ArticleInternational archives of occupational and environmental health2025
The role of personal risk factors in the occurrence of the hand-arm vibration syndrome: a pooled analysis of individual data from Italian cross-sectional and cohort studies.
Article in International archives of occupational and environmental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the role of personal risk factors in the occurrence of the vascular, neurological and fibroproliferative disorders of the hand-arm vibration syndrome (HAVS) in workers groups exposed to hand-transmitted vibration (HTV).
methodsHAVS prevalence and incidence data were pooled across a series of cross-sectional studies (total sample: 1272 HTV workers, 579 controls) and prospective cohort studies (total sample: 377 HTV workers, 138 controls) conducted in Central and North-Eastern Italy. The pooled studies included detailed individual-level information about HTV exposure, personal risk factors, medical comorbidities and HAVS disorders. Vibration exposures were evaluated according to the recommendations of ISO standards.
resultsThe pooled studies revealed dose-response relationships between HTV exposure and the vascular and neurological components of HAVS. Older age, excessive alcohol intake, and comorbid conditions such as metabolic disorders, traumas/surgery to the neck and upper limbs, and disorders of the cervical spine were differentially associated with HAVS outcomes. Higher BMI had a protective effect on vascular disorders. Data modelling showed no significant interactions between HTV exposure and personal risk factors in the occurrence of upper limb disorders.
conclusionsThe pooled analysis of epidemiological studies with individualised work, personal, and medical data confirmed that HTV exposure is a primary occupational risk factor for disorders in the fingers and hands of users of vibratory tools. Ageing and some personal factors connected to lifestyles and comorbidities were associated with an increased risk for upper limb disorders in HTV workers. Occupational and personal risk factors tended to contribute independently of each other to adverse outcomes in operators of hand-held vibrating machinery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.