TY - JOUR
T1 - Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
AU - Tamminga, Sietske J
AU - Kuijer, P Paul F M
AU - Badarin, Kathryn
AU - Alfonso, Jose Hernán
AU - Amaro, Joana
AU - Curti, Stefania
AU - Canu, Irina Guseva
AU - Mattioli, Stefano
AU - Mehlum, Ingrid S
AU - Rempel, David
AU - Roquelaure, Yves
AU - Visser, Steven
AU - van der Molen, Henk F
N1 - Funding Information: We would like to thank the following panellists for their participation in the Delphi study: Pietro Ferraro, Maria Grazia Lourdes Monaco, Claudia Handra, Nicole Majery, Antonio Baldassarre, Ninica Howard, Thijs Pahlplatz, Francesca Larese Filon, Eugenia Herlea, Lode Godderis, Sasho Stoleski, Rwth Stuckey, Elena Ciobanu, Banu Dilek, Pletea Elisabeta, Ferenc Kud?sz, Karen Walker-Bone, Ufuk Demirtas, Fabienne Kern, ?i?dem ?a?layan, Jo?o Amaro, Don Goddard, Sibel Kiran, John Pentikis, ?d?m Bal?zs, Jaro Karppinen, Ceyda Sahan, Fabriziomaria Gobba, Jordan Minov, Rasa Gaidlazda, Kelsey L. McCoskey, Marina Otelea, Sandra Zambrana, Jelena Reste, Abdulsamet Sandal, Dragan Mijakoski, Hana Brborovi?, Alberto Modenese, Yvonne van Zaanen, Marilia Silva Paulo, Alexis Descatha, Philippe Mairiaux, Maysaa Nemer, Eva Schernhammer, Nurka Pranjic and G?kcen Arkan. Note that not all panellists gave consent to be included in the acknowledgements. Furthermore, we would like to thank the reviewers for their valuable remarks. Funding Information: This publication is based upon work from COST Action CA16216 (OMEGA-NET), supported by COST (European Cooperation in Science and Technology). Publisher Copyright: © 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: International consensus is needed on case definitions of work-related musculoskeletal disorders and diseases (MSDs) for use in epidemiological research. We aim to: 1) study what information is needed for the case definition of work-related low back pain (LBP), lumbosacral radicular syndrome (LRS), subacromial pain syndrome (SAPS), carpal tunnel syndrome (CTS), lateral and medial elbow tendinopathy, and knee and hip osteoarthritis, and to 2) seek consensus among occupational health professionals/researchers regarding the case definitions of these work-related MSDs. Methods: A two-round Delphi study was conducted with occupational health professionals/researchers from 24 countries. Definition of work-related MSDs were composed of a case definition with work exposures. Round 1 included 32 case definitions and round 2, 60 case definitions. After two rounds, consensus required 75% of the panellists to rate a case definition including work exposures ≥7 points on a 9-point rating scale (completely disagree/completely agree). Results: Fifty-eight panellists completed both rounds (response rate 90%). Forty-five (70%) panellists thought that for LBP a case definition can be based on symptoms only. Consensus was only reached for work-related medial elbow tendinopathy, while the lowest agreement was found for knee osteoarthritis. Where consensus was not reached, this was – except for LBP - related to physical examination and imaging rather than disagreement on key symptoms. Conclusion: Consensus on case definitions was reached only for work-related medial elbow tendinopathy. Epidemiological research would benefit from harmonized case definitions for all MSDs including imaging and physical examination for LRS, SAPS, CTS, lateral elbow tendinopathy and hip and knee osteoarthritis.
AB - Background: International consensus is needed on case definitions of work-related musculoskeletal disorders and diseases (MSDs) for use in epidemiological research. We aim to: 1) study what information is needed for the case definition of work-related low back pain (LBP), lumbosacral radicular syndrome (LRS), subacromial pain syndrome (SAPS), carpal tunnel syndrome (CTS), lateral and medial elbow tendinopathy, and knee and hip osteoarthritis, and to 2) seek consensus among occupational health professionals/researchers regarding the case definitions of these work-related MSDs. Methods: A two-round Delphi study was conducted with occupational health professionals/researchers from 24 countries. Definition of work-related MSDs were composed of a case definition with work exposures. Round 1 included 32 case definitions and round 2, 60 case definitions. After two rounds, consensus required 75% of the panellists to rate a case definition including work exposures ≥7 points on a 9-point rating scale (completely disagree/completely agree). Results: Fifty-eight panellists completed both rounds (response rate 90%). Forty-five (70%) panellists thought that for LBP a case definition can be based on symptoms only. Consensus was only reached for work-related medial elbow tendinopathy, while the lowest agreement was found for knee osteoarthritis. Where consensus was not reached, this was – except for LBP - related to physical examination and imaging rather than disagreement on key symptoms. Conclusion: Consensus on case definitions was reached only for work-related medial elbow tendinopathy. Epidemiological research would benefit from harmonized case definitions for all MSDs including imaging and physical examination for LRS, SAPS, CTS, lateral elbow tendinopathy and hip and knee osteoarthritis.
KW - Carpal tunnel syndrome
KW - Epicondylitis
KW - Hip osteoarthritis
KW - Knee osteoarthritis
KW - Lateral elbow tendinopathy
KW - Low back pain
KW - Lumbosacral radicular syndrome
KW - Medial elbow tendinopathy
KW - Occupational disease
KW - Subacromial pain syndrome
KW - Tennis elbow
UR - http://www.scopus.com/inward/record.url?scp=85120746713&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s12891-021-04871-9
DO - https://doi.org/10.1186/s12891-021-04871-9
M3 - Article
C2 - 34863143
SN - 1471-2474
VL - 22
JO - BMC musculoskeletal disorders
JF - BMC musculoskeletal disorders
IS - 1
M1 - 1018
ER -