Evidence map›Paper›PMID 27919063›Full record

ArticleOccupational and environmental medicine2017

Predictors of low back pain in nursing home workers after implementation of a safe resident handling programme.

Judith E Gold, Laura Punnett, Rebecca J Gore, ProCare Research Team

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 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

4 authors.

Judith E GoldDepartment of Occupational and Public Health Sciences, Centre for Musculoskeletal Research, University of Gävle, Gävle, Sweden.
Laura PunnettDepartment of Work Environment, University of Massachusetts Lowell, Lowell, Massachusetts, USA.
Rebecca J GoreDepartment of Work Environment, University of Massachusetts Lowell, Lowell, Massachusetts, USA.
ProCare Research Team

Funding

Center for the Promotion of Health in the New England WorkplaceU19OH008857 · OH · UNIVERSITY OF MASSACHUSETTS LOWELL · PI PUNNETT, LAURA · 2006 to 2020
$20.4M
NIOSH CDC HHS U19 OH008857
6 · The paper itself

Abstract

objectivesHealthcare workers have high rates of low back pain (LBP) related to handling patients. A large chain of nursing homes experienced reduced biomechanical load, compensation claims and costs following implementation of a safe resident handling programme (SRHP). The aim of this study was to examine whether LBP similarly declined and whether it was associated with relevant self-reported occupational exposures or personal health factors.

methodsWorker surveys were conducted on multiple occasions beginning with the week of first SRHP introduction (baseline). In each survey, the outcome was LBP during the prior 3 months with at least mild severity during the past week. Robust Poisson multivariable regression models were constructed to examine correlates of LBP cross-sectionally at 2 years (F3) and longitudinally at 5-6 years (F5) post-SRHP implementation among workers also in at least one prior survey.

resultsLBP prevalence declined minimally between baseline and F3. The prevalence was 37% at F3 and cumulative incidence to F5 was 22%. LBP prevalence at F3 was positively associated with combined physical exposures, psychological job demands and prior back injury, while frequent lift device usage and 'intense' aerobic exercise frequency were protective. At F5, the multivariable model included frequent lift usage at F3 (relative risk (RR) 0.39 (0.18 to 0.84)) and F5 work-family imbalance (RR=1.82 (1.12 to 2.98)).

conclusionsIn this observational study, resident lifting device usage predicted reduced LBP in nursing home workers. Other physical and psychosocial demands of nursing home work also contributed, while frequent intense aerobic exercise appeared to reduce LBP risk.

Indexed as

AdultFemaleFollow-Up StudiesHumansLow Back PainMaleMassachusettsMiddle AgedMoving and Lifting PatientsMultivariate AnalysisNursing HomesNursing StaffOccupational DiseasesPrevalenceRisk FactorsSafety Managementaerobic exercisehealthcare workersintervention, moving and lifting patientsprotective devices

Identifiers

PMID27919063
PMCPMC5860804

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Registered trials

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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.