Evidence map›Paper›PMID 26353869›Full record

ArticleBMJ open2015

Carpal tunnel syndrome and computer exposure at work in two large complementary cohorts.

Z Mediouni, J Bodin, A M Dale, E Herquelot, M Carton, A Leclerc, N Fouquet, C Dumontier, Y Roquelaure, B A Evanoff and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods.International journal of environmental research and public health · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Effectiveness of surgical versus conservative treatment for carpal tunnel syndrome: A systematic review, meta-analysis and qualitative analysis.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2018
    Article
  11. Entrapment neuropathies in diabetes mellitus.World journal of diabetes · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Z MediouniInserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France Versailles St-Quentin University, UMS 011, Villejuif, France AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Poincaré site, Garches, France.
J BodinLaboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France.
A M DaleDivision of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.
E HerquelotInserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France Versailles St-Quentin University, UMS 011, Villejuif, France.
M CartonInserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France Versailles St-Quentin University, UMS 011, Villejuif, France.
A LeclercInserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France Versailles St-Quentin University, UMS 011, Villejuif, France Inserm, UMR-S VIMA, Villejuif, France.
N FouquetLaboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France Department of Occupational Health, French Institute for Public Health Surveillance, Saint-Maurice, France.
C DumontierHand Center, Clinique les eaux claires, ZAC Moudong Sud, Baie Mahault, France.
Y RoquelaureLaboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France CHU Angers, Angers, France.
B A EvanoffDivision of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.
A DescathaInserm, UMR-S VIMA, Villejuif, France Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France Versailles St-Quentin University, UMS 011, Villejuif, France AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Poincaré site, Garches, France.
Assistance Publique – Hôpitaux de Paris · FRCentre de recherche en Epidémiologie et Santé des Populations · FRCentre Hospitalier Universitaire d'Angers · FRInserm · FRUniversité d'Angers · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversité Nantes Angers Le Mans · FR

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Post-Offer Screening and Risk Factors for CTSR01OH008017 · OH · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2004 to 2013
$4.9M
NCATS NIH HHS UL1 TR000448NIOSH CDC HHS R01 OH008017NIOSH CDC HHS R01OH008017
6 · The paper itself

Abstract

objectivesThe boom in computer use and concurrent high rates in musculoskeletal complaints and carpal tunnel syndrome (CTS) among users have led to a controversy about a possible link. Most studies have used cross-sectional designs and shown no association. The present study used longitudinal data from two large complementary cohorts to evaluate a possible relationship between CTS and the performance of computer work. SETTINGS AND

participantsThe Cosali cohort is a representative sample of a French working population that evaluated CTS using standardised clinical examinations and assessed self-reported computer use. The PrediCTS cohort study enrolled newly hired clerical, service and construction workers in several industries in the USA, evaluated CTS using symptoms and nerve conduction studies (NCS), and estimated exposures to computer work using a job exposure matrix. PRIMARY AND SECONDARY OUTCOME MEASURES: During a follow-up of 3-5 years, the association between new cases of CTS and computer work was calculated using logistic regression models adjusting for sex, age, obesity and relevant associated disorders.

resultsIn the Cosali study, 1551 workers (41.8%) completed follow-up physical examinations; 36 (2.3%) participants were diagnosed with CTS. In the PrediCTS study, 711 workers (64.2%) completed follow-up evaluations, whereas 31 (4.3%) had new cases of CTS. The adjusted OR for the group with the highest exposure to computer use was 0.39 (0.17; 0.89) in the Cosali cohort and 0.16 (0.05; 0.59) in the PrediCTS cohort.

conclusionsData from two large cohorts in two different countries showed no association between computer work and new cases of CTS among workers in diverse jobs with varying job exposures. CTS is far more common among workers in non-computer related jobs; prevention efforts and work-related compensation programmes should focus on workers performing forceful hand exertion.

Indexed as

ComputersAdultCarpal Tunnel SyndromeCohort StudiesFemaleFollow-Up StudiesHand StrengthHumansIncidenceMaleOccupational DiseasesOccupational ExposurePostureRisk FactorsUnited StatesEPIDEMIOLOGYOCCUPATIONAL & INDUSTRIAL MEDICINEPUBLIC HEALTHRHEUMATOLOGY

Identifiers

PMID26353869
PMCPMC4567686
OpenAlexW2135903771

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.