@Article{Svendsen2013, author = "Svendsen, Susanne Wulff and Dalbøge, Annett and Andersen, Johan Hviid and Thomsen, Jane Frølund and Frost, Poul", title = "Risk of surgery for subacromial impingement syndrome in relation to neck-shoulder complaints and occupational biomechanical exposures: a longitudinal study", journal = "Scandinavian Journal of Work, Environment & Health", year = "2013", month = "Nov", day = "39", number = "6", pages = "568--577", keywords = "acromioplasty; force; job exposure matrix; job strain; longitudinal study; neck-shoulder complaint; occupation biomechanical exposure; posture; psychosocial factor; repetitive work; shoulder; subacromial decompression; subacromial impingement syndrome; surgery; work", abstract = "'
'
OBJECTIVES ': 'The aim of this longitudinal study was to evaluate the risk of surgery for subacromial impingement syndrome (SIS) in relation to neck-shoulder complaints and occupational biomechanical shoulder exposures.
''
METHODS ': 'The study was based on the Musculoskeletal Research Database at the Danish Ramazzini Centre. We linked baseline questionnaire information from 1993–2004 on neck-shoulder complaints, job titles, psychosocial work factors, body mass index, and smoking with register information on first-time surgery for SIS from 1996–2008. Biomechanical exposure measures were obtained from a job exposure matrix based on expert judgment. We applied multivariable Cox regression.
''
RESULTS ': 'During 280 125 person-years of follow-up among 37 402 persons, 557 first-time operations for SIS occurred. Crude surgery rates increased from 1.1 to 2.5 per 1000 person-years with increasing shoulder load. Using no neck-shoulder complaints and low shoulder load at baseline as a reference, no neck-shoulder complaints and high shoulder load showed an adjusted hazard ratio (HR
'
CONCLUSIONS ': 'Based on these findings, persons with neck-shoulder and especially shoulder complaints in combination with high shoulder load seem an obvious target group for interventions aimed at reducing exposures to prevent surgery for SIS.
", issn = "0355-3140", doi = "10.5271/sjweh.3374", url = "https://www.sjweh.fi/show_abstract.php?abstract_id=3374", url = "https://doi.org/10.5271/sjweh.3374" }