0356 Transitions between upper extremity musculoskeletal symptoms and work limitation outcomes: a prospective study
Objectives Selection of appropriate outcome measures in studies of work-related musculoskeletal disorders (MSDs) directly affects the observed exposure-response relationship. Considering that many different factors might affect different stages of disease severity, we examined disability outcomes th...
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Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2014-06, Vol.71 (Suppl 1), p.A44-A44 |
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creator | Gardner, Bethany Marie Dale, Ann Descatha, Alexis Evanoff, Bradley |
description | Objectives Selection of appropriate outcome measures in studies of work-related musculoskeletal disorders (MSDs) directly affects the observed exposure-response relationship. Considering that many different factors might affect different stages of disease severity, we examined disability outcomes that represent a spectrum of disease in a newly hired working population and described the transitions between various states of symptoms and disability. Method From July 2004 to October 2006, 1107 newly hired workers were recruited to participate in the study. Subjects completed self-reported questionnaires including demographics, medical and work history, and current symptom and work status, nerve conduction studies, and a physical exam. Surveys were repeated at 6, 18, and 36 month follow-up; 827 subjects (75%) completed all follow-ups and were included in the analysis. The outcomes of interest were presence of upper extremity symptoms and limitations in work abilities, productivity, job restrictions, lost time, and job changes due to these symptoms. Results A majority of workers (72%) reported symptoms at least once during the study, yet less than half (44–46%) reported symptoms within any single follow-up period. Similarly, 31% of workers reported work limitations due to their symptoms at least once during the study, but only 15–16% within any single follow-up period. Conclusions These results provide evidence for the dynamic nature of both MSD symptoms and work abilities over time, which has been theorised but with few explicit studies. If the risk factors for these outcomes differ, this may explain some of the lack of clarity in the current literature on work-related risk factors and MSD. |
doi_str_mv | 10.1136/oemed-2014-102362.135 |
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Considering that many different factors might affect different stages of disease severity, we examined disability outcomes that represent a spectrum of disease in a newly hired working population and described the transitions between various states of symptoms and disability. Method From July 2004 to October 2006, 1107 newly hired workers were recruited to participate in the study. Subjects completed self-reported questionnaires including demographics, medical and work history, and current symptom and work status, nerve conduction studies, and a physical exam. Surveys were repeated at 6, 18, and 36 month follow-up; 827 subjects (75%) completed all follow-ups and were included in the analysis. The outcomes of interest were presence of upper extremity symptoms and limitations in work abilities, productivity, job restrictions, lost time, and job changes due to these symptoms. Results A majority of workers (72%) reported symptoms at least once during the study, yet less than half (44–46%) reported symptoms within any single follow-up period. Similarly, 31% of workers reported work limitations due to their symptoms at least once during the study, but only 15–16% within any single follow-up period. Conclusions These results provide evidence for the dynamic nature of both MSD symptoms and work abilities over time, which has been theorised but with few explicit studies. If the risk factors for these outcomes differ, this may explain some of the lack of clarity in the current literature on work-related risk factors and MSD.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2014-102362.135</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Risk factors</subject><ispartof>Occupational and environmental medicine (London, England), 2014-06, Vol.71 (Suppl 1), p.A44-A44</ispartof><rights>2014, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2014 (c) 2014, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://oem.bmj.com/content/71/Suppl_1/A44.1.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://oem.bmj.com/content/71/Suppl_1/A44.1.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids></links><search><creatorcontrib>Gardner, Bethany</creatorcontrib><creatorcontrib>Marie Dale, Ann</creatorcontrib><creatorcontrib>Descatha, Alexis</creatorcontrib><creatorcontrib>Evanoff, Bradley</creatorcontrib><title>0356 Transitions between upper extremity musculoskeletal symptoms and work limitation outcomes: a prospective study</title><title>Occupational and environmental medicine (London, England)</title><description>Objectives Selection of appropriate outcome measures in studies of work-related musculoskeletal disorders (MSDs) directly affects the observed exposure-response relationship. Considering that many different factors might affect different stages of disease severity, we examined disability outcomes that represent a spectrum of disease in a newly hired working