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Incidence rates of surgically treated rhegmatogenous retinal detachment among manual workers, non-manual workers and housewives in Tuscany, Italy

Incidence rates of surgically treated rhegmatogenous retinal detachment among manual workers, non-manual workers and housewives in Tuscany, Italy
Incidence rates of surgically treated rhegmatogenous retinal detachment among manual workers, non-manual workers and housewives in Tuscany, Italy
Purpose

Candidate risk factors for idiopathic rhegmatogenous retinal detachment (RRD) include heavy manual handling (requiring Valsalva’s maneuver). We assessed incidence rates of surgically treated idiopathic RRD among manual workers, non-manual workers and housewives resident in Tuscany, Italy.

Methods

We retrieved all hospital discharge records bearing a principal diagnosis corresponding to RRD coupled with retinal surgery for any resident of Tuscany during 1997–2009. After elimination of repeated admissions and patients with coexistent, associated conditions (including recent trauma), subjects aged 25–59 years were classified as manual workers, non-manual workers or housewives. Population data were extracted from the 2001 census.

Results

We identified 1,946 eligible cases (1,142 men). Among men, manual workers experienced a 1.8-fold higher age-standardized rate per 100,000 person-years than non-manual workers [17.4 (95 % confidence interval (CI) 16.1–18.7) vs. 9.8 (95 % CI 8.8–10.8)]. Age-standardized rates among women were 1.9-fold higher for manual workers [11.1 (95 % CI 9.8–12.3)] and 1.7-fold higher for housewives [9.5 (95 % CI 8.3–10.8)] than in non-manual workers [5.7 (95 % CI 4.8–6.6)].

Conclusions

This large population-based study suggests that manual workers are affected by idiopathic RRD requiring surgical treatment more often than non-manual workers. The higher rates of surgically treated RRD experienced by manual workers are in accord with the hypothesis that heavy manual handling may have a causal role.
0340-0131
539-545
Curti, S.
3dd01154-d0d4-4d9d-ab04-83c4e1da3464
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Baldasseroni, A.
b68b4b25-2edd-49ac-a5dc-7830097afd5f
Cooke, R.M.
f2efa8fc-8245-44bd-b65c-07337b5ed315
Fresina, M.
a230c5ce-f6b7-4d5e-8b59-43f6286a3164
Campos, E.C.
6122bbc4-0420-4de4-9f6c-fe4b504c6639
Semeraro, F.
8e4268b7-dda0-4b9e-80ef-c4e8a32bca96
Zanardi, F.
3363da9e-ad7b-40cc-9827-c95a7a79f6e4
Farioli, A.
5f334383-168f-49c6-b546-f163edb1fd31
Violante, F.S.
88cf0003-6070-44ce-97c5-646068dae635
Mattioli, S.
b5afa084-9b0b-4af7-9877-d227765d315d
Curti, S.
3dd01154-d0d4-4d9d-ab04-83c4e1da3464
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Baldasseroni, A.
b68b4b25-2edd-49ac-a5dc-7830097afd5f
Cooke, R.M.
f2efa8fc-8245-44bd-b65c-07337b5ed315
Fresina, M.
a230c5ce-f6b7-4d5e-8b59-43f6286a3164
Campos, E.C.
6122bbc4-0420-4de4-9f6c-fe4b504c6639
Semeraro, F.
8e4268b7-dda0-4b9e-80ef-c4e8a32bca96
Zanardi, F.
3363da9e-ad7b-40cc-9827-c95a7a79f6e4
Farioli, A.
5f334383-168f-49c6-b546-f163edb1fd31
Violante, F.S.
88cf0003-6070-44ce-97c5-646068dae635
Mattioli, S.
b5afa084-9b0b-4af7-9877-d227765d315d

Curti, S., Coggon, D., Baldasseroni, A., Cooke, R.M., Fresina, M., Campos, E.C., Semeraro, F., Zanardi, F., Farioli, A., Violante, F.S. and Mattioli, S. (2014) Incidence rates of surgically treated rhegmatogenous retinal detachment among manual workers, non-manual workers and housewives in Tuscany, Italy. International Archives of Occupational and Environmental Health, 87 (5), 539-545. (doi:10.1007/s00420-013-0894-5). (PMID:23893253)

Record type: Article

Abstract

Purpose

Candidate risk factors for idiopathic rhegmatogenous retinal detachment (RRD) include heavy manual handling (requiring Valsalva’s maneuver). We assessed incidence rates of surgically treated idiopathic RRD among manual workers, non-manual workers and housewives resident in Tuscany, Italy.

Methods

We retrieved all hospital discharge records bearing a principal diagnosis corresponding to RRD coupled with retinal surgery for any resident of Tuscany during 1997–2009. After elimination of repeated admissions and patients with coexistent, associated conditions (including recent trauma), subjects aged 25–59 years were classified as manual workers, non-manual workers or housewives. Population data were extracted from the 2001 census.

Results

We identified 1,946 eligible cases (1,142 men). Among men, manual workers experienced a 1.8-fold higher age-standardized rate per 100,000 person-years than non-manual workers [17.4 (95 % confidence interval (CI) 16.1–18.7) vs. 9.8 (95 % CI 8.8–10.8)]. Age-standardized rates among women were 1.9-fold higher for manual workers [11.1 (95 % CI 9.8–12.3)] and 1.7-fold higher for housewives [9.5 (95 % CI 8.3–10.8)] than in non-manual workers [5.7 (95 % CI 4.8–6.6)].

Conclusions

This large population-based study suggests that manual workers are affected by idiopathic RRD requiring surgical treatment more often than non-manual workers. The higher rates of surgically treated RRD experienced by manual workers are in accord with the hypothesis that heavy manual handling may have a causal role.

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More information

e-pub ahead of print date: 28 July 2013
Published date: July 2014
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 366635
URI: http://eprints.soton.ac.uk/id/eprint/366635
ISSN: 0340-0131
PURE UUID: e3db69ed-b446-48df-b09c-ac5866dcada7
ORCID for D. Coggon: ORCID iD orcid.org/0000-0003-1930-3987

Catalogue record

Date deposited: 08 Jul 2014 09:24
Last modified: 05 Nov 2019 02:01

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Contributors

Author: S. Curti
Author: D. Coggon ORCID iD
Author: A. Baldasseroni
Author: R.M. Cooke
Author: M. Fresina
Author: E.C. Campos
Author: F. Semeraro
Author: F. Zanardi
Author: A. Farioli
Author: F.S. Violante
Author: S. Mattioli

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