OBJECTIVE: We determined the predictive validity of a postoffer pre-placement (POPP) screen using nerve conduction velocity studies (NCV) to identify future cases of carpal tunnel syndrome (CTS). METHODS: A cohort of 1648 newly hired manufacturing production workers underwent baseline NCS, and were followed for 5 years. RESULTS: There was no association between abnormal POPP NCV results and incident CTS. Varying NCV diagnostic cut-offs did not improve predictive validity. Workers in jobs with high hand/wrist exposure showed greater risk of CTS than those in low exposed jobs (relative risk 2.82; 95% confidence interval 1.52 to 5.22). CONCLUSIONS: POPP screening seems ineffective as a preventive strategy for CTS.
OBJECTIVE: We determined the predictive validity of a postoffer pre-placement (POPP) screen using nerve conduction velocity studies (NCV) to identify future cases of carpal tunnel syndrome (CTS). METHODS: A cohort of 1648 newly hired manufacturing production workers underwent baseline NCS, and were followed for 5 years. RESULTS: There was no association between abnormal POPP NCV results and incident CTS. Varying NCV diagnostic cut-offs did not improve predictive validity. Workers in jobs with high hand/wrist exposure showed greater risk of CTS than those in low exposed jobs (relative risk 2.82; 95% confidence interval 1.52 to 5.22). CONCLUSIONS: POPP screening seems ineffective as a preventive strategy for CTS.
Authors: Ann Marie Dale; Angelique Zeringue; Carisa Harris-Adamson; David Rempel; Stephen Bao; Matthew S Thiese; Linda Merlino; Susan Burt; Jay Kapellusch; Arun Garg; Fred Gerr; Kurt T Hegmann; Ellen A Eisen; Bradley Evanoff Journal: Am J Epidemiol Date: 2015-02-19 Impact factor: 4.897
Authors: Ann Marie Dale; Bethany T Gardner; Angelique Zeringue; Robert Werner; Alfred Franzblau; Bradley Evanoff Journal: J Occup Environ Med Date: 2014-08 Impact factor: 2.162
Authors: Kari K Dunning; Kermit G Davis; Chad Cook; Susan E Kotowski; Chris Hamrick; Gregory Jewell; James Lockey Journal: Am J Ind Med Date: 2010-03 Impact factor: 2.214