Evidence map›Paper›PMID 31828895›Full record

SynthesisJournal of occupational health2020

Risk factors for development of lower limb osteoarthritis in physically demanding occupations: A narrative umbrella review.

Ben Schram, Robin Orr, Rodney Pope, Elisa Canetti, Joseph Knapik

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of occupational health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 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

5 authors at 2 institutions in 2 countries.

Ben SchramTactical Research Unit, Bond University, Robina, QLD, Australia.ORCID https://orcid.org/0000-0002-1865-0488
Robin OrrTactical Research Unit, Bond University, Robina, QLD, Australia.ORCID https://orcid.org/0000-0002-5844-4849
Rodney PopeTactical Research Unit, Bond University, Robina, QLD, Australia.ORCID https://orcid.org/0000-0002-1320-5801
Elisa CanettiTactical Research Unit, Bond University, Robina, QLD, Australia.ORCID https://orcid.org/0000-0002-8358-398X
Joseph KnapikUniformed Services University, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-1568-1860
Bond University · AUUniformed Services University of the Health Sciences · US

Funding

Department of Veterans' Affairs, Australian Government
6 · The paper itself

Abstract

objectivesOsteoarthritis (OA) is a common disorder which affects the joints. As relationships between occupational factors and lower limb OA have been widely studied in systematic reviews, the aim of this umbrella review was to synthesize their key findings in the risk factors for development of lower limb OA.

methodsA systematic search was conducted using the databases PUBMED, Cumulative Index of Nursing and Allied Health Literature, and Elton B Stevens Company to identify reviews examining associations between lower limb OA and occupational tasks. These reviews were rated for their methodological quality before key data were extracted and synthesized.

resultsSixteen reviews were found, seven pertained to the knee, four to the hip, two to a variety of joints, and three to both the hip and knee. One was deemed to be of high methodological quality, one of critically low methodological quality, and the others of moderate methodological quality. The reviews found moderate to good evidence for heavy occupational lifting to be associated with an increased risk of OA at the knee and the hip. Kneeling, squatting, and climbing, previous injuries to joints, being overweight and obese were also predictive of lower limb OA.

conclusionOccupations which involve heavy physical workloads increase the risk of developing lower limb OA. Heavy lifting, squatting, knee bending, kneeling, and climbing may all increase the risk of developing OA in both the knees and hips. Efforts to reduce exposure to these tasks, reducing joint injuries, optimizing bodyweight may reduce the risks of lower limb OA for occupations which are physically demanding.

Indexed as

OccupationsPhysical ExertionHumansLower ExtremityOccupational DiseasesOsteoarthritisRisk FactorsSystematic Reviews as Topiclower limbmilitaryoccupationosteoarthritiswork

Identifiers

PMID31828895
PMCPMC6970406
OpenAlexW2996282775

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.