Abstract：
UNASSIGNED: Dockworkers are exposed to physical overloads that can contribute to the development of musculoskeletal disorders, leading to functional disability and absenteeism.
UNASSIGNED: to map, critically appraise, and synthesize the available evidence on the prevalence of musculoskeletal diseases associated with port occupational activities.
UNASSIGNED: A comprehensive search was conducted in structured and unstructured databases in August 2023, with no date or language restriction, to identify observational studies evaluating the prevalence of musculoskeletal disorders in dockworkers\' occupational activity. The risk of bias was assessed using validated tools based on the included study designs. Data from studies were pooled in meta-analyses. The certainty of the evidence was assessed using the GRADE approach.
UNASSIGNED: We identified 12 analytical cross-sectional studies involving 7821 participants in ports of five countries. Most studies (75%) had a moderate methodological quality according to the Joanna Briggs Institute tool. Considering the overall worker categories and any musculoskeletal disorders, the meta-analysis showed a prevalence of 58% (95% Confidence Interval [95% CI] 37% to 78%), with degenerative spinal diseases 42% (95% CI -0.6% to 91%) and low back pain 36% (95% CI 21% to 50%) being the most prevalent conditions. Symptoms were predominantly in foremen and stevedores. The certainty of the evidence was very low.
UNASSIGNED: Musculoskeletal disorders seem prevalent among dockworkers, mainly degenerative spinal diseases and low back pain. Studies with greater methodological consistency are still needed to validate these hypotheses and assist in decision-making for implementing preventive and informational policies in maritime port management organizations. PROSPERO registry CRD42021257677.
UNASSIGNED: to map, critically appraise, and synthesize the available evidence on the prevalence of musculoskeletal diseases associated with port occupational activities.
UNASSIGNED: A comprehensive search was conducted in structured and unstructured databases in August 2023, with no date or language restriction, to identify observational studies evaluating the prevalence of musculoskeletal disorders in dockworkers\' occupational activity. The risk of bias was assessed using validated tools based on the included study designs. Data from studies were pooled in meta-analyses. The certainty of the evidence was assessed using the GRADE approach.
UNASSIGNED: We identified 12 analytical cross-sectional studies involving 7821 participants in ports of five countries. Most studies (75%) had a moderate methodological quality according to the Joanna Briggs Institute tool. Considering the overall worker categories and any musculoskeletal disorders, the meta-analysis showed a prevalence of 58% (95% Confidence Interval [95% CI] 37% to 78%), with degenerative spinal diseases 42% (95% CI -0.6% to 91%) and low back pain 36% (95% CI 21% to 50%) being the most prevalent conditions. Symptoms were predominantly in foremen and stevedores. The certainty of the evidence was very low.
UNASSIGNED: Musculoskeletal disorders seem prevalent among dockworkers, mainly degenerative spinal diseases and low back pain. Studies with greater methodological consistency are still needed to validate these hypotheses and assist in decision-making for implementing preventive and informational policies in maritime port management organizations. PROSPERO registry CRD42021257677.
摘要：
■码头工人暴露于可能导致肌肉骨骼疾病发展的身体过载，导致功能性残疾和旷工。
■映射，批判性评价，并综合与港口职业活动相关的肌肉骨骼疾病患病率的现有证据。
■于2023年8月在结构化和非结构化数据库中进行了全面搜索，没有日期或语言限制，确定评估码头工人职业活动中肌肉骨骼疾病患病率的观察性研究。使用基于纳入研究设计的验证工具评估偏倚风险。来自研究的数据在荟萃分析中汇总。使用等级方法评估证据的确定性。
■我们确定了12项分析性横断面研究，涉及五个国家港口的7821名参与者。根据JoannaBriggs研究所的工具，大多数研究（75％）具有中等的方法学质量。考虑到整个工人类别和任何肌肉骨骼疾病，荟萃分析显示，患病率为58%(95%置信区间[95%CI]37%至78%)，42％的退行性脊柱疾病（95％CI-0.6％至91％）和36％的腰痛（95％CI21％至50％）是最普遍的疾病。症状主要发生在工头和装卸工人。证据的确定性很低。
■肌肉骨骼疾病似乎在码头工人中普遍存在，主要是退行性脊柱疾病和腰背痛。仍然需要进行方法一致性更强的研究，以验证这些假设，并协助在港口管理组织中实施预防和信息政策的决策。PROSPERO注册表CRD42021257677。
■映射，批判性评价，并综合与港口职业活动相关的肌肉骨骼疾病患病率的现有证据。
■于2023年8月在结构化和非结构化数据库中进行了全面搜索，没有日期或语言限制，确定评估码头工人职业活动中肌肉骨骼疾病患病率的观察性研究。使用基于纳入研究设计的验证工具评估偏倚风险。来自研究的数据在荟萃分析中汇总。使用等级方法评估证据的确定性。
■我们确定了12项分析性横断面研究，涉及五个国家港口的7821名参与者。根据JoannaBriggs研究所的工具，大多数研究（75％）具有中等的方法学质量。考虑到整个工人类别和任何肌肉骨骼疾病，荟萃分析显示，患病率为58%(95%置信区间[95%CI]37%至78%)，42％的退行性脊柱疾病（95％CI-0.6％至91％）和36％的腰痛（95％CI21％至50％）是最普遍的疾病。症状主要发生在工头和装卸工人。证据的确定性很低。
■肌肉骨骼疾病似乎在码头工人中普遍存在，主要是退行性脊柱疾病和腰背痛。仍然需要进行方法一致性更强的研究，以验证这些假设，并协助在港口管理组织中实施预防和信息政策的决策。PROSPERO注册表CRD42021257677。
