Document Detail


Rates of claims for cumulative trauma disorder of the upper extremity in Ontario workers during 1997.
MedLine Citation:
PMID:  15298485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surveillance of work-related cumulative trauma disorder of the upper extremity (CTDUE) requires valid and reliable claim extraction strategies and should examine for confounding and interaction. This research estimated crude and specific rates of CTDUE claims in Ontario workers during 1997 while acknowledging misclassification and testing for confounding and interaction. Lower and upper limit event estimates were obtained by means of an algorithm applied to the Ontario Workplace Safety and Insurance Board (OWSIB) database and were combined with "at-risk" estimates obtained from the Canadian Labour Force Survey (LFS). Poisson regression was used to evaluate confounding and interaction. The method used to identify CTDUE claims had a substantial impact on the magnitude of rates, female to male rate ratios, the most commonly affected part of the upper extremity and the highest risk occupational categories. Poisson regression identified sex interactions. It allowed rigorous evaluation of the data and indicated that rates should be examined separately for men and women. Researchers should clearly define extraction strategies and examine the impact of misclassification.
Authors:
Dianne Zakaria; James Robertson; John Koval; Joy MacDermid; Kathleen Hartford
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Chronic diseases in Canada     Volume:  25     ISSN:  0228-8699     ISO Abbreviation:  Chronic Dis Can     Publication Date:  2004  
Date Detail:
Created Date:  2004-08-09     Completed Date:  2004-10-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8506870     Medline TA:  Chronic Dis Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  22-31     Citation Subset:  IM    
Affiliation:
Continuing Care Reporting System, Canadian Institute for Health Information, Ottawa, Ontario, Canada. dzakaria@cihi.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Algorithms
Arm Injuries / epidemiology*
Cumulative Trauma Disorders / epidemiology*
Female
Humans
Insurance Claim Reporting / statistics & numerical data*
Insurance Claim Review / statistics & numerical data*
Male
Middle Aged
Occupational Diseases / epidemiology*
Ontario / epidemiology
Poisson Distribution
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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