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Sökning: onr:"swepub:oai:DiVA.org:oru-70388" > Amyotrophic Lateral...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003990naa a2200433 4500
001oai:DiVA.org:oru-70388
003SwePub
008181130s2018 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:139719648
024a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-703882 URI
024a https://doi.org/10.3390/ijerph151123712 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1397196482 URI
040 a (SwePub)orud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a for2 swepub-publicationtype
100a Gunnarsson, Lars-Gunnar,d 1948-u Örebro universitet,Institutionen för medicinska vetenskaper,Department of Occupational and Environmental Medicine4 aut0 (Swepub:oru)lgn
2451 0a Amyotrophic Lateral Sclerosis and Occupational Exposures :b A Systematic Literature Review and Meta-Analyses
264 c 2018-10-26
264 1b MDPI AG,c 2018
338 a print2 rdacarrier
500 a Funding Agency:Department of Occupational and Environmental Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden
520 a Objectives: We conducted a systematic literature review to identify studies fulfilling good scientific epidemiological standards for use in meta-analyses of occupational risk factors for amyotrophic lateral sclerosis (ALS). Methods: We identified 79 original publications on associations between work and ALS. The MOOSE (Meta-analysis Of Observational Studies in Epidemiology) and GRADE (Grading of Recommendations, Assessment, Development and Evaluations) guidelines were used to ensure high scientific quality, and reliable protocols were applied to classify the articles. Thirty-seven articles fulfilled good scientific standards, while 42 were methodologically deficient and thus were excluded from our meta-analyses. Results: The weighted relative risks for the various occupational exposures were respectively; 1.29 (95% confidence interval (CI): 0.97⁻1.72; six articles) for heavy physical work, 3.98 (95% CI: 2.04⁻7.77; three articles) for professional sports, 1.45 (95% CI: 1.07⁻1.96; six articles) for metals, 1.19 (95% CI: 1.07⁻1.33; 10 articles) for chemicals, 1.18 (95% CI: 1.07⁻1.31; 16 articles) for electromagnetic fields or working with electricity, and 1.18 (95% CI: 1.05⁻1.34; four articles) for working as a nurse or physician. Conclusions: Meta-analyses based only on epidemiologic publications of good scientific quality show that the risk of ALS is statistically significantly elevated for occupational exposures to excessive physical work, chemicals (especially pesticides), metals (especially lead), and possibly also to electromagnetic fields and health care work. These results are not explained by publication bias.
650 7a NATURVETENSKAPx Matematikx Sannolikhetsteori och statistik0 (SwePub)101062 hsv//swe
650 7a NATURAL SCIENCESx Mathematicsx Probability Theory and Statistics0 (SwePub)101062 hsv//eng
653 a chemicals
653 a electromagnetic fields
653 a epidemiology
653 a metals
653 a physical activity
700a Bodin, Lennart,d 1941-u Karolinska Institutet,Örebro universitet,Handelshögskolan vid Örebro Universitet,Department of Statistics, Örebro University, Örebro, Sweden; Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden4 aut0 (Swepub:oru)lbn
710a Örebro universitetb Institutionen för medicinska vetenskaper4 org
773t International Journal of Environmental Research and Public Healthd : MDPI AGg 15:11q 15:11x 1661-7827x 1660-4601
856u https://doi.org/10.3390/ijerph15112371y Fulltext
856u https://www.mdpi.com/1660-4601/15/11/2371/pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-70388
8564 8u https://doi.org/10.3390/ijerph15112371
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:139719648

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