population and described the transitions between various states of symptoms and disability. Method From July 2004 to October 2006, 1107 newly hired workers were recruited to participate in the study. Subjects completed self-reported questionnaires including demographics, medical and work history, and current symptom and work status, nerve conduction studies, and a physical exam. Surveys were repeated at 6, 18, and 36 month follow-up; 827 subjects (75%) completed all follow-ups and were included in the analysis. The outcomes of interest were presence of upper extremity symptoms and limitations in work abilities, productivity, job restrictions, lost time, and job changes due to these symptoms. Results A majority of workers (72%) reported symptoms at least once during the study, yet less than half (44–46%) reported symptoms within any single follow-up period. Similarly, 31% of workers reported work limitations due to their symptoms at least once during the study, but only 15–16% within any single follow-up period. Conclusions These results provide evidence for the dynamic nature of both MSD symptoms and work abilities over time, which has been theorised but with few explicit studies. If the risk factors for these outcomes differ, this may explain some of the lack of clarity in the current literature on work-related risk factors and MSD.</description><subject>Risk factors</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkM1OwzAQhCMEEqXwCEiWOAd27cRJuKGKP6kSl3K2nHQjpU3iYDuU3rjwojwJLuEBOO0cZmZHXxRdIlwjCnljqKN1zAGTGIELya9RpEfRDJMM4qzg8jhokWIMGeJpdObcBgBFJvgsGkGk8vvza2V17xrfmN6xkvyOqGfjMJBl9OEtdY3fs2501dgat6WWvG6Z23eDN51jul-znbFb1jbBqA8tzIy-Mh25W6bZYI0bqPLNOzHnx_X-PDqpdevo4u_Oo9eH-9XiKV6-PD4v7pZxiZKnsZQCS9SyqCUVmOUaNPEy07WsCCqNqZZcpqBRF4BASVnJvIZMlEVNRQW5mEdXU29Y8DaS82pjRtuHlyrUocAkRx5c6eSqwk5nqVaDbTpt9wpBHQirX8LqQFhNhFXgGXIw5cpu88_ID4tPgj0</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Gardner, Bethany</creator><creator>Marie Dale, Ann</creator><creator>Descatha, Alexis</creator><creator>Evanoff, Bradley</creator><general>BMJ Publishing Group LTD</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope></search><sort><creationdate>201406</creationdate><title>0356 Transitions between upper extremity musculoskeletal symptoms and work limitation outcomes: a prospective study</title><author>Gardner, Bethany ; Marie Dale, Ann ; Descatha, Alexis ; Evanoff, Bradley</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1625-6631b1a69f6e9178a0ae2b7af6ce0ca15a62650a1a9010e4bc68f073b9fe9c083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gardner, Bethany</creatorcontrib><creatorcontrib>Marie Dale, Ann</creatorcontrib><creatorcontrib>Descatha, Alexis</creatorcontrib><creatorcontrib>Evanoff, Bradley</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database (Proquest)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gardner, Bethany</au><au>Marie Dale, Ann</au><au>Descatha, Alexis</au><au>Evanoff, Bradley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>0356 Transitions between upper extremity musculoskeletal symptoms and work limitation outcomes: a prospective study</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><date>2014-06</date><risdate>2014</risdate><volume>71</volume><issue>Suppl 1</issue><spage>A44</spage><epage>A44</epage><pages>A44-A44</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>Objectives Selection of appropriate outcome measures in studies of work-related musculoskeletal disorders (MSDs) directly affects the observed exposure-response relationship. Considering that many different factors might affect different stages of disease severity, we examined disability outcomes that represent a spectrum of disease in a newly hired working population and described the transitions between various states of symptoms and disability. Method From July 2004 to October 2006, 1107 newly hired workers were recruited to participate in the study. Subjects completed self-reported questionnaires including demographics, medical and work history, and current symptom and work status, nerve conduction studies, and a physical exam. Surveys were repeated at 6, 18, and 36 month follow-up; 827 subjects (75%) completed all follow-ups and were included in the analysis. The outcomes of interest were presence of upper extremity symptoms and limitations in work abilities, productivity, job restrictions, lost time, and job changes due to these symptoms. Results A majority of workers (72%) reported symptoms at least once during the study, yet less than half (44–46%) reported symptoms within any single follow-up period. Similarly, 31% of workers reported work limitations due to their symptoms at least once during the study, but only 15–16% within any single follow-up period. Conclusions These results provide evidence for the dynamic nature of both MSD symptoms and work abilities over time, which has been theorised but with few explicit studies. If the risk factors for these outcomes differ, this may explain some of the lack of clarity in the current literature on work-related risk factors and MSD.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/oemed-2014-102362.135</doi><oa>free_for_read</oa></addata></record> |
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title | 0356 Transitions between upper extremity musculoskeletal symptoms and work limitation outcomes: a prospective study |
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