{
  "abstract": "Shoulder injuries are prevalent among working populations and may significantly delay return to work (RTW). Identifying predictors of successful RTW is crucial for designing effective interventions. This study aimed to assess the RTW status and its determinants among patients with shoulder injuries. In this retrospective cohort study with prospective follow-up, 340 patients with shoulder injuries— such as acromioclavicular joint dislocation, clavicle fractures, and shoulder instability—treated between 2016 and 2020 were included. Data were obtained from medical records and structured telephone interviews. Demographic and clinical variables, health-related quality of life (SF-12), and perceived support from employer and colleagues were assessed. Multivariate logistic regression was used to identify predictors of RTW. Among 340 participants, 67.9% returned to their previous job, 14.1% returned with modifications, 14.4% obtained new employment, and 3.5% did not return to work. Multivariate analysis showed that coworker support (OR=1.88, p < 0.001) was positively associated with RTW, whereas lower employer support (OR=0.585, p < 0.001), lower SF‑12 scores (OR=0.895, p = 0.023), and white‑collar occupation (OR=0.015, p < 0.001) were associated with reduced likelihood of RTW. In addition, health insurance coverage and certain injury types were significantly related to RTW outcomes. RTW after shoulder injuries is mainly influenced by multiple occupational, clinical, and psychosocial factors. Workplace support, overall health status, and job characteristics play important roles in facilitating occupational reintegration. Strengthening rehabilitation programs and workplace support systems may improve RTW outcomes among injured workers.",
  "abstract_shown": true,
  "affiliations": [
    "Occupational Medicine Research Center, Iran University of Medical Sciences, Tehran, Iran",
    "Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran",
    "Bone and Joint Reconstruction Research Center, Shafa Orthopedics Hospital, Iran University of Medical Sciences, Tehran, Iran",
    "Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran"
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sahand Nik Asa"
    },
    {
      "affs": [
        1
      ],
      "name": "Elham Mirzamohammadi"
    },
    {
      "affs": [
        2
      ],
      "name": "Morteza Nakhaei Amroodi"
    },
    {
      "affs": [
        3
      ],
      "name": "Pouria Tabrizian"
    },
    {
      "name": "Saber Mohammadi"
    },
    {
      "name": "Zahra Asadgol"
    },
    {
      "name": "Negin Kassiri"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/adq4ahxjxtvje.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pgph.0007563",
  "fulltext_url": "https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007563",
  "id": "adq4ahxjxtvje",
  "issns": [
    "2767-3375"
  ],
  "landing_url": "https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007563",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Shoulder Injury and Treatment"
    ],
    [
      "plos",
      "/Biology and life sciences/Anatomy/Musculoskeletal system/Shoulders"
    ],
    [
      "plos",
      "/Medicine and health sciences/Anatomy/Musculoskeletal system/Shoulders"
    ],
    [
      "plos",
      "/Medicine and health sciences/Critical care and emergency medicine/Trauma medicine/Traumatic injury/Musculoskeletal injury"
    ],
    [
      "plos",
      "/Medicine and health sciences/Health care/Health economics/Health insurance"
    ],
    [
      "plos",
      "/Medicine and health sciences/Health care/Quality of life"
    ],
    [
      "plos",
      "/Medicine and health sciences/Surgical and invasive medical procedures"
    ],
    [
      "plos",
      "/People and places/Population groupings/Professions"
    ],
    [
      "plos",
      "/Social sciences/Economics/Health economics/Health insurance"
    ],
    [
      "plos",
      "/Social sciences/Economics/Labor economics/Employment"
    ],
    [
      "plos",
      "/Social sciences/Economics/Labor economics/Employment/Jobs"
    ]
  ],
  "openalex": "W7225401747",
  "pdf_url": "https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0007563&type=printable",
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-06",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/adq4ahxjxtvje.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:20:24Z",
      "native_id": "10.1371/journal.pgph.0007563",
      "source": "plos",
      "url": "https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007563"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "plos:anatomy",
      "subfield": "physiology"
    },
    {
      "field": "medicine",
      "origin": "plos:surgical and invasive medical procedures",
      "subfield": "surgery"
    }
  ],
  "title": "Predictors of return to work after shoulder injuries: The influence of health perception and job characteristics",
  "title_text": "Predictors of return to work after shoulder injuries: The influence of health perception and job characteristics",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:20:48Z",
  "url": "https://research.draconitic.com/paper/adq4ahxjxtvje",
  "venue": "PLOS Global Public Health",
  "versions": []
}