Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study

Abstract 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 radicul...

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Autores principales:	Sietske J. Tamminga, P. Paul F. M. Kuijer, Kathryn Badarin, Jose Hernán Alfonso, Joana Amaro, Stefania Curti, Irina Guseva Canu, Stefano Mattioli, Ingrid S. Mehlum, David Rempel, Yves Roquelaure, Steven Visser, Henk F. van der Molen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Low back pain Lumbosacral radicular syndrome Subacromial pain syndrome Carpal tunnel syndrome Lateral elbow tendinopathy Medial elbow tendinopathy Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/5dd8ea2badb74cf1aaf4ae11ef347dd3
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spelling	oai:doaj.org-article:5dd8ea2badb74cf1aaf4ae11ef347dd32021-12-05T12:18:23ZTowards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study10.1186/s12891-021-04871-91471-2474https://doaj.org/article/5dd8ea2badb74cf1aaf4ae11ef347dd32021-12-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04871-9https://doaj.org/toc/1471-2474Abstract 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.Sietske J. TammingaP. Paul F. M. KuijerKathryn BadarinJose Hernán AlfonsoJoana AmaroStefania CurtiIrina Guseva CanuStefano MattioliIngrid S. MehlumDavid RempelYves RoquelaureSteven VisserHenk F. van der MolenBMCarticleLow back painLumbosacral radicular syndromeSubacromial pain syndromeCarpal tunnel syndromeLateral elbow tendinopathyMedial elbow tendinopathyDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Low back pain Lumbosacral radicular syndrome Subacromial pain syndrome Carpal tunnel syndrome Lateral elbow tendinopathy Medial elbow tendinopathy Diseases of the musculoskeletal system RC925-935
spellingShingle	Low back pain Lumbosacral radicular syndrome Subacromial pain syndrome Carpal tunnel syndrome Lateral elbow tendinopathy Medial elbow tendinopathy Diseases of the musculoskeletal system RC925-935 Sietske J. Tamminga P. Paul F. M. Kuijer Kathryn Badarin Jose Hernán Alfonso Joana Amaro Stefania Curti Irina Guseva Canu Stefano Mattioli Ingrid S. Mehlum David Rempel Yves Roquelaure Steven Visser Henk F. van der Molen Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
description	Abstract 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.
format	article
author	Sietske J. Tamminga P. Paul F. M. Kuijer Kathryn Badarin Jose Hernán Alfonso Joana Amaro Stefania Curti Irina Guseva Canu Stefano Mattioli Ingrid S. Mehlum David Rempel Yves Roquelaure Steven Visser Henk F. van der Molen
author_facet	Sietske J. Tamminga P. Paul F. M. Kuijer Kathryn Badarin Jose Hernán Alfonso Joana Amaro Stefania Curti Irina Guseva Canu Stefano Mattioli Ingrid S. Mehlum David Rempel Yves Roquelaure Steven Visser Henk F. van der Molen
author_sort	Sietske J. Tamminga
title	Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
title_short	Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
title_full	Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
title_fullStr	Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
title_full_unstemmed	Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study
title_sort	towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary delphi study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5dd8ea2badb74cf1aaf4ae11ef347dd3
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Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study

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