Classification of neck/shoulder pain in epidemiological research: a comparison of personal and occupational characteristics, disability and prognosis among 12,195 workers from 18 countries

Details

• Personal Author:
  Barrero LH ; Benavides FG ; Bitsios P ; Bonzini M ; Carugno M ; Cattrell A ; Chatzi L ; Coggon D ; Cox K ; Delclos G ; Derrett S ; Felknor, Sarah A. ; Felli VE ; Ferrario MM ; Freimann T ; Freire R ; Gimeno D ; Gray A ; Habib RR ; Harari F ; Harari N ; Harari R ; Harcombe H ; Harris EC ; Herbison P ; Hoe VCW ; Kadir MM ; Kelsall HL ; Kogevinas M ; Martinez JM ; Marziale MH ; Matsudaira K ; McBride D ; Merisalu E ; Monroy MV ; Ntani G ; Nyantumbu B ; Oha K ; Palmer KT ; Peiris-John RJ ; Pesatori AC ; Quintana LA ; Rojas M ; Sadeghian A ; Sadeghian F ; Salazar Vega EJ ; Sarquis LMM ; Sathiakumar N ; Serra C ; Sim, Malcolm R. ; Solidaki E ; Urquhart DM ; Vargas Prada S ; Walker Bone-K ; Warnakulasuriya SSP ; Wickremasinghe AR ; Yoshimura N
• Description:
  To inform case-definition for neck/shoulder pain in epidemiological research, we compared levels of disability, patterns of association and prognosis for pain that was limited to the neck or shoulders (LNSP) and more generalised musculoskeletal pain that involved the neck or shoulder(s) (GPNS). Baseline data on musculoskeletal pain, disability and potential correlates were collected by questionnaire from 12,195 workers in 47 occupational groups (mostly office workers, nurses, and manual workers) in 18 countries (response rate = 70%). Continuing pain after a mean interval of 14 months was ascertained through a follow-up questionnaire in 9,150 workers from 45 occupational groups. Associations with personal and occupational factors were assessed by Poisson regression and summarised by prevalence rate ratios (PRRs). The one-month prevalence of GPNS at baseline was much greater than that of LNSP (35.1% vs. 5.6%), and it tended to be more troublesome and disabling. Unlike LNSP, the prevalence of GPNS increased with age. Moreover, it showed significantly stronger associations with somatising tendency (PRR 1.6 vs. 1.3) and poor mental health (PRR 1.3 vs. 1.1); greater variation between the occupational groups studied (prevalence ranging from 0% to 67.6%) that correlated poorly with the variation in LNSP; and was more persistent at follow-up (72.1% vs. 61.7%). Our findings highlight important epidemiological distinctions between sub-categories of neck/shoulder pain. In future epidemiological research that bases case definitions on symptoms, it would be useful to distinguish pain which is localised to the neck or shoulder from more generalised pain that happens to involve the neck/shoulder region. [Description provided by NIOSH]
• Subjects:
  Aging Demography Diagnosis Epidemiology Health Personnel Men Musculoskeletal Diseases Musculoskeletal System Occupational Health Race Factors Risk Assessment Risk Factors Safety Surveys And Questionnaires Women

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• Keywords:
  Age-groups Analytical-processes Associations Author Keywords: Neck Pain Case Definition Demographic-characteristics Diagnostic-techniques Diagnostic Classification Disability Disabled-workers Health-surveys Humans Manual-materials-handling Mathematical-models Musculoskeletal-system Musculoskeletal-system-disorders Neck-injuries Nurses Occupations Office-workers Pain-tolerance Prognosis Questionnaires Racial-factors Risk-factors Shoulder Pain Sociological-factors Statistical-analysis

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• ISSN:
  0304-3959
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Alabama ; Georgia ; OSHA Region 4 ; OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director ; OECSP - Office of Extramural Coordination and Special Projects
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  157
• Issue:
  5
• NIOSHTIC Number:
  nn:20047399
• Citation:
  Pain 2016 May; 157(5):1028-1036
• Contact Point Address:
  Professor David Coggon, MRC Lifecourse Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, UK
• Email:
  dnc@mrc.soton.ac.uk
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Pain
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:689d9de200dcc4c94295a829214717c2ed022f13047fade7858eef6e2bd182b276d4aa9f2063efe0498581873ef2621b6eca3d206ce4bdcf6aad7af97f3b8508
• Download URL:
  https://stacks.cdc.gov/view/cdc/202474/cdc_202474_DS1.pdf
• File Type:
  [PDF - 407.54 KB ]