Evidence map›Paper›PMID 36710710›Full record

SynthesisWork (Reading, Mass.)2023

Comparing the occurrence of chronic physical disorders in self-employed individuals with that of employees: A systematic review.

Kristina Willeke, Patrick Janson, Katharina Zink, Christina Tischer, Peter U Heuschmann, Andreas Zapf, Manfred Wildner, Carolin Stupp, Thomas Keil

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Work (Reading, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
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

9 authors at 3 institutions in 2 countries.

Kristina WillekeState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
Patrick JansonState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
Katharina ZinkState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
Christina TischerState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
Peter U HeuschmannInstitute of Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
Andreas ZapfBavarian State Ministry of the Environment and Consumer Protection, Munich, Germany.
Manfred WildnerState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
Carolin StuppState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
Thomas KeilState Institute of Health, Bavarian Health and Food Safety Authority, Erlangen, Germany.
University of Würzburg · DEBayerisches Staatsministerium für Umwelt und Verbraucherschutz · DELudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA stringent systematic review of population-based observational studies focusing on the physical health of self-employed individuals as a basis for the development of targeted prevention strategies is lacking.

objectiveWe aimed to systematically evaluate all the studies of good quality that compared the occurrence of chronic physical disorders in self-employed individuals with that of employees.

methodsWe searched three major medical databases (MEDLINE, Web of Science, Embase) following the Cochrane guidelines. The quality of the studies was rated based on the slightly modified validated assessment tool that was developed by Hoy et al.

resultsWe included 16 population-based studies of good quality, with data from 15,369,964 participants in total. The two longitudinal evaluations of Swedish national registers with the longest follow-up periods showed increased cardiovascular mortality and incidence estimates of cardiovascular disease in self-employed individuals compared with those of white-collar (i.e., nonmanual) employees but decreased risk estimates compared with those of blue-collar (i.e., manual) workers. The results of the shorter cohort studies were heterogeneous. In cross-sectional studies, prevalence estimates for musculoskeletal, respiratory and malignant diseases were higher among self-employed individuals than among employees.

conclusionThe long-term cardiovascular disease risk and mortality of self-employed individuals seemed to be higher than those of white-collar employees but lower than those of blue-collar employees. As a basis for targeted prevention strategies, further longitudinal studies in different settings are required to better understand the development of physical health disorders for specific self-employment categories such as sole proprietors, small entrepreneurs, family businesses and others.

Indexed as

Cardiovascular DiseasesCohort StudiesCross-Sectional StudiesEmploymentHumansPhysical ExaminationIncidencemultiple chronic conditionsoccupational healthphysical examinationphysical functional performance

Identifiers

PMID36710710
PMCPMC10473076
OpenAlexW4318240237

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.