Occupational demands associated with rotator cuff disease surgery in the UK Biobank.
Occupational demands associated with rotator cuff disease surgery in the UK Biobank.
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DOI：
10.5271/sjweh.4062
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发表时间：
2023-01-01
期刊：
影响因子：
--
通讯作者：
Evanoff BA
中科院分区：
文献类型：
--
作者：
Yanik EL;Keener JD;Stevens MJ;Walker-Bone KE;Dale AM;Ma Y;Colditz GA;Wright RW;Saccone NL;Jain NB;Evanoff BA
对体力要求高的职业可能会增加肩袖疾病（RCD）的风险和手术需求。我们将工作暴露矩阵（JEM）与英国生物银行队列研究联系起来，以测量物理职业暴露并估计与RCD手术的相关性。工作和英国标准职业分类（SOC）代码记录在英国生物库口头采访。终身工作历史是通过网络调查获得的。英国SOC代码链接到基于美国O*NET数据库的JEM。基于O* NET的得分[静态力量，动态力量，一般体力活动，处理/移动物体（范围=1-7），使用手的时间，全身振动和狭窄/尴尬的位置（范围=1-5）]被分配到工作。刚果民盟的手术是通过国家医院住院记录的链接确定的。多变量考克斯回归用于计算风险比（HR），作为与RCD手术相关性的估计值。在那些有终生工作经历的人中，估计了接触最多的时间（接触的前四分位数）。在报告工作的277 808人中，1997人（0.7%）接受了住院RCD手术。在调整年龄、性别、种族、教育、区域剥夺和体重指数后，所有考虑的O*NET变量与RCD手术相关（HR每点增加范围=1.10-1.45，所有P<0.005）。共有100929人报告了终身工作史，其中工作>10年后，RCD手术的暴露量显著增加（例如，11-20年与0年的HR，静态强度评分≥4 = 2.06，95%置信区间1.39-3.04）。工作场所的身体需求是RCD手术的一个重要风险因素，特别是对于接触超过十年的工人。
Physically-demanding occupations may increase rotator cuff disease (RCD) risk and need for surgery. We linked a job-exposure matrix (JEM) to the UK Biobank cohort study to measure physical occupational exposures and estimate associations with RCD surgery. Jobs and UK Standard Occupational Classification (SOC) codes were recorded during the UK Biobank verbal interview. Lifetime job histories were captured through a web-based survey. UK SOC codes were linked to a JEM based on the US O*NET database. O*NET-based scores [static strength, dynamic strength, general physical activities, handling/moving objects (range=1–7), time spent using hands, whole body vibration, and cramped/awkward positions (range=1–5)] were assigned to jobs. RCD surgeries were identified through linked national hospital inpatient records. Multivariable Cox regression was used to calculate hazard ratios (HR) as estimates of associations with RCD surgery. Among those with lifetime job histories, associations were estimated for duration of time with greatest exposure (top quartile of exposure). Of 277 808 people reporting jobs, 1997 (0.7%) had an inpatient RCD surgery. After adjusting for age, sex, race, education, area deprivation, and body mass index, all O*NET variables considered were associated with RCD surgery (HR per point increase range=1.10–1.45, all P<0.005). A total of 100 929 people reported lifetime job histories, in which greater exposures were significantly associated with RCD surgery after >10 years of work (eg, HR for 11–20 versus 0 years with static strength score ≥4 = 2.06, 95% confidence interval 1.39–3.04). Workplace physical demands are an important risk factor for RCD surgery, particularly for workers with more than a decade of exposure.
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影响因子：
5
作者：
Fry A;Littlejohns TJ;Sudlow C;Doherty N;Adamska L;Sprosen T;Collins R;Allen NE
通讯作者：
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影响因子：
5.3
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影响因子：
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