Sex-differences in the risk of carpal tunnel syndrome: results from a large Ontario, Canada worker cohort
Notice bibliographique
Résumé
Carpal tunnel syndrome (CTS) is a prevalent cumulative strain injury associated with occupational risk factors such as vibration, repetitive and forceful wrist movements, and awkward wrist postures. This study aimed to identify Ontario workers at elevated risk for CTS and to explore sex differences in CTS risk among workers. The Occupational Disease Surveillance System (ODSS) links accepted lost time compensation claims to health administrative databases. CTS cases were identified from physician billing (Ontario Health Insurance Plan) records and defined as at least one record for CTS surgery (fee code N290) between 2002 and 2020. A 3-year washout period and restricted follow-up period of 3 years were applied. A total of 792,769 workers were included in the analytical cohort. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CI) for CTS by occupation and industry, adjusted for age and birth year, stratified by sex. A total of 3,224 CTS cases among females (f) and 2,992 cases among males (m) were identified in the cohort. We observed elevated risks of CTS in many occupations requiring repetitive and forceful manual work: slaughtering and meat cutting, canning, curing and packing (HRf = 2.28, 95%CI = 1.42–3.68; HRm = 1.95, 95%CI = 1.33–2.85); welding and flame cutting (HRf = 1.83, 95%CI = 1.01–3.32; HRm = 1.65, 95%CI = 1.35–2.01); motor vehicle fabricating and assembling (HRf = 2.14, 95%CI = 1.74–2.62; HRm = 2.43, 95%CI = 2.04–2.89); and packaging (HRf = 2.06, 95%CI = 1.43–2.97; HRm = 1.82, 95%CI = 1.12–2.98). Elevated risks were observed among males employed as nursing aides and orderlies (HRm = 1.72, 95%CI = 1.13–2.62), in mining (HRm = 1.57, 95%CI = 1.01–2.45), and in construction (HRm = 1.32, 95%CI = 1.19–1.47). Elevated risks were observed among females in mineral, metal, chemical processing (HRf = 1.58, 95%CI = 1.27–1.97), textile processing (HRf = 1.89, 95%CI = 1.22–2.94), wood machining (HRf = 2.84, 95%CI = 1.47–5.45), and females employed as janitors, charworkers and cleaners (HRf = 1.50, 95%CI = 1.32–1.71). Findings by industry were consistent with occupation results. The risk of CTS varied by occupation, industry, and sex in this large cohort. Workers engaged in highly repetitive and forceful manual work were at elevated CTS risk, highlighting the need to further understand and reduce ergonomic hazards among identified groups. Future studies should also explore CTS risk by sex, with a focus on female workers.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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