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2
Associations between workplace factors and carpal tunnel syndrome: A multi-site cross sectional study.工作场所因素与腕管综合征之间的关联：一项多地点横断面研究。
Am J Ind Med. 2015 May;58(5):509-18. doi: 10.1002/ajim.22443. Epub 2015 Mar 16.
3
General population job exposure matrix applied to a pooled study of prevalent carpal tunnel syndrome.应用于腕管综合征患病率汇总研究的一般人群工作暴露矩阵
Am J Epidemiol. 2015 Mar 15;181(6):431-9. doi: 10.1093/aje/kwu286. Epub 2015 Feb 19.
4
Biomechanical risk factors for carpal tunnel syndrome: a pooled study of 2474 workers.腕管综合征的生物力学危险因素：对2474名工人的汇总研究。
Occup Environ Med. 2015 Jan;72(1):33-41. doi: 10.1136/oemed-2014-102378. Epub 2014 Oct 16.
5
The effectiveness of post-offer pre-placement nerve conduction screening for carpal tunnel syndrome.录用后入职前腕管综合征神经传导筛查的有效性
J Occup Environ Med. 2014 Aug;56(8):840-7. doi: 10.1097/JOM.0000000000000185.
6
Prevalence and incidence of carpal tunnel syndrome in US working populations: pooled analysis of six prospective studies.美国工作人群中腕管综合征的患病率和发病率：六项前瞻性研究的汇总分析。
Scand J Work Environ Health. 2013 Sep 1;39(5):495-505. doi: 10.5271/sjweh.3351. Epub 2013 Feb 19.
7
Shoulder injury reduction with post-offer testing.
Work. 2011;39(2):113-23.
8
Modeling the cost-benefit of nerve conduction studies in pre-employment screening for carpal tunnel syndrome.模型研究在腕管综合征的就业前筛选中神经传导研究的成本效益。
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9
The natural course of carpal tunnel syndrome in a working population.在工作人群中腕管综合征的自然病程。
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10
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新雇佣制造业工人腕管综合征录用前筛查

Postoffer Pre-Placement Screening for Carpal Tunnel Syndrome in Newly Hired Manufacturing Workers.

作者信息

Dale Ann Marie, Gardner Bethany T, Buckner-Petty Skye, Strickland Jaime R, Evanoff Bradley

机构信息

Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri.

出版信息

J Occup Environ Med. 2016 Dec;58(12):1212-1216. doi: 10.1097/JOM.0000000000000891.

DOI:10.1097/JOM.0000000000000891
PMID:27930481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5323071/
Abstract

OBJECTIVE

We determined the predictive validity of a postoffer pre-placement (POPP) screen using nerve conduction velocity studies (NCV) to identify future cases of carpal tunnel syndrome (CTS).

METHODS

A cohort of 1648 newly hired manufacturing production workers underwent baseline NCS, and were followed for 5 years.

RESULTS

There was no association between abnormal POPP NCV results and incident CTS. Varying NCV diagnostic cut-offs did not improve predictive validity. Workers in jobs with high hand/wrist exposure showed greater risk of CTS than those in low exposed jobs (relative risk 2.82; 95% confidence interval 1.52 to 5.22).

CONCLUSIONS

POPP screening seems ineffective as a preventive strategy for CTS.

摘要

目的

我们通过神经传导速度研究（NCV）确定录用前安置前（POPP）筛查对识别未来腕管综合征（CTS）病例的预测效度。

方法

对1648名新雇佣的制造业生产工人进行基线神经传导速度检查，并随访5年。

结果

POPP神经传导速度检查结果异常与CTS发病之间无关联。不同的神经传导速度诊断临界值并未提高预测效度。手部/腕部暴露程度高的工作岗位的工人患CTS的风险高于暴露程度低的岗位的工人（相对风险2.82；95%置信区间1.52至5.22）。

结论

POPP筛查作为CTS的预防策略似乎无效。