Evidence map›Paper›PMID 35074886›Full record

ArticleOccupational and environmental medicine2022

Occupational risk factors for work disability following carpal tunnel syndrome: a pooled prospective study.

Carisa Harris-Adamson, Ellen A Eisen, Jay Kapellusch, Kurt T Hegmann, Matthew S Thiese, Ann-Marie Dale, Bradley Evanoff, Alysha Rose Meyers, Stephen Bao, Fred Gerr and 2 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Occupational and environmental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.0field-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

10 citing papers in PubMed, 26 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

12 authors at 9 institutions in 1 country.

Carisa Harris-AdamsonDepartment of Medicine, University of California at San Francisco, San Francisco, California, USA carisa.harris-adamson@ucsf.edu.ORCID 0000-0003-4031-5034
Ellen A EisenSchool of Public Health, University of California at Berkeley, Berkeley, California, USA.
Jay KapelluschOccupational Therapy Science, Technology, & Rehabiliation, University of Wisconsin at Milwaukee, Milwaukee, Wisconsin, USA.
Kurt T HegmannRocky Mountain Center for Occupational and Environmental Health (RMCOEH), University of Utah, Salt Lake City, Utah, USA.
Matthew S ThieseRocky Mountain Center for Occupational and Environmental Health (RMCOEH), University of Utah, Salt Lake City, Utah, USA.
Ann-Marie DaleDepartment of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Bradley EvanoffDepartment of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Alysha Rose MeyersDivision of Surveillance, Hazard Evaluations and Field Studies, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.
Stephen BaoSHARP, Washington State Department of Labor and Industries, Olympia, Washington, USA.
Fred GerrDepartment of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa, USA.
Niklas KrauseSchool of Public Health, University of California at Los Angeles, Los Angeles, California, USA.
David RempelDepartment of Medicine, University of California at San Francisco, San Francisco, California, USA.
University of California, San Francisco · USUniversity of Utah · USWashington University in St. Louis · USCenters for Disease Control and Prevention · USUnited States Department of State · USUniversity of California, Berkeley · USUniversity of California, Los Angeles · USUniversity of Iowa · USUniversity of Wisconsin–Milwaukee · US

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Targeted Research Training CoreT42OH008429 · OH · UNIVERSITY OF CALIFORNIA BERKELEY · PI HARRIS ADAMSON, CARISA · 2005 to 2024
$30.0M
A Pooled Longitudinal Analysis of Workplace Carpal Tunnel SyndromeR01OH009712 · OH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REMPEL, DAVID M · 2010 to 2012
$1.5M
Upper Limb Musculosketal Disorders: Quantifying RiskU01OH007917 · OH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI GARG, ARUN · 2002 to 2008
$1.4M
Exposure Response Relationships for CTS and Epicondylitis from Pooled DataR01OH010474 · OH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI GARG, ARUN · 2013 to 2015
$843k
ACL HHS T42OH008414ACL HHS T42OH008429Intramural CDC HHS CC999999NCRR NIH HHS UL1 RR024992NIOSH CDC HHS R01 OH007914NIOSH CDC HHS R01 OH009712NIOSH CDC HHS R01 OH010474NIOSH CDC HHS T42 OH008414NIOSH CDC HHS T42 OH008429NIOSH CDC HHS U01 OH007917
6 · The paper itself

Abstract

backgroundAlthough recent studies have identified important risk factors associated with incident carpal tunnel syndrome (CTS), risk factors associated with its severity have not been well explored.

objectiveTo examine the associations between personal, workplace psychosocial and biomechanical factors and incident work disability among workers with CTS.

methodsBetween 2001 and 2010 five research groups conducted coordinated prospective studies of CTS and related work disability among US workers from various industries. Workers with prevalent or incident CTS (N=372) were followed for up to 6.4 years. Incident work disability was measured as: (1) change in work pace or work quality, (2) lost time or (3) job change following the development of CTS. Psychosocial factors were assessed by questionnaire. Biomechanical exposures were assessed by observation and measurements and included force, repetition, duty cycle and posture. HRs were estimated using Cox models.

resultsDisability incidence rates per 100 person-years were 33.2 for changes in work pace or quality, 16.3 for lost time and 20.0 for job change. There was a near doubling of risk for job change among those in the upper tertile of the Hand Activity Level Scale (HR 2.17; 95% CI 1.17 to 4.01), total repetition rate (HR 1.75; 95% CI 1.02 to 3.02), % time spent in all hand exertions (HR 2.20; 95% CI 1.21 to 4.01) and a sixfold increase for high job strain. Sensitivity analyses indicated attenuation due to inclusion of the prevalent CTS cases.

conclusionPersonal, biomechanical and psychosocial job factors predicted CTS-related disability. Results suggest that prevention of severe disability requires a reduction of both biomechanical and organisational work stressors.

Indexed as

Carpal Tunnel SyndromeOccupational DiseasesHumansProspective StudiesRisk FactorsWorkplacedisabilityepidemiologyergonomicsmusculoskeletal system

Identifiers

PMID35074886
PMCPMC10291503
OpenAlexW4210403915

What OpenQuestion holds

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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.