To highlight the key predictors of return to work (RTW) after cardiovascular disease (CVD) and to discuss the emerging role of occupational cardiology in facilitating this process.
Key Findings:
RTW is influenced more by modifiable factors like functional capacity, psychological well-being, workplace characteristics, and social support than by disease severity.
Cognitive and motor sequelae in stroke and exercise intolerance in heart failure are specific barriers to RTW.
Definitions of RTW vary significantly across studies, complicating comparisons and understanding of the concept, which necessitates a more standardized approach.
Interpretation:
RTW is a multifaceted process that reflects both individual recovery and the adaptability of occupational environments, emphasizing the need for standardized definitions and tailored interventions to support diverse patient needs.
Limitations:
Reliance on secondary evidence limits conclusions due to the quality of underlying reviews.
Inconsistent definitions of RTW hinder comparability and pooled estimates, which may skew understanding of the overall impact.
Certain groups, such as women and heart failure patients, are underrepresented in the studies, raising concerns about the generalizability of findings.
Conclusion:
Successful RTW is a marker of recovery and societal participation, necessitating collaboration among healthcare systems, employers, and occupational health professionals to develop and implement effective reintegration strategies.
