Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Int Arch Occup Environ Health. 2011 Oct;84(7):789-96. doi: 10.1007/s00420-011-0611-1. Epub 2011 Jan 28.
To study the course and consequences of work-related upper extremity disorders in the registry of the Netherlands Centre for Occupational Diseases (NCvB).
A follow-up study was performed in a sample of consecutive cases of work-related upper extremity disorders notified to the NCvB. Perceived severity was measured with VAS (0-100), quality of life with VAS (0-100) and SF-36, functional impairment with DASH and sickness absence with a questionnaire. Measurements took place directly after notification (T0) and after 3, 6 and 12 months (T1-T3). A linear mixed model was used to compare scores over time.
Average age of the 48 consecutive patients (89% response) was 42 years; 48% were men. Perceived severity, functional impairment and sickness absence decreased statistically significant during the follow-up period, and quality of life scores improved. Patients older than 45 years scored worse on perceived severity of the disease, functional impairment and quality of life than did younger patients.
The role of registries of occupational diseases for preventive policy can be extended by creating longitudinal data in sample projects. In the sample from our registry, work-related upper extremity disorders had a favourable course.
研究荷兰职业疾病中心（NCvB）登记处中与工作相关的上肢疾病的病程和后果。
对向 NCvB 报告的连续工作相关上肢疾病病例样本进行随访研究。采用视觉模拟评分法（VAS，0-100）评估感知严重程度，VAS（0-100）和 SF-36 评估生活质量，DASH 评估功能障碍，问卷调查评估病假。在通知时（T0）以及 3、6 和 12 个月后（T1-T3）进行测量。采用线性混合模型比较随时间的评分变化。
48 例连续患者（89%的应答率）的平均年龄为 42 岁，48%为男性。在随访期间，感知严重程度、功能障碍和病假天数呈统计学显著下降，生活质量评分提高。年龄大于 45 岁的患者在疾病感知严重程度、功能障碍和生活质量方面的评分均低于年轻患者。
通过在样本项目中创建纵向数据，可以扩展职业疾病登记处对预防政策的作用。在我们登记处的样本中，与工作相关的上肢疾病具有良好的病程。
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