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与工作相关的肌肉骨骼疾病:一项系统评价与荟萃分析

Work-Related Musculoskeletal Disorders: A Systematic Review and Meta-Analysis.

作者信息

Greggi Chiara, Visconti Virginia Veronica, Albanese Marco, Gasperini Beatrice, Chiavoghilefu Angela, Prezioso Caterina, Persechino Benedetta, Iavicoli Sergio, Gasbarra Elena, Iundusi Riccardo, Tarantino Umberto

机构信息

Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, Italy.

Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, Italy.

出版信息

J Clin Med. 2024 Jul 6;13(13):3964. doi: 10.3390/jcm13133964.

Abstract

Musculoskeletal disorders (MSDs) involve muscles, nerves, tendons, joints, cartilage, and spinal discs. These conditions can be triggered by both the work environment and the type of work performed, factors that, in some cases, can also exacerbate pre-existing conditions. This systematic review aims to provide an overview of the impact that different work-related activities have on the musculoskeletal system. A global search of publications was conducted using the following international bibliographic web databases: PubMed and Web of Science. The search strategies combined terms for musculoskeletal disorders and workers. In addition, a meta-analysis was conducted to estimate the prevalence of MSDs within the healthcare sector. A total of 10,805 non-duplicated articles were identified, and finally, 32 studies were reviewed in this article. Once the literature search was completed, occupational figures were categorized into healthcare, farming, industrial, and computer sectors. In the healthcare sector, the prevalence estimate for degenerative diseases of the lumbar spine was 21% (497 out of 2547 physicians and dentists) (95% CI, 17-26%), while for osteoarthritis of the hand, it was 37% (382 out of 1013 dentists) (95% CI, 23-51%). Musculoskeletal disorders significantly impair workers' quality of life, especially in healthcare sector. These conditions are also associated with high costs for employers, such as absenteeism, lost productivity, and increased costs for healthcare, disability, and workers' compensation.

摘要

肌肉骨骼疾病(MSDs)累及肌肉、神经、肌腱、关节、软骨和椎间盘。这些病症可能由工作环境和所从事的工作类型引发,在某些情况下,这些因素还会使已有的病症恶化。本系统综述旨在概述不同的与工作相关的活动对肌肉骨骼系统的影响。通过使用以下国际文献网络数据库对出版物进行了全面检索:PubMed和科学网。检索策略结合了肌肉骨骼疾病和工人的相关术语。此外,还进行了一项荟萃分析,以估计医疗保健部门内肌肉骨骼疾病的患病率。总共识别出10805篇不重复的文章,最终本文对32项研究进行了综述。文献检索完成后,将职业数据分为医疗保健、农业、工业和计算机领域。在医疗保健领域,腰椎退行性疾病的患病率估计为21%(2547名医生和牙医中有497人)(95%可信区间,17 - 26%),而手部骨关节炎的患病率为37%(1013名牙医中有382人)(95%可信区间,23 - 51%)。肌肉骨骼疾病严重损害工人的生活质量,尤其是在医疗保健领域。这些病症还会给雇主带来高昂成本,如旷工、生产力损失以及医疗保健、残疾和工人赔偿方面的成本增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc10/11242534/fd2e064bc678/jcm-13-03964-g001.jpg

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