Carpal tunnel syndrome in general practice (1987 and 2001): incidence and the role of occupational and non-occupational factors
| Autor: | Bongers, F.J.M., Schellevis, F.G., Bosch, W.J.H.M. van den, Zee, J. van der |
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| Rok vydání: | 2007 |
| Předmět: | |
| Zdroj: | British Journal of General Practice, 57, 36-9 British Journal of General Practice, 57, 534, pp. 36-9 |
| ISSN: | 0960-1643 |
| Popis: | Contains fulltext : 53087.pdf (Publisher’s version ) (Closed access) BACKGROUND: Most studies on the incidence of the carpal tunnel syndrome and the relation of this disorder with occupation are population-based. In this study we present data from general practice. AIM: To compare incidence rates of carpal tunnel syndrome in 1987 with those in 2001, and to study the relationship between carpal tunnel syndrome and occupation. DESIGN OF STUDY: Analysis of the data of the first and second Dutch National Survey of General Practice, conducted in 1987 and 2001, respectively. SETTING: General practices in The Netherlands. METHOD: One hundred and three general practices in 1987 with 355 201 listed patients, and 96 practices with 364 998 listed patients in 2001, registered all patients who presented with a new episode of carpal tunnel syndrome. Patient and GP populations were representative for The Netherlands. RESULTS: The crude incidence rate was 1.3 per 1000 (95% confidence interval [CI] = 1.0 to 1.5) in 1987, and 1.8 per 1000 (95% CI = 1.7 to 2.0) in 2001. In males it was 0.6 (95% CI = 0.5 to 0.7) and 0.9 (95% CI = 0.8 to 1.0) respectively; in females 1.9 (95% CI = 1.7 to 2.1) and 2.8 (95% CI = 2.6 to 3.1). At both study periods, peak incidence rate occurred in the 45-64-year age group: in 2001 this peak reached 4.8 per 1000 (95 CI = 4.1 to 5.4) for females and 1.6 (95 CI = 1.2 to 2.0) for males. Women who performed unskilled and semi-skilled work had 1.5 times greater risk of acquiring carpal tunnel syndrome than women with higher-skilled jobs (P |
| Databáze: | OpenAIRE |
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