Carpal Tunnel Syndrome as Sentinel for Harmful Hand Activities at Work A Nationwide Danish Cohort Study

被引：6

作者：

Tabatabaeifar, Sorosh ^{[1
,2
,3
]}

Svendsen, Susanne Wulff ^{[3
,4
]}

Frost, Poul ^{[1
,4
]}

机构：

[1] Aarhus Univ Hosp, Danish Ramazzini Ctr, Dept Occupat Med, Aarhus, Denmark

[2] Aarhus Univ, Ctr Integrated Register Based Res CIRRAU, Aarhus, Denmark

[3] Univ Res Clin, Danish Ramazzini Ctr, Reg Hosp West Jutland, Dept Occupat Med, Gl Landevej 61, DK-7400 Herring, Denmark

[4] Bispebjerg Hosp, Dept Occupat & Environm Med, Copenhagen, Denmark

来源：

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2020年 / 62卷 / 05期

关键词：

Diabetes; epidemiological surveillance; job exposure matrix; occupational exposures; register study; upper extremity; hand load; OCCUPATIONAL BIOMECHANICAL EXPOSURES; SUBACROMIAL IMPINGEMENT SYNDROME; NEUROPATHY-LIKE SYMPTOMS; ULNAR NEUROPATHY; RESPONSE RELATIONSHIPS; PHYSICIAN RECOGNITION; ACTIVITY LEVEL; HEALTH EVENTS; RISK-FACTORS; SURVEILLANCE;

D O I：

10.1097/JOM.0000000000001852

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Evaluate incidence rates (IRs) of carpal tunnel syndrome (CTS) as sentinels to identify job groups with high hand-wrist exposures. Methods: A nationwide register-based cohort study of all born in Denmark. During follow-up 2010 to 2013, we identified first-time CTS diagnoses. We established job groups, calculated sex-specific age-standardized IRs (SIRs) per job group. We linked occupational codes with a job exposure matrix, calculated mean hand load estimate per job group, and plotted hand load against the SIRs. Results: We followed 1,171,580 men and 1,137,854 women for 4,046,851 and 3,994,987 person-years; identified 4405 cases among men, 7858 among women; obtained crude IRs of 10.9 and 19.7 per 10,000 person-years. For both sexes, there was a positive association between SIRs and hand load. Conclusions: Higher SIRs pointed to job groups with higher hand load. Elevated SIRs of CTS may serve as sentinels of harmful hand activities.

引用

页码：375 / 382

页数：8

共 43 条

[1] Incidence of Physician-Diagnosed Carpal Tunnel Syndrome in the General Population [J].

Atroshi, Isam ;

Englund, Martin ;

Turkiewicz, Aleksandra ;

Tagil, Magnus ;

Petersson, Ingemar F. .

ARCHIVES OF INTERNAL MEDICINE, 2011, 171 (10) :943-+

[2] Carpal tunnel syndrome and its relationship to occupation: a meta-analysis [J].

Barcenilla, Annica ;

March, Lyn M. ;

Chen, Jian Sheng ;

Sambrook, Philip N. .

RHEUMATOLOGY, 2012, 51 (02) :250-261

[3] Clinical surveillance of carpal tunnel syndrome in two areas of the United Kingdom, 1991-2001 [J].

Bland, JDP ;

Rudolfer, SM .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (12) :1674-1679

[4] Validation of the ACGIH TLV for hand activity level in the OCTOPUS cohort: a two-year longitudinal study of carpal tunnel syndrome [J].

Bonfiglioli, Roberta ;

Mattioli, Stefano ;

Armstrong, Thomas J. ;

Graziosi, Francesca ;

Marinelli, Francesco ;

Farioli, Andrea ;

Violante, Francesco S. .

SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 2013, 39 (02) :155-163

[5] A review of occupational disease surveillance systems in Modernet countries [J].

Carder, M. ;

Bensefa-Colas, L. ;

Mattioli, S. ;

Noone, P. ;

Stikova, E. ;

Valenty, M. ;

Telle-Lamberton, M. .

OCCUPATIONAL MEDICINE-OXFORD, 2015, 65 (08) :615-625

[6] The National Diabetes Register [J].

Carstensen, Bendix ;

Kristensen, Jette Kolding ;

Marcussen, Morten Munk ;

Borch-Johnsen, Knut .

SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2011, 39 :58-61

[7] Cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study [J].

Dalboge, Annett ;

Frost, Poul ;

Andersen, Johan Hviid ;

Svendsen, Susanne Wulff .

OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2014, 71 (11) :750-756

[8] Incident CTS in a large pooled cohort study: associations obtained by a Job Exposure Matrix versus associations obtained from observed exposures [J].

Dale, Ann Marie ;

Ekenga, Christine C. ;

Buckner-Petty, Skye ;

Merlino, Linda ;

Thiese, Matthew S. ;

Bao, Stephen ;

Meyers, Alysha Rose ;

Harris-Adamson, Carisa ;

Kapellusch, Jay ;

Eisen, Ellen A. ;

Gerr, Fred ;

Hegmann, Kurt T. ;

Silverstein, Barbara ;

Garg, Arun ;

Rempel, David ;

Zeringue, Angelique ;

Evanoff, Bradley A. .

OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2018, 75 (07) :501-506

[9]

Davis L, 2001, AM J IND MED, V39, P58, DOI 10.1002/1097-0274(200101)39:1<58::AID-AJIM6>3.3.CO

[10]

2-V

← 1 2 3 4 5 →