Evidence map›Paper›PMID 31533791›Full record

ArticleBMC musculoskeletal disorders2019

Determinants of international variation in the prevalence of disabling wrist and hand pain.

David Coggon, Georgia Ntani, Karen Walker-Bone, Vanda E Felli, Florencia Harari, Lope H Barrero, Sarah A Felknor, Marianela Rojas, Anna Cattrell, Consol Serra and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2019. 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
2.2field-weighted citation impact, top 13% 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, 17 citations in OpenAlex.

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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

21 authors at 19 institutions in 16 countries.

David CoggonMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. dnc@mrc.soton.ac.uk.ORCID http://orcid.org/0000-0003-1930-3987
Georgia NtaniMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Karen Walker-BoneMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Vanda E FelliSchool of Nursing, University of São Paulo, São Paulo, Brazil.
Florencia HarariCorporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador.
Lope H BarreroDepartment of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia.
Sarah A FelknorSouthwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Marianela RojasProgram Health, Work and Environment in Central America, Institute for Studies on Toxic Substances (IRET), National University of Costa Rica, Heredia, Costa Rica.
Anna CattrellNorth East London NHS Foundation Trust, Goodmayes Hospital, Ilford, Essex, UK.
Consol SerraCenter for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.
Rossana BorchiniEPIMED Research Center, University of Insubria, Varese, Italy.
Eleni SolidakiDepartment of Social Medicine, Medical School, University of Crete, Heraklion, Greece.
Eda MerisaluInstitute of Technology, Estonian University of Life Sciences, Tartu, Estonia.
Rima R HabibDepartment of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Farideh SadeghianCenter for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
M Masood KadirDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Roshini J Peiris-JohnSection of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Ko MatsudairaDepartment for Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Tokyo, Japan.
Busisiwe Nyantumbu-MkhizeNational Health Laboratory Service, National Institute for Occupational Health, Johannesburg, South Africa.
Helen L KelsallDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Helen HarcombeDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
NIHR Southampton Biomedical Research Centre · GBAga Khan University · PKAmerican University of Beirut · LBCorporación para el Desarrollo Sostenible del Urabá · COEstonian University of Life Sciences · EEMonash University · AUNational Health Laboratory Service · ZANational Institute for Occupational Safety and Health · USNorth East London NHS Foundation Trust · GBPontificia Universidad Javeriana · COShahroud University of Medical Sciences · IRUniversidade de São Paulo · BRUniversidad Nacional · CRUniversitat Pompeu Fabra · ESUniversity of Auckland · NZUniversity of Crete · GRUniversity of Insubria · ITUniversity of Otago · NZUniversity of Tokyo Hospital · JP

Funding

Arthritis Research UK 20665Colt Foundation CF 0305Faculty of Medicine, Nursing and Health Sciences, Monash University UnknownFIC NIH HHS UnknownHealth Research Council of New Zealand UnknownInstituto de Salud Carlos III UnknownMedical Research Council G0400490Medical Research Council MC_PC_15015Medical Research Council MC_U147585823Medical Research Council MC_UP_A620_1018Medical Research Council MC_UU_12011/5Medical Research Council MRC_MC_UU_12011/5National Health and Medical Research Council UnknownShahroud University of Medical Sciences UnknownVersus Arthritis 20665
6 · The paper itself

Abstract

backgroundPrevious research has indicated that wide international variation in the prevalence of disabling low back pain among working populations is largely driven by factors predisposing to musculoskeletal pain more generally. This paper explores whether the same applies to disabling wrist/hand pain (WHP).

methodsUsing data from the Cultural and Psychosocial Influences on Disability (CUPID) study, we focused on workers from 45 occupational groups (office workers, nurses and other workers) in 18 countries. Among 11,740 participants who completed a baseline questionnaire about musculoskeletal pain and potential risk factors, 9082 (77%) answered a further questionnaire after a mean interval of 14 months, including 1373 (15%) who reported disabling WHP in the month before follow-up. Poisson regression was used to assess associations of this outcome with baseline risk factors, including the number of anatomical sites other than wrist/hand that had been painful in the 12 months before baseline (taken as an index of general propensity to pain).

resultsAfter allowance for other risk factors, the strongest associations were with general pain propensity (prevalence rate ratio for an index ≥6 vs. 0: 3.6, 95% confidence interval 2.9-4.4), and risk rose progressively as the index increased. The population attributable fraction for a pain propensity index > 0 was 49.4%. The prevalence of disabling WHP by occupational group ranged from 0.3 to 36.2%, and correlated strongly with mean pain propensity index (correlation coefficient 0.86).

conclusionStrategies to prevent disability from WHP among working populations should explore ways of reducing general propensity to pain, as well as improving the ergonomics of occupational tasks.

Indexed as

AdultCross-Cultural ComparisonErgonomicsFemaleFollow-Up StudiesGlobal Burden of DiseaseHumansMaleMiddle AgedMusculoskeletal PainOccupational DiseasesPersons with DisabilitiesPrevalenceRisk FactorsSurveys and QuestionnairesWrist JointGeographical variationPain propensityRisk factorsWrist/hand pain

Identifiers

PMID31533791
PMCPMC6749621
OpenAlexW2974323957

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.