WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to occupational ergonomic risk factors and of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of hip or knee and selected other musculoskeletal diseases.

WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to occupational ergonomic risk factors and of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of hip or knee and selected other musculoskeletal diseases.
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DOI:
10.1016/j.envint.2018.09.053
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发表时间:
2019-04
影响因子:
11.8
通讯作者:
Frings-Dresen MHW
Frings-Dresen MHW
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Hulshof CTJ;Colosio C;Daams JG;Ivanov ID;Prakash KC;Kuijer PPFM;Leppink N;Mandic-Rajcevic S;Masci F;van der Molen HF;Neupane S;Nygård CH;Oakman J;Pega F;Proper K;Prüss-Üstün AM;Ujita Y;Frings-Dresen MHW

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世界卫生组织 (WHO) 和国际劳工组织 (ILO) 正在制定一种联合方法,用于估算国家和全球与工作相关的疾病和伤害负担(WHO/ILO 联合方法),该方法来自大型专家网络的贡献。在本文中,我们提出了对参数进行两次系统审查的方案,用于估计髋关节或膝关节骨关节炎的伤残调整生命年数,并分别选择其他肌肉骨骼疾病,归因于暴露于职业人体工程学危险因素,为世界卫生组织/国际劳工组织联合方法的制定提供信息。我们的目标是系统地回顾关于暴露于职业人体工程学危险因素的研究(系统回顾1),并系统回顾和荟萃分析暴露于职业人体工程学危险因素对髋部或膝部骨关节炎以及分别选定的其他肌肉骨骼疾病的影响的估计(系统回顾2),应用导航指南系统回顾方法作为组织框架,同时并以协调的方式进行系统回顾。对于系统评价 1 和 2,我们将分别在电子学术数据库中搜索已发表和未发表研究的潜在相关记录,包括 Medline、EMBASE、Web of Science 和 CISDOC。我们还将检索电子灰色文献数据库、互联网搜索引擎和组织网站;手动检索先前系统评价的参考文献列表和包括的研究记录;并咨询其他专家。我们将包括任何世界卫生组织和/或国际劳工组织成员国正规和非正规经济中的工作年龄(≥15岁)工人,但不包括儿童(<15岁)和无薪家庭工人。所包含的职业人体工程学风险因素是任何暴露于以下一项或多项的情况:用力;要求姿势;重复性;手臂振动;起重;跪着和/或蹲着;和攀爬。包括的结果将是(i)骨关节炎和(ii)其他肌肉骨骼疾病(即,以下一种或多种:肩袖综合征;肱二头肌肌腱炎;钙化性肌腱炎;肩部撞击;肩部滑囊炎;内侧上髁炎;外侧上髁炎;肘部滑囊炎;髋部滑囊炎;髌骨软化症;半月板疾病;和/或膝滑囊炎)。对于系统审查 1,我们将纳入按国家、性别、年龄和工业部门或职业分层的任何职业人体工学风险因素暴露的定量流行率研究。对于系统评价 2,我们将纳入随机对照试验、队列研究、病例对照研究和其他非随机干预研究,以估计任何具有职业人体工程学危险因素的暴露与理论最低风险暴露水平(即无暴露)相比对骨关节炎和/或选定的肌肉骨骼疾病的患病率或发病率的相对影响。至少两名综述作者将在第一阶段根据资格标准独立筛选标题和摘要,并在第二阶段独立筛选潜在合格记录的全文,然后从合格研究中提取数据。至少两名综述作者将使用当前可用的最合适的工具评估偏倚风险和证据质量。对于系统审查 2,如果可行,我们将使用荟萃分析结合相对风险。我们将使用系统评价 1 的准确和透明的健康估计报告指南 (GATHER) 以及系统评价 2 的系统评价和荟萃分析指南 (PRISMA) 的首选报告项目来报告结果。PROSPERO 注册号:CRD42018102631。世卫组织和国际劳工组织正在开发一种联合方法来估计国家和全球与工作相关的疾病和伤害负担。本文提出了一项针对制定世卫组织/国际劳工组织联合方法的两项系统审查的方案。将系统地审查有关职业人体工学风险因素暴露的患病率研究。将系统地审查和荟萃分析关于职业人体工程学危险因素暴露对选定的肌肉骨骼疾病的影响的研究。
The World Health Organization (WHO) and the International Labour Organization (ILO) are developing a joint methodology for estimating the national and global work-related burden of disease and injury (WHO/ILO joint methodology), with contributions from a large network of experts. In this paper, we present the protocol for two systematic reviews of parameters for estimating the number of disability-adjusted life years from osteoarthritis of hip or knee, and selected other musculoskeletal diseases respectively, attributable to exposure to occupational ergonomic risk factors to inform the development of the WHO/ILO joint methodology. We aim to systematically review studies on exposure to occupational ergonomic risk factors (Systematic Review 1) and systematically review and meta-analyze estimates of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of the hip or knee, and selected other musculoskeletal diseases respectively (Systematic Review 2), applying the Navigation Guide systematic review methodology as an organizing framework, conducting both systematic reviews in tandem and in a harmonized way. Separately for Systematic Reviews 1 and 2, we will search electronic academic databases for potentially relevant records from published and unpublished studies, including Medline, EMBASE, Web of Science and CISDOC. We will also search electronic grey literature databases, Internet search engines and organizational websites; hand-search reference lists of previous systematic reviews and included study records; and consult additional experts. We will include working-age (≥15 years) workers in the formal and informal economy in any WHO and/or ILO Member State, but exclude children (<15 years) and unpaid domestic workers. The included occupational ergonomic risk factors will be any exposure to one or more of: force exertion; demanding posture; repetitiveness; hand-arm vibration; lifting; kneeling and/or squatting; and climbing. Included outcomes will be (i) osteoarthritis and (ii) other musculoskeletal diseases (i.e., one or more of: rotator cuff syndrome; bicipital tendinitis; calcific tendinitis; shoulder impingement; bursitis shoulder; epicondylitis medialis; epicondylitis lateralis; bursitis elbow; bursitis hip; chondromalacia patellae; meniscus disorders; and/or bursitis knee). For Systematic Review 1, we will include quantitative prevalence studies of any exposure to occupational ergonomic risk factors stratified by country, gender, age and industrial sector or occupation. For Systematic Review 2, we will include randomized controlled trials, cohort studies, case-control-studies and other non-randomized intervention studies with an estimate of the relative effect of any exposure with occupational ergonomic risk factors on the prevalence or incidence of osteoarthritis and/or selected musculoskeletal diseases, compared with the theoretical minimum risk exposure level (i.e., no exposure). At least two review authors will independently screen titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from qualifying studies. At least two review authors will assess risk of bias and the quality of evidence, using the most suited tools currently available. For Systematic Review 2, if feasible, we will combine relative risks using meta-analysis. We will report results using the guidelines for accurate and transparent health estimates reporting (GATHER) for Systematic Review 1 and the preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA) for Systematic Review 2. PROSPERO registration number: CRD42018102631. WHO and ILO are developing a joint methodology for estimating the national and global work-related burden of disease and injury. This article presents a protocol for two systematic reviews for the development of this WHO/ILO joint methodology. Prevalence studies on exposure to occupational ergonomic risk factors will be systematically reviewed. Studies on effects of occupational ergonomic risk factor exposure on selected musculoskeletal diseases will be systematically reviewed and meta-analysed.
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