1. Theoretical Impact of Workplace-Based Primary Prevention of Lumbar Disc Surgery in a French Region: A Pilot Study
- Author
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Audrey Petit, Descatha A, Yves Roquelaure, Natacha Fouquet, Santé publique France - French National Public Health Agency [Saint-Maurice, France], Épidémiologie en Santé au Travail et Ergonomie (IRSET-ESTER), Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )-Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y., Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )-Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Bodin, Julie, Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y., Rubion, Elise, Université d'Angers (UA), Cohortes épidémiologiques en population (CONSTANCES), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université de Paris (UP), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), and Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité)
- Subjects
Male ,Lumbar disc-related disorders ,Psychological intervention ,Pilot Projects ,Neurosurgical Procedures ,0302 clinical medicine ,Promotion (rank) ,Risk Factors ,attributable risk ,Medicine ,Food service ,030212 general & internal medicine ,Workplace ,ComputingMilieux_MISCELLANEOUS ,media_common ,Incidence (epidemiology) ,Rehabilitation ,Middle Aged ,preventive efficiency ,simulation ,3. Good health ,Primary Prevention ,[STAT]Statistics [stat] ,Population Surveillance ,Female ,France ,Intervertebral Disc Displacement ,Adult ,Occupational risk ,media_common.quotation_subject ,work-related ,Work related ,03 medical and health sciences ,Risk-Taking ,Lumbar disc surgery ,Primary prevention ,Environmental health ,Hospital discharge ,Humans ,030203 arthritis & rheumatology ,[SDV.EE.SANT]Life Sciences [q-bio]/Ecology, environment/Health ,business.industry ,Public Health, Environmental and Occupational Health ,Occupational Injuries ,[STAT] Statistics [stat] ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Attributable risk ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business ,Low Back Pain ,030217 neurology & neurosurgery - Abstract
International audience; BACKGROUND Lumbar disc-related disorders are a main cause of work-related osteo-articular morbidity. Lumbar disc surgery (LDS) has been chosen as sentinel event for the epidemiological surveillance of these disorders since LDS can be identified in the medical databases from public and private hospitals. OBJECTIVE To assess the theoretical impact of workplace-based primary interventions designed to reduce exposure to personal and/or work-related risk factors for LDS. METHODS Cases of LDS were assessed using hospital discharge records for persons aged 20-64 in 2007-8 in the French Pays de la Loire region. We estimated the number of work-related cases of LDS (WR-LDS) in high-risk industry sectors. Three theoretical scenarios of workplace-based primary prevention have been simulated a mono-component work-centered intervention reducing the incidence of WR-LDS by 10%, and two multicomponent global interventions reducing the incidence of all cases of LDS by 5% and 10% by targeting personal and occupational risk factors. RESULTS Four high-risk sectors were identified, amounting to 277 [216-352] cases, of which 98 [37-175] were WR-LDS construction and information and communication for men; wholesale and retail trade and accommodation and food service activities for women. AFE was limited for each industry sector, 30%, 50%, 33% and 55%, respectively. CONCLUSIONS Prevention scenarios combining actions on personal and occupational risk factors would be the most effective, compared to prevention focused only on occupational risk factors. Implementing actions of promotion of health at work would be necessary in addition of actions on occupational risks.
- Published
- 2019
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