ArticleOccupational and environmental medicine2009
Incidence rates of surgically treated idiopathic carpal tunnel syndrome in blue- and white-collar workers and housewives in Tuscany, Italy.
Article in Occupational and environmental medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- A meta-analysis of the association between physical demands of domestic labor and back pain among women.BMC women's health · 2021Pooled it
- Endoscopic carpal tunnel release is preferred over mini-open despite similar outcome: a randomized trial.Clinical orthopaedics and related research · 2013Trial
- Occupational biomechanical risk factors for carpal tunnel syndrome surgery: a prospective cohort study on 203 866 Swedish male construction workers followed for 19 years.Occupational and environmental medicine · 2025Article
- Article
- Is Smoking Associated with Carpal Tunnel Syndrome? A Meta-Analysis.Healthcare (Basel, Switzerland) · 2022Review
- Association of clinically relevant carpal tunnel syndrome with type of work and level of education: a general-population study.Scientific reports · 2021Article
- Carpel tunnel syndrome: A link with vitamin D and calcium.Biomedical reports · 2020Article
- Distribution of age, gender, and occupation among individuals with carpal tunnel syndrome based on the National Health Insurance data and National Employment Insurance data.Annals of occupational and environmental medicine · 2019Article
- Blue-collar work and women's health: A systematic review of the evidence from 1990 to 2015.SSM - population health · 2018Article
- Observed Differences between Males and Females in Surgically Treated Carpal Tunnel Syndrome Among Non-manual Workers: A Sensitivity Analysis of Findings from a Large Population Study.Annals of work exposures and health · 2018Article
- Has your work worked you too hard? Physically demanding work and disability in a sample of the older Irish population.Irish journal of medical science · 2013Article
- Loads of housework? Biomechanical assessments of the upper limbs in women performing common household tasks.International archives of occupational and environmental health · 2012Article
- MRI of the median nerve and median artery in the carpal tunnel: prevalence of their anatomical variations and clinical significance.Surgical and radiologic anatomy : SRA · 2010Article
- Current options for nonsurgical management of carpal tunnel syndrome.International journal of clinical rheumatology · 2010Article
- Clinical Evaluation and Diagnostic Utilities of Different Nerve Conduction Tests in 100 Patients with Carpal Tunnel Syndrome.Journal of neurosciences in rural practiceArticle
- Efficiency of 90-Min Extended EMLA-Induced Stimulated Skin-Wrinkling Test in the Diagnosis of Carpal Tunnel Syndrome.Annals of Indian Academy of NeurologyArticle
- A Clinical and Neurophysiological Analysis of Idiopathic Carpal Tunnel Syndrome with Respect to Gender and Occupation.Annals of Indian Academy of NeurologyArticle
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRates of surgically treated carpal tunnel syndrome (CTS) among blue- and white-collar workers and housewives in the general population were compared.
methodsSurgically treated cases of idiopathic CTS were investigated among 25-59-year-old residents of Tuscany, Italy, during 1997-2000, based on obligatory discharge records from all Italian public/private hospitals, archived according to residence on Tuscany's regional database. Population data were extracted from the 2001 census.
resultsAfter excluding repeat admissions, 8801 eligible cases were identified. Age-standardised rates (per 100 000 person-years) of surgical CTS were: "blue-collar women", 367.8; "white-collar women", 88.1; "housewives", 334.5; "blue-collar men", 73.5; and "white-collar men", 15.3. Compared with reference categories (same-sex white-collar workers): female blue-collar workers experienced a 4.2-fold higher standardised rate; housewives, a 3.8-fold excess; and male blue-collar workers, a 4.8-fold excess (all p<0.001). Male and female blue-collar workers showed approximately three to sevenfold higher age-specific rates compared to their white-collar counterparts (all p<0.001). Housewives' rates were similar to those of blue-collar female workers up to 40-44 years of age, after which they were significantly lower (p<0.002). At all ages, housewives' rates were much higher (p<0.001) than those of white-collar women.
conclusionsSurgically treated CTS was three to seven times more common (depending on age/gender) in blue-collar than in white-collar workers, which is difficult to explain by differences in body weight or other individual factors. Thus, occupational risk factors seem relevant throughout working life. The high rates for full-time housewives suggest that domestic chores should be investigated as a possible risk factor for CTS.
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