Evidence map›Paper›PMID 27777373›Full record

ArticleOccupational and environmental medicine2017

Occupational exposures and chronic obstructive pulmonary disease (COPD): comparison of a COPD-specific job exposure matrix and expert-evaluated occupational exposures.

Laura Kurth, Brent Doney, Sheila Weinmann

Abstract readComparative Study
In one paragraph

Article in Occupational and environmental medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

3 authors.

Laura KurthRespiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Brent DoneyRespiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Sheila WeinmannCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesTo compare the occupational exposure levels assigned by our National Institute for Occupational Safety and Health chronic obstructive pulmonary disease-specific job exposure matrix (NIOSH COPD JEM) and by expert evaluation of detailed occupational information for various jobs held by members of an integrated health plan in the Northwest USA.

methodsWe analysed data from a prior study examining COPD and occupational exposures. Jobs were assigned exposure levels using 2 methods: (1) the COPD JEM and (2) expert evaluation. Agreement (Cohen's κ coefficients), sensitivity and specificity were calculated to compare exposure levels assigned by the 2 methods for 8 exposure categories.

resultsκ indicated slight to moderate agreement (0.19-0.51) between the 2 methods and was highest for organic dust and overall exposure. Sensitivity of the matrix ranged from 33.9% to 68.5% and was highest for sensitisers, diesel exhaust and overall exposure. Specificity ranged from 74.7% to 97.1% and was highest for fumes, organic dust and mineral dust.

conclusionsThis COPD JEM was compared with exposures assigned by experts and offers a generalisable approach to assigning occupational exposure.

Indexed as

Air Pollutants, OccupationalCase-Control StudiesDustGasesHumansInhalation ExposureNational Institute for Occupational Safety and Health, U.S.Occupational ExposureOccupationsOregonPulmonary Disease, Chronic ObstructiveReproducibility of ResultsRisk AssessmentSensitivity and SpecificityUnited StatesAir Pollutants, OccupationalDustGaseschronic obstructive pulmonary diseaseepidemiologic methodsjob exposure matrixoccupational exposure

Identifiers

PMID27777373
PMCPMC5352500

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