Occupational demands associated with rotator cuff disease surgery in the UK Biobank

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dc.contributor.authorYanik, Elizabeth L.
dc.contributor.authorKeener, Jay
dc.contributor.authorStevens, Martin J.
dc.contributor.authorWalker-Bone, Karen E.
dc.contributor.authorDale, Ann Marie
dc.contributor.authorMa, Yinjiao
dc.contributor.authorColditz, Graham A.
dc.contributor.authorWright, Rick W.
dc.contributor.authorSaccone, Nancy L.
dc.contributor.authorJain, Nitin B.
dc.contributor.authorEvanoff, Bradley A.
dc.date.accessioned2023-01-31T21:37:26Z
dc.date.available2023-01-31T21:37:26Z
dc.date.issued2022-10
dc.description.abstractObjectives Physically-demanding occupations may increase rotator cuff disease (RCD) risk and need for sur- gery. We linked a job-exposure matrix (JEM) to the UK Biobank cohort study to measure physical occupational exposures and estimate associations with RCD surgery.Methods Jobs and UK Standard Occupational Classification (SOC) codes were recorded during the UK Biobank verbal interview. Lifetime job histories were captured through a web-based survey. UK SOC codes were linked to a JEM based on the US O*NET database. O*NET-based scores [static strength, dynamic strength, general physical activities, handling/moving objects (range=1-7), time spent using hands, whole body vibration, and cramped/awkward positions (range=1-5)] were assigned to jobs. RCD surgeries were identified through linked national hospital inpatient records. Multivariable Cox regression was used to calculate hazard ratios (HR) as estimates of associations with RCD surgery. Among those with lifetime job histories, associations were estimated for duration of time with greatest exposure (top quartile of exposure).Results Of 277 808 people reporting jobs, 1997 (0.7%) had an inpatient RCD surgery. After adjusting for age, sex, race, education, area deprivation, and body mass index, all O*NET variables considered were associated with RCD surgery (HR per point increase range=1.10-1.45, all P<0.005). A total of 100 929 people reported life- time job histories, in which greater exposures were significantly associated with RCD surgery after >10 years of work (eg, HR for 11-20 versus 0 years with static strength score >= 4 = 2.06, 95% confidence interval 1.39-3.04).Conclusion Workplace physical demands are an important risk factor for RCD surgery, particularly for workers with more than a decade of exposure.en_US
dc.description.sponsorshipThis research has been conducted using the UK Biobank Resource (www.ukbiobank.ac.uk/) under Application Number 27034. This work was supported by the United States National Institutes of Health [K01AR073318 to E.L.Y.] and the United States National Institute for Occupational Safety and Health [R01 OH011076 to B.A.E.]. The funders did not influence the design of the study, analysis or interpretation of the data, the writing of this report or the decision to publishen_US
dc.identifier.citationYanik EL. Keener JD, Stevens MJ, Walker-Bone KE, Dale AM, Ma Y, Colditz GA, Wright RW, Saccone NL, Jain NB, Evanoff BA. Occupational demands associated with rotator cuff disease surgery in the UK Biobank. Scand J Work Environ Health. 2023;49(1):53–63. doi:10.5271/sjweh.4062en_US
dc.identifier.doi10.5271/sjweh.4062
dc.identifier.issn0355-3140
dc.identifier.othereISSN 1795-990X
dc.identifier.otherPubMed ID36228192
dc.identifier.urihttp://hdl.handle.net/1803/17970
dc.language.isoen_USen_US
dc.publisherScand J Work Environ Healthen_US
dc.rightsThis work is licensed under a Creative Commons Attribution 4.0 International License.
dc.source.urihttps://www.sjweh.fi/show_abstract.php?abstract_id=4062
dc.subjectjob exposure matrixen_US
dc.subjectoccupational healthen_US
dc.titleOccupational demands associated with rotator cuff disease surgery in the UK Biobanken_US
dc.typeArticleen_US
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