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Table 1 Identification and summary of retrospective cohort studies on the incidence of KD in workers exposed and unexposed to hand-arm vibrations

From: A systematic review of the etiopathogenesis of Kienböck's disease and a critical appraisal of its recognition as an occupational disease related to hand-arm vibration

Reference

Professional sector

Country

Number of workers

Number of KD cases among exposed

Control group

Diagnostic criteria

Anamnesis

Clinical examination

Exposition period

Confounding variables

Author's conclusion regarding a causal relationship

Decoulx P, 1957

underground workers

France

1 330

9

none

pa x-ray

none

yes

10, 13 and 13 years

5 with trauma anamnesis, 1 without exposition to vibrations

no

Roche,1961

underground workers

France

250

2

none

not specified

partially interviewed

partially

not specified

not specified

no

Kumlin, 1973

chain saw worker

Finland

35

1

age-matched from the radiological archives

pa and lat. x-ray

not specified

not specified

not specified

not specified

yes

Horváth, 1973

chain saw worker

Hungary

450

6

450 age-matched

pa x-ray

none

none

5, 7, 8 and 9 years

2 out of 6 with trauma anamnesis

yes

Laitinen, 1974

chain saw worker

Finland

359

7

none

pa x-ray

questionnaire

none

not specified

not specified

yes

Suzuki, 1978

chain saw worker

Japan

580

0

90 forestry workers

pa and lat. x-ray

none

none

not specified

not specified

no

Härkönen, 1984

chain saw worker

Finland

279

3

178 peat bog workers

pa x-ray

Interview

yes

on average 10.4 years

4 out of 5 with trauma anamnesis

no

Total:

  

1953

28

       
  1. Four retrospective cohort studies (purple fill color) among chain-saw workers were included in a meta-analysis with 1344 exposed and 753 unexposed workers.