Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study
OBJECTIVE: This study aimed to evaluate whether the risk of surgery for subacromial impingement syndrome (SIS) increases with the number of combined occupational mechanical exposures compared with single exposure. METHODS: We reanalyzed data from a register-based cohort study of the entire Danish wo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2022-09-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
| Subjects: | |
| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=4032
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| _version_ | 1811188122668498944 |
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| author | Annett Dalbøge Poul Frost Johan Hviid Andersen Susanne Wulff Svendsen |
| author_facet | Annett Dalbøge Poul Frost Johan Hviid Andersen Susanne Wulff Svendsen |
| author_sort | Annett Dalbøge |
| collection | DOAJ |
| description | OBJECTIVE: This study aimed to evaluate whether the risk of surgery for subacromial impingement syndrome (SIS) increases with the number of combined occupational mechanical exposures compared with single exposure. METHODS: We reanalyzed data from a register-based cohort study of the entire Danish working population (N=2 374 403) with 14 118 events of surgery for SIS (2003–2008). Exposure information in 10-year windows was obtained by combining occupational codes with a job exposure matrix. For single and combined mechanical exposures, we created three exposure variables of the number of years with specific exposure intensities with or without co-existing mechanical exposures. We used logistic regression as survival analysis. RESULTS: We found exposure–response relations for duration and intensity of each single mechanical exposure except for repetition. The single effect of arm elevation >90º reached a maximum adjusted odds ratio (OR_adj) of 1.7 [95% confidence interval (CI) 1.5–2.0], which increased to 1.8 (95% CI 1.5–2.0), 2.0 (95% CI 1.9–2.2), and 2.2 (95% CI 2.0–2.5) when combined with repetition, force, and both. When combining repetition with arm elevation >90º, force, and both, OR_adj increased from 1.5 (95% CI 1.3–1.8) to 2.1 (95% CI 1.8–2.4), 2.5 (95% CI 2.4–2.9), and 2.7 (95% CI 2.4–3.0). For force, OR_adj increased from 2.5 (95% CI 2.1–2.9) to 2.6 (95% CI 2.3–2.8), 2.8 (95% CI 2.4–3.2), and 3.0 (95% CI 2.6–3.4). CONCLUSION: We found an increased risk of surgery for SIS with the number of combined exposures; the risk was especially pronounced when the combined exposures included force. |
| first_indexed | 2024-04-11T14:15:15Z |
| format | Article |
| id | doaj.art-f67fcd3e907b488980ed2ad373b28e2c |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-04-11T14:15:15Z |
| publishDate | 2022-09-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-f67fcd3e907b488980ed2ad373b28e2c2022-12-22T04:19:35ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2022-09-0148649049710.5271/sjweh.40324032Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort studyAnnett Dalbøge0Poul FrostJohan Hviid AndersenSusanne Wulff SvendsenDanish Ramazzini Centre, Department of Occupational Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark. E-mail:OBJECTIVE: This study aimed to evaluate whether the risk of surgery for subacromial impingement syndrome (SIS) increases with the number of combined occupational mechanical exposures compared with single exposure. METHODS: We reanalyzed data from a register-based cohort study of the entire Danish working population (N=2 374 403) with 14 118 events of surgery for SIS (2003–2008). Exposure information in 10-year windows was obtained by combining occupational codes with a job exposure matrix. For single and combined mechanical exposures, we created three exposure variables of the number of years with specific exposure intensities with or without co-existing mechanical exposures. We used logistic regression as survival analysis. RESULTS: We found exposure–response relations for duration and intensity of each single mechanical exposure except for repetition. The single effect of arm elevation >90º reached a maximum adjusted odds ratio (OR_adj) of 1.7 [95% confidence interval (CI) 1.5–2.0], which increased to 1.8 (95% CI 1.5–2.0), 2.0 (95% CI 1.9–2.2), and 2.2 (95% CI 2.0–2.5) when combined with repetition, force, and both. When combining repetition with arm elevation >90º, force, and both, OR_adj increased from 1.5 (95% CI 1.3–1.8) to 2.1 (95% CI 1.8–2.4), 2.5 (95% CI 2.4–2.9), and 2.7 (95% CI 2.4–3.0). For force, OR_adj increased from 2.5 (95% CI 2.1–2.9) to 2.6 (95% CI 2.3–2.8), 2.8 (95% CI 2.4–3.2), and 3.0 (95% CI 2.6–3.4). CONCLUSION: We found an increased risk of surgery for SIS with the number of combined exposures; the risk was especially pronounced when the combined exposures included force. https://www.sjweh.fi/show_abstract.php?abstract_id=4032 jemsurgeryoccupational mechanical exposureacromioplastysubacromial impingementdurationintensitycohort studyworkdenmarkmechanical exposureshoulder disorderworkjob exposure matrix |
| spellingShingle | Annett Dalbøge Poul Frost Johan Hviid Andersen Susanne Wulff Svendsen Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study Scandinavian Journal of Work, Environment & Health jem surgery occupational mechanical exposure acromioplasty subacromial impingement duration intensity cohort study work denmark mechanical exposure shoulder disorder work job exposure matrix |
| title | Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study |
| title_full | Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study |
| title_fullStr | Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study |
| title_full_unstemmed | Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study |
| title_short | Associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study |
| title_sort | associations between single and combined occupational mechanical exposures and surgery for subacromial impingement syndrome a nationwide danish cohort study |
| topic | jem surgery occupational mechanical exposure acromioplasty subacromial impingement duration intensity cohort study work denmark mechanical exposure shoulder disorder work job exposure matrix |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=4032
|
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