Morse Tim, Dillon C, Kenta-Bibi E, Weber J, Diva U, Warren N, Grey M
Division of Occupational & Environmental Medicine, University of Connecticut School of Medicine, Farmington, CT 06030-6210, USA.
Am J Ind Med. 2005 Jul;48(1):40-9. doi: 10.1002/ajim.20182.
Musculoskeletal disorders (MSD) are thought to be declining based on Bureau of Labor Statistics survey data, but there is also evidence of MSD under-reporting, raising the possibility of contrary trends. The magnitude of MSD under-reporting over time, and its industry distribution have not been adequately described.
Capture-recapture analysis of 7 years of Connecticut MSD (1995-2001), utilizing Workers' Compensation and physician reporting data was performed.
Only 5.5%-7.9% of MSD cases appear to be reported to Workers Compensation annually. The capture-recapture estimated average annual rate for upper-extremity MSD was 133.1 per 10,000 employed persons, far above BLS rates. By industry, Manufacturing, State Government, and the Finance/Insurance/Real Estate sectors all had significantly higher MSD rates than Wholesale/Retail Trade.
Upper-extremity MSD appears to be significantly under-reported, and rates are not decreasing over time. Capture-recapture methods provide an improved surveillance method for monitoring temporal trends in injury rates.
根据美国劳工统计局的调查数据，肌肉骨骼疾病（MSD）被认为呈下降趋势，但也有证据表明MSD存在报告不足的情况，这增加了出现相反趋势的可能性。随着时间推移，MSD报告不足的程度及其行业分布尚未得到充分描述。
利用工伤赔偿和医生报告数据，对康涅狄格州7年（1995 - 2001年）的MSD进行捕获再捕获分析。
每年似乎只有5.5% - 7.9%的MSD病例报告给工伤赔偿部门。捕获再捕获法估计上肢MSD的年平均发病率为每10000名就业人员中有133.1例，远高于劳工统计局的发病率。按行业划分，制造业、州政府以及金融/保险/房地产部门的MSD发病率均显著高于批发/零售贸易部门。
上肢MSD似乎存在严重的报告不足情况，且发病率并未随时间下降。捕获再捕获法为监测伤害率的时间趋势提供了一种改进的监测方法。
