Evidence map›Paper›PMID 34863143›Full record

ArticleBMC musculoskeletal disorders2021

Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study.

Sietske J Tamminga, P Paul F M Kuijer, Kathryn Badarin, Jose Hernán Alfonso, Joana Amaro, Stefania Curti, Irina Guseva Canu, Stefano Mattioli, Ingrid S Mehlum, David Rempel and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. 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
1.9field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 14 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

13 authors at 9 institutions in 8 countries.

Sietske J TammingaDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Netherlands Center for Occupational Diseases, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, The Netherlands. s.tamminga1@amsterdamumc.nl.
P Paul F M KuijerDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Netherlands Center for Occupational Diseases, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, The Netherlands.
Kathryn BadarinUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Jose Hernán AlfonsoDepartment of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Oslo, Norway.
Joana AmaroEPIUnit - Institute of Public Health, University of Porto, Porto, Portugal.
Stefania CurtiDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Irina Guseva CanuDepartment of Occupational and Environmental Health, Center of Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Stefano MattioliDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Ingrid S MehlumDepartment of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Oslo, Norway.
David RempelDivision of Occupational and Environmental Medicine, University of California, San Francisco, USA.
Yves RoquelaureUniv Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-49000, Angers, France.
Steven VisserDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Netherlands Center for Occupational Diseases, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, The Netherlands.
Henk F van der MolenDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Netherlands Center for Occupational Diseases, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLNational Institute of Occupational Health · NONetherlands Center for Occupational Diseases · NLUniversity of Ferrara · ITCentre universitaire de médecine générale et santé publique, Lausanne · CHKarolinska Institutet · SEUniversidade do Porto · PTUniversité de Rennes · FRUniversity of California, San Francisco · US

Funding

NIOSH CDC HHS T42 OH008429
6 · The paper itself

Abstract

backgroundInternational consensus is needed on case definitions of work-related musculoskeletal disorders and diseases (MSDs) for use in epidemiological research. We aim to: 1) study what information is needed for the case definition of work-related low back pain (LBP), lumbosacral radicular syndrome (LRS), subacromial pain syndrome (SAPS), carpal tunnel syndrome (CTS), lateral and medial elbow tendinopathy, and knee and hip osteoarthritis, and to 2) seek consensus among occupational health professionals/researchers regarding the case definitions of these work-related MSDs.

methodsA two-round Delphi study was conducted with occupational health professionals/researchers from 24 countries. Definition of work-related MSDs were composed of a case definition with work exposures. Round 1 included 32 case definitions and round 2, 60 case definitions. After two rounds, consensus required 75% of the panellists to rate a case definition including work exposures ≥7 points on a 9-point rating scale (completely disagree/completely agree).

resultsFifty-eight panellists completed both rounds (response rate 90%). Forty-five (70%) panellists thought that for LBP a case definition can be based on symptoms only. Consensus was only reached for work-related medial elbow tendinopathy, while the lowest agreement was found for knee osteoarthritis. Where consensus was not reached, this was - except for LBP - related to physical examination and imaging rather than disagreement on key symptoms.

conclusionConsensus on case definitions was reached only for work-related medial elbow tendinopathy. Epidemiological research would benefit from harmonized case definitions for all MSDs including imaging and physical examination for LRS, SAPS, CTS, lateral elbow tendinopathy and hip and knee osteoarthritis.

Indexed as

Low Back PainMusculoskeletal DiseasesOsteoarthritis, HipOsteoarthritis, KneeDelphi TechniqueHumansCarpal tunnel syndromeEpicondylitisHip osteoarthritisKnee osteoarthritisLateral elbow tendinopathyLow back painLumbosacral radicular syndromeMedial elbow tendinopathyOccupational diseaseSubacromial pain syndromeTennis elbow

Identifiers

PMID34863143
PMCPMC8645098
OpenAlexW4200370027

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.