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Epidemiological surveillance of lumbar disc surgery in the general population: a pilot study in a French region

OBJECTIVES: Disc-related sciatica (DRS) is a significant and costly health problem in the working population. The aim of this pilot study was to assess the feasibility of a surveillance system for DRS using hospital databases for lumbar disc surgery (LDS). METHODS: A total of 272 inpatients (119 men and 153 women) living in a French region and discharged in 2002-2003 from a spine center of a large University Hospital following LDS were compared with demographic and socioeconomic data on the population of the same region. Medical and occupational histories were gathered using a mailed questionnaire. The age-adjusted relative risks and population attributable fraction of risk (PAF) were calculated in relation to occupations and industries. RESULTS: Information on employment was available for the 75 women and 71 men. The risk of LDS varied according to occupations and industries. PAFs ranged between 30% (12-48) for male blue collar workers and 22% (4-40) for female lower white collar workers. PAFs ranged between 7 and 17% in the economic sectors at high risk. CONCLUSION: The surveillance of LDS can identify occupations and industries at risk

Keywords : Adult,Anger,Diskectomy,Employment,epidemiology,Female,France,history,Humans,Inpatients,Intervertebral Disc,Intervertebral Disc Displacement,Low Back Pain,Male,methods,Occupations,pathology,Pilot Projects,Population Surveillance,Risk,Sciatica,Spine,statistics & numerical data,surgery,Universities,, Surveillance,Lumbar,Disc,Surgery, frozen shoulder treatments

Date of Publication : 2011 May

Authors : Roquelaure Y;Fouquet N;Ha C;Bord E;Surer N;Manach AP;Leclerc A;Lombrail P;Goldberg M;Imbernon E;

Organisation : IFR 132, UPRES 4336, UNAM, Laboratoire d’Ergonomie et d’Epidemiologie en Sante au Travail, CHU, Universite d’Angers, 4, rue Larrey, 49933 Angers cedex, France. YvRoquelaure@chu-angers.fr

Journal of Publication : Joint Bone Spine

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20880734

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