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首页> 外文期刊>Occupational and environmental medicine >Cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome: A nationwide Danish cohort study
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Cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome: A nationwide Danish cohort study

机译：累积职业性肩部暴露和肩峰以下撞击综合征的手术：丹麦一项全国性队列研究

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Objectives: The primary aim was to examine exposure-response relationships between cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome (SIS), and to compare sex-specific exposure-response relationships. The secondary aim was to examine the time window of relevant exposures. Methods: We conducted a nationwide register study of all persons born in Denmark (1933-1977), who had at least 5 years of full-time employment. In the follow-up period (2003-2008), we identified first-time events of surgery for SIS. Cumulative exposure estimates for a 10-year exposure time window with a 1-year lag time were obtained by linking occupational codes with a job exposure matrix. The exposure estimates were expressed as, for example, arm-elevation-years in accordance with the pack-year concept of tobacco consumption. We used a multivariable logistic regression technique equivalent to discrete survival analysis. Results: The adjusted OR (ORadj) increased to a maximum of 2.1 for arm-elevation-years, repetition-years and force-years, and to 1.5 for hand-arm-vibration-years. Sex-specific exposure-response relationships were similar for men and women, when assessed using a relative risk scale. The ORadjincreased gradually with the number of years contributing to the cumulative exposure estimates. The excess fraction was 24%. Conclusions: Cumulative occupational shoulder exposures carried an increase in risk of surgery for SIS with similar exposure-response curves for men and women. The risk of surgery for SIS increased gradually, when the period of exposure assessment was extended. In the general working population, a substantial fraction of all first-time operations for SIS could be related to occupational exposures.
机译：目的：主要目的是检查累积职业性肩部暴露与亚肩峰撞击综合征（SIS）手术之间的暴露-反应关系，并比较特定性别的暴露-反应关系。第二个目的是检查相关暴露的时间窗口。方法：我们对丹麦出生（1933年至1977年）的所有全职工作至少5年的人进行了全国注册研究。在随访期间（2003-2008年），我们确定了SIS的首次手术事件。通过将职业代码与工作暴露矩阵相链接，可以获得10年暴露时间窗口和1年滞后时间的累积暴露估计。根据烟草消费的包年概念，将接触估计数表示为例如臂高年。我们使用了等效于离散生存分析的多变量逻辑回归技术。结果：调整后的OR（ORadj）对于手臂升高年，重复年和受力年最大增加为2.1，对于手臂振动年最大为1.5。当使用相对风险量表进行评估时，男女的性别特异性暴露-反应关系相似。随着年份的增加，ORadjin逐渐增加。过量分数为24％。结论：累积的职业性肩膀暴露使SIS的手术风险增加，男女的暴露-反应曲线相似。当暴露评估时间延长时，SIS手术的风险逐渐增加。在一般的工作人群中，SIS的所有首次操作中的很大一部分可能与职业暴露有关。

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