Impact of occupational mechanical exposures on risk of lateral and medial inguinal hernia requiring surgical repair

Vad, Marie Vestergaard; Frost, Poul; Bay‐Nielsen, Morten; Svendsen, Susanne Wulff

doi:10.1136/oemed-2012-100787

Cited by 37 publications

(52 citation statements)

References 26 publications

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“…Exposure estimates based on the Lower Body JEM have shown good predictive validity with respect to inguinal hernia repair among men (standing/walking and lifting),35 and total hip replacement due to primary osteoarthritis among men (lifting),36 but not with respect to pelvic pain among pregnant women (lifting) 37. Two11 21 out of three6 11 21 previous longitudinal studies have suggested an association between VV and occupational standing/walking.…”

Section: Discussionmentioning

confidence: 98%

Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study

et al. 2015

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Section: Discussionmentioning

confidence: 98%

Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study

et al. 2015

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“…The cumulative exposure estimates were expressed in accordance with the pack-year concept of tobacco consumption 33 34. One arm-elevation-year was defined as working with elevated arm(s) >90° for 0.5 h/day for 1 year.…”

Section: Methodsmentioning

confidence: 99%

“…From Statistics Denmark, we obtained year-by-year information on socioeconomic status (SES). For each person, we reclassified SES into five categories,33 34 and selected the most frequently used category from 1993 to end of follow-up. A priori, we decided only to include SES in supplementary analyses of risk in order to avoid overadjustment of our main results due to expected correlations with occupational biomechanical exposures 18…”

Section: Methodsmentioning

confidence: 99%

Cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study

et al. 2014

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ObjectivesThe primary aim was to examine exposureresponse relationships between cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome (SIS), and to compare sexspecific 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 (1933Denmark ( -1977, who had at least 5 years of full-time employment. In the follow-up period (2003)(2004)(2005)(2006)(2007)(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 (OR adj ) 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 OR adj increased 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.

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“…During recent years, several JEM have been constructed to capture exposure to physical working conditions (14,16). However, only few studies have used mechanical exposure JEM, and most of these assess mechanical exposure in relation to development and consequence of different diseases or pain symptoms (14,(17)(18)(19)(20)(21)(22).…”

Section: Mechanical Exposures Throughout Life and Labor Market Attachmentioning

confidence: 99%

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

Hansen¹,

Mortensen²,

Poulsen³

et al. 2017

Scand J Work Environ Health

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Impact of occupational mechanical exposures on risk of lateral and medial inguinal hernia requiring surgical repair

Abstract: Our findings suggest an increased risk of lateral inguinal hernia repair in relation to occupational mechanical exposures and a preventive potential of around 15% of all cases.

Cited by 37 publications

References 26 publications

Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study

Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study

Cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study

Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension: prospective cohort study

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