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首页> 外文期刊>Occupational and environmental medicine >The French Musculoskeletal Disorders Surveillance Program: Pays de la Loire network.
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The French Musculoskeletal Disorders Surveillance Program: Pays de la Loire network.

机译：法国肌肉骨骼疾病监视计划：卢瓦尔河地区网络。

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OBJECTIVES: An epidemiological surveillance system for work-related musculoskeletal disorders (MSDs) was implemented in 2002 in France's Pays de la Loire region to assess the incidence and prevalence of MSDs in the general and working populations, identify levels of exposure to occupational risk factors and investigate the proportion of cases attributable to work exposure. METHODS: The program combines (1) surveillance of sentinel health events in the general population (carpal tunnel syndrome (CTS) was the sentinel event for upper limb MSDs), (2) assessment of the prevalence of the main upper limb MSDs and their risk factors in the workplace based on a network of occupational physicians and (3) registration of the notification of work-related diseases (WRDs). RESULTS: 1168 incident cases of CTS were included over a 3 year period. The estimated incidence of CTS was 1.00 per 1000 person-years in those aged 20-59 years (0.60 in men and 1.40 in women). The incidence rate was higher in employed than unemployed persons in the year of diagnosis (0.6 per 1000 vs 0.3 in men and 1.7 vs 0.8 in women). The occupational physician network noted high prevalence rates: 11% of men and 15% of women had at least one of the six main upper limb clinically-diagnosed MSDs. The WRD survey showed that MSDs represented 65% of notified WRDs. CONCLUSION: The Pays de la Loire program plays a significant role in informing the authorities and the public about the state of current MSDs. It is planned to extend it to a routine national surveillance program.
机译：目标：2002年在法国的卢瓦尔河地区实施了工作相关的肌肉骨骼疾病（MSD）的流行病学监测系统，以评估MSD在一般人群和工作人群中的发生率和患病率，确定接触职业风险因素的水平以及调查可归因于工作风险的案件比例。方法：该程序结合了（1）监测一般人群的前哨健康事件（腕管综合征（CTS）是上肢MSD的前哨事件），（2）评估主要上肢MSD的患病率及其风险基于职业医生网络的工作场所因素和（3）工作相关疾病通知（WRD）的注册。结果：在3年的时间里，包括1168例CTS事件。在20-59岁的年龄段中，CTS的估计发病率为每1000人年1.00（男性为0.60，女性为1.40）。在诊断年份，就业者的发病率高于失业者（男性每1000例中的比率为0.6，男性为0.3，女性中的比率为1.7对0.8。职业医师网络指出患病率很高：11％的男性和15％的女性至少有六种主要的上肢临床诊断MSD之一。 WRD调查显示，MSD占通知WRD的65％。结论：卢瓦尔河地区支付计划在向当局和公众告知当前MSD的状态方面起着重要作用。计划将其扩展到例行的国家监视计划。

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