”Goed werk is essentieel voor de brede welvaart: voor de kwaliteit van leven van individuen, voor de economie en voor de samenleving als geheel. Goed werk zorgt voor betrokkenheid en ha...
Article
Full-text available
Objectives Orthopaedic surgery is primarily aimed at improving function and pain reduction. Additional integrated care may enhance patient’s participation in sports and work, possibly improving performance of physical activities and quality of life (QoL). We aimed to assess the effectiveness of integrated care among orthopaedic surgery patients. D...
Article
Full-text available
Rationale: Explore the MRI-appearance of the healthy distal radial physis and the distribution of stress-related changes in physeal thickness in young gymnasts to aid in the understanding of the pathophysiological process of stress-related physeal injury. Methods: Symptomatic gymnasts with clinically suspected overuse injury of the distal radial ph...
Article
Full-text available
Background: Limited evidence exists on patient-relevant outcomes after high tibial osteotomy (HTO), including return to work (RTW). Furthermore, prognostic factors for RTW have never been described. Purpose: To investigate the extent and timing of RTW in the largest HTO cohort investigated for RTW to date and to identify prognostic factors for R...
Article
Full-text available
Knieartrose is niet te genezen. Kennis van de risicofactoren voor het ontstaan, de behandelopties – operatief of niet-operatief –, de re-integratiemogelijkheden, en de nazorg, plus een casestudy laten zien dat multidisciplinaire samenwerking werkt.
Article
Background Especially in younger knee osteoarthritis patients, the ability to perform physical activity (PA) after knee arthroplasty (KA) is of paramount importance, given many patients’ wish to return to work and perform demanding leisure time activities. Goal Attainment Scaling (GAS) rehabilitation after KA may improve PA since it uses individual...
Article
EBM in de praktijk - Samenvatting Er komt een timmerman bij u op consult die, vanwege lang bestaande klachten van een tenniselleboog, een brace voorgeschreven heeft gekregen. U wilt de prognose voor klachtvermindering en terugkeer naar werk met deze behandeling weten. In 4 stappen kunt u deze prognose in de medische literatuur vinden en deze toepas...
Article
Full-text available
Purpose Three out of ten patients do not return to work after total knee arthroplasty (TKA). Patient expectations are suggested to play a key role. What are patients’ expectations regarding the ability to perform work-related knee-demanding activities 6 months after TKA compared to their preoperative status? Methods A multi-center cross-sectional s...
Article
Full-text available
Purpose It is not yet known if unicompartmental knee arthroplasty (UKA) patients are more likely to return to work sooner or have improved ability to work (i.e., workability) than total knee arthroplasty (TKA) patients. The following questions were addressed: patients were assessed to determine: (1) whether they returned to work sooner following UK...
Article
Full-text available
BACKGROUND: In the treatment of Lateral Epicondylitis (LE) no single intervention concerning injection therapies has been proven to be the most effective with regard to pain reduction. In this trial 3 injection therapies (perforation with application of autologous blood, perforation with application of dextrose and perforation only) will be compare...
Article
Full-text available
Sciatica impacts on the ability to work and may lead to a reduced return to work. This study reviewed and summarised prognostic factors of work participation in patients who received conservative or surgical treatment for clinically diagnosed sciatica. We searched MEDLINE, CINAHL, EMBASE and PsycINFO until January 2018. Cohort studies, using a meas...
Presentation
Full-text available
Ter overweging: Stel in de RI&E vast hoeveel werkenden in een bedrijf 'zwaarder of gevaarlijker werk hebben' dan de blootstellingscriteria uit de beroepsziekteregistratierichtlijnen van het Nederlands Centrum voor Beroepsziekten acceptabel achten, zie https://www.beroepsziekten.nl/registratierichtlijnen . Dan weet je gelijk welke werkenden een verh...
Article
Casus vrachtwagenchauffeur met lumbosacraal radiculair syndroom Bij een internationaal rijdende vrachtwagenchauffeur (man, 54 jaar, lengte 178 cm, gewicht 92 kg, BMI 29 kg/m2) met het lumbosacraal radiculair syndroom (LRS) is de vraag of hij nog geschikt is voor dit werk en zo niet welk passend werk hij kan uitvoeren. De neuroloog heeft aangegeven...
Poster
Full-text available
We have presented our results on the Dutch patient journey of end stage knee OA patients before surgery #wdpi2019. Exercise-based therapy is received more often by working patients but unfortunately only 35% of patients is satisfied with the effect on work participation.
Article
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Background: High tibial osteotomy (HTO) is increasingly used in young and physically active patients with knee osteoarthritis. These patients have high expectations, including return to sport (RTS). By retaining native knee structures, a return to highly knee-demanding activities seems possible. However, evidence on patient-related outcomes, inclu...
Article
Full-text available
Objective To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts. Methods Symptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and...
Article
Full-text available
Background Although overuse wrist injuries can have serious consequences, young athletes often do not immediately report their injury to a physician. This qualitative study aimed to identify symptoms and limitations related to overuse wrist injuries that young athletes consider important and to compare those with sports physicians’ opinions, in ord...
Article
Full-text available
Background In order to create sport‐specific preventive measures to enhance healthy sport participation in youth athletes valid data on incidence, prevalence, and aetiology of overuse injuries have to be identified. This systematic review aims to provide an update on incidence, prevalence and risk factors for overuse injuries of the elbow and shoul...
Article
Full-text available
Objectives Young athletes do not always seek medical help for overuse wrist injuries, risking invalidating long-term consequences resulting from late diagnosis. This study aimed to develop a questionnaire to identify overuse wrist injuries in young athletes. Methods According to the COnsensus-based Standards for the selection of health Measureme...
Article
Wereldwijd is lage rugpijn de oorzaak van 8% van beperkingen in het dagelijks leven bij 15-49-jarigen en 9% bij de 50-69 jarigen blijkt uit cijfers van de WHO (2017, https:// vizhub. healthdata. org/ gbd-compare/ ). Daarom is een proefschrift over hoe we deze ziektelast het best kunnen verminderen belangrijk. In Nederland is in 2010 een multidiscip...