Use of medical insurance claims for surveillance of occupational disease. An analysis of cumulative trauma in the auto industry.
Park-RM; Nelson-NA; Silverstein-MA; Mirer-FE
J Occup Med 1992 Jul; 34(7):731-737
Case/control studies were conducted of cumulative trauma disorders (CTD) occurring among workers who were members of the United Auto Workers (UAW) Union. Medical insurance claims were linked with work histories for workers employed at five different facilities. In these five locations there were 11,577 CTD claims for 3,204 workers. The incidence rate from 1985 through 1987 was 105 per 1000 person years in these five sites. The incidence was highest for the stamping facility, following by the trim, assembly and the axle divisions. The foundry rate was much lower. A comparison of cases and comparisons revealed a higher proportion of carpal tunnel syndrome (CTS) cases to be women and rotator cuff syndrome cases were more often found among the older workers. Sizable interdepartmental differences were noted which were roughly consistent with the crude incidence rate ratios. The pattern of insurance claims noted for CTD indicated that facility medical departments were not functioning effectively as a first line of defense in the detection, prevention, and treatment of cumulative trauma problems.
JOCMA7; NIOSH-Publication; NIOSH-Contract; Contract-200-85-2860; Musculoskeletal-system-disorders; Automotive-industry; Assembly-line-workers; Epidemiology; Shift-workers; Traumatic-injuries; Cumulative-trauma-disorders; Carpal-tunnel-syndrome
Journal of Occupational Medicine