Carpal tunnel syndrome among Manitoba workers: Results from the Manitoba Occupational Disease Surveillance System

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine Pub Date : 2024-01-24 DOI:10.1002/ajim.23566

Allen Kraut, Elizabeth Rydz, Randy Walld, Paul A. Demers, Cheryl E. Peters

{"title":"Carpal tunnel syndrome among Manitoba workers: Results from the Manitoba Occupational Disease Surveillance System","authors":"Allen Kraut, Elizabeth Rydz, Randy Walld, Paul A. Demers, Cheryl E. Peters","doi":"10.1002/ajim.23566","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Carpal tunnel syndrome (CTS) is associated with occupational high-force repetitive tasks and vibration. This project examines the relationship between CTS and work to: (1) identify jobs and industries with increased CTS risk; (2) explore whether there is a sex difference in the risk of CTS after controlling for occupation; and (3) determine whether any observed relationships persist after excluding Workers Compensation Board (WCB) accepted time-loss CTS claims.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We linked 95.5% of time-loss WCB claims from 2006 to 2019 to provincial administrative health data. The cohort included 143,001 unique person-occupation combinations. CTS cases were defined as at least two medical claims for (ICD-9 354) within a 12-month period or a surgical claim for CTS from 2 years before the WCB claim to 3 years after. WCB accepted CTS time-loss claims not identified by the medical claims were also included.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 4302 individuals (3.0%) met the CTS definition. Analysis revealed that the hazard ratios (HRs) of CTS vary considerably with occupation. Sex-based differences in CTS risks were observed, both in low- and high-risk occupations. In many occupations with increased HR, the HR remained elevated after excluding accepted time-loss WCB cases.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The risk of developing CTS varied with occupation. Job titles with ergonomic risk factors had higher risks than those with lower exposures. This finding remained after eliminating time-loss compensated WCB cases, suggesting that all cases of CTS in high risk jobs are not identified in WCB statistics. Female workers in some job titles had excess CTS cases compared to male workers within the same job title.</p>\n </section>\n </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.23566","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of industrial medicine","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ajim.23566","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Carpal tunnel syndrome (CTS) is associated with occupational high-force repetitive tasks and vibration. This project examines the relationship between CTS and work to: (1) identify jobs and industries with increased CTS risk; (2) explore whether there is a sex difference in the risk of CTS after controlling for occupation; and (3) determine whether any observed relationships persist after excluding Workers Compensation Board (WCB) accepted time-loss CTS claims.

Methods

We linked 95.5% of time-loss WCB claims from 2006 to 2019 to provincial administrative health data. The cohort included 143,001 unique person-occupation combinations. CTS cases were defined as at least two medical claims for (ICD-9 354) within a 12-month period or a surgical claim for CTS from 2 years before the WCB claim to 3 years after. WCB accepted CTS time-loss claims not identified by the medical claims were also included.

Results

A total of 4302 individuals (3.0%) met the CTS definition. Analysis revealed that the hazard ratios (HRs) of CTS vary considerably with occupation. Sex-based differences in CTS risks were observed, both in low- and high-risk occupations. In many occupations with increased HR, the HR remained elevated after excluding accepted time-loss WCB cases.

Conclusions

The risk of developing CTS varied with occupation. Job titles with ergonomic risk factors had higher risks than those with lower exposures. This finding remained after eliminating time-loss compensated WCB cases, suggesting that all cases of CTS in high risk jobs are not identified in WCB statistics. Female workers in some job titles had excess CTS cases compared to male workers within the same job title.

Abstract Image

查看原文本刊更多论文

马尼托巴省工人的腕管综合征：马尼托巴省职业病监测系统的结果。

背景：腕管综合征（CTS）与职业性高强度重复性工作和振动有关。本项目研究 CTS 与工作之间的关系，目的是(1) 确定 CTS 风险增加的工作和行业；(2) 探讨在控制职业后，CTS 风险是否存在性别差异；(3) 确定在排除工人补偿委员会（WCB）接受的时间损失 CTS 索赔后，观察到的关系是否仍然存在：我们将 2006 年至 2019 年期间 95.5% 的 WCB 时间损失索赔与省级行政健康数据联系起来。队列包括 143 001 个独特的个人职业组合。CTS 病例的定义是在 12 个月内至少有两次医疗索赔（ICD-9 354），或在 WCB 索赔前 2 年至后 3 年期间有一次 CTS 手术索赔。此外，还包括医疗索赔中未识别出的工伤保险局受理的 CTS 时间损失索赔：共有 4302 人（3.0%）符合 CTS 定义。分析表明，CTS 的危险比（HRs）因职业不同而有很大差异。在低风险和高风险职业中，都观察到了基于性别的 CTS 风险差异。在许多危险比升高的职业中，在剔除已接受的有时间损失的 WCB 病例后，危险比仍然升高：结论：患 CTS 的风险因职业而异。具有人体工程学风险因素的工种比接触风险较低的工种风险更高。在剔除有时间损失赔偿的工伤医疗保险案例后，这一结论依然存在，这表明工伤医疗保险统计数据并未识别所有高风险工作中的 CTS 病例。与相同工种的男性工人相比，某些工种的女性工人的 CTS 病例更多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.90

自引率

5.70%

发文量

108

审稿时长

4-8 weeks

期刊介绍： American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.