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Population attributable risk of lumbar disc surgery according to occupation: a study in a French general population

Abstract :

Aims: Disc-related sciatica represents one of the most significant and costly health problems occurring in the working population. The aim of this study was to assess the work-related population attributable fraction (PAF) of lumbar disc surgery (LDS) for disc-related sciatica in occupational categories at high risk in the general population.

Methods: Patients living in a French region in 2003 and discharged from a large University Hospital following LDS were compared with demographic and socioeconomic data from the population census. Medical and occupational histories from 75 women and 71 men were gathered using a mailed questionnaire. The ageadjusted relative risks and PAF of CTS were calculated according to occupational categories.

Results: The PAFs of lumbar disc surgery was 37% [19-54] for the male blue-collar workers suggesting that about 37% of the cases occurring in this category of workers could be avoided if the excess risk of LDS could be eliminated. The PAF value for male and female lower-grade white collar workers and female intermediate occupations were 18%, 33% and 13%, respectively.

Conclusion: The study suggested that 13–37% of LDS for disc-related sciatica might be avoided in the whole population if totally effective intervention programs were implemented in specific occupational categories or industries. However, these preliminary findings must be confirmed by a larger study conducted in the whole region to assess more accurately the proportion of avoidable cases of LDS in the population.

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Contributeur : Okina Univ Angers Connectez-vous pour contacter le contributeur
Soumis le : jeudi 21 octobre 2021 - 15:33:36
Dernière modification le : mercredi 30 mars 2022 - 09:46:02


  • HAL Id : hal-03391099, version 1
  • OKINA : ua13692



Natacha Fouquet, Yves Roquelaure, Catherine Ha, Éric Bord, Nathalie Surer, et al.. Population attributable risk of lumbar disc surgery according to occupation: a study in a French general population. PREMUS 2010 - 7th International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders, 2010, Angers, France. 2010. ⟨hal-03391099⟩



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