References of "Mairiaux, Philippe"
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See detailThe Belgian guidelines for management of low back pain in occupational health
Mairiaux, Philippe ULg; Mazina, D. ULg

Poster (2007)

Aims As part of the promotion of a national strategy for the prevention and the management of acute and chronic low back pain (CLBP), the Belgian Health Care Knowledge Centre (KCE) funded a systematic ... [more ▼]

Aims As part of the promotion of a national strategy for the prevention and the management of acute and chronic low back pain (CLBP), the Belgian Health Care Knowledge Centre (KCE) funded a systematic review of the EBM literature concerning the management of LBP patients in the occupational health (OH) context. Taking account differences in regulations and practices within the health care system between EU countries1,2, this review aimed at issuing good practices recommendations applicable to the Belgian situation to prevent the transition from acute to chronic back pain and to avoid long duration absences from work. Methods The guidelines have been developed in three steps. First, an electronic search was performed for relevant guidelines and systematic reviews (SR) on the following databases: EMBASE, Medline, Cochrane Controlled Trials Register, NHS guidelines Finder, National Guidelines Clearing House, New Zealand Guidelines Group Search and Pedro database. The search strategy combined 3 groups of terms: low back pain, occupational medicine and the type of reference (practice guideline or SR). The identified guidelines were appraised using the AGREE method, while SR’s were appraised using the Cochrane Collaboration grid. In a second phase, the draft guidelines were submitted to a group of OH academics from the main Belgian universities. The revised version of the guidelines was then published in English in the KCE report 3. In a third step currently under way, the guidelines are adapted in a more practical format for facilitating their daily use by OH practitioners. This involves a working group of OH practitioners coming from 12 external prevention services and several large company OH services. The document will also be discussed with representatives of other health professionals (GP’s and medical advisors of the sickness funds). Results Scientific evidence from the 7 selected guidelines and from the 27 SR’s was organized according to the main missions of the occupational physician (OP) and medical adviser (MA). Which background information should be given to employers and employees when the OP is playing an adviser role? What evidence-based prevention policies (primary and secondary) should he/she promote in the enterprises? For the third mission of the OP, health surveillance of workers, the document considers three situations: periodic health surveillance, spontaneous examinations at the worker request, and return to work (RTW) examinations for workers absent for 28 days or more. The main conclusions are summarized in 4 tables under the format of key-points, each of those mentioning the quality of the evidence (using the Guyatt classification). Discussion and conclusions The key message for prevention of CLBP is the need for staying active and minimizing the time out of work. Evidence of high quality is in favor of a multidisciplinary approach using conservative treatments. One challenge is to avoid hospitalizations and especially surgery in CLBP patients. Those recommendations are relevant for all care settings, including the occupational environment. From a health care policy point of view, the project highlighted the major roles of the occupational physician and of the medical adviser and stressed the need to better define those roles if decision makers want to tackle the low back pain problem and the economic consequences of the related sick leave. References 1. Dutch Association of Occupational Medicine (NVAB). Management of low back workers by the occupational physician. Approved guidelines ; April 1999. 2. RCM-FOM. Occupational health guidelines for management of low back pain at work: Evidence Review and Recommendations. London, 2000. 3. Nielens H., Van Zundert J., Mairiaux P., Gailly J., Van Den Hecke N., Mazina D., Camberlin C., Bartholomeeussen S., De Gauquier K., Paulus D., Ramaekers D. Chronic Low Back Pain. Good Clinical Practice (GCP). Brussels: Belgian Health Care Knowledge Centre (KCE); 2006. KCE reports 48B (D/2006/10.273/64). [less ▲]

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See detailChronic low back pain. Good clinical practice (GCP)
Nielens, H.; Van Zundert, J.; Mairiaux, Philippe ULg et al

Report (2006)

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See detailA nation-wide pilot project for early rehabilitation of low back pain workers
Mairiaux, Philippe ULg; DELARUELLE D.; STRAUSS, Patrick

in IEA 2006 Proccedings (2006, July)

As a result of both a political and a scientific thinking, the Belgian Fund for Occupational Diseases (FOD) has launched, starting March 1st 2005, a pilot project for the nursing staff in the health care ... [more ▼]

As a result of both a political and a scientific thinking, the Belgian Fund for Occupational Diseases (FOD) has launched, starting March 1st 2005, a pilot project for the nursing staff in the health care sector in order to prevent the transition of low back pain (LBP) to chronicity through a program promoting an early return to work. Target workers are those being off work due to LBP for at least 4 weeks and maximum 3 months. The program involves a standardised multidisciplinary back rehabilitation program on the one hand, and on the other hand an ergonomics intervention in the health care institution. Depending on the context, the workplace intervention may involve an ergonomic analysis with the participation of the sicklisted worker, a larger group-based ergonomics redesign, or temporary change in the worker duty or work time in order to facilitate his/her return to work. The employer gets a financial incentive from the FOD when he agrees to such an intervention. Due to a lack of communication among the target population, this pilot project has had a slow start; the presentation gives a qualitative overview of the first 100 cases having entered the program. [less ▲]

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See detailErgonomic guidelines for low back pain prevention in child care.
Somville, Pierre ULg; Mairiaux, Philippe ULg

in PROCEEDINGS IEA 2006 (2006, July)

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See detailThe Belgian pilot project for early rehabilitation of nursing personnel suffering from low back pain.
Mairiaux, Philippe ULg; CREYTENS, G.; DELARUELLE, D. et al

in Proceedings ICOH 2006 (2006, June)

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See detailRisktrainer, A training method for facilitating participatory risk management in companies
BALSAT, A.; LHERMITTE, Françoise; HAMBACH, R. et al

Conference (2006, June)

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See detailWorkers perception of chemical risks : a focus group study.
HAMBACH, Ramona; VAN SPRUNDEL, Marc; BALSAT, Alain et al

in Proceedings ICOH 2006 (2006, June)

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See detailAnalysis of the structure of a questionnaire about hospital worker'swell being at work
Muller, Michel; Vandoorne, Chantal; Mairiaux, Philippe ULg

in ICOH 2006 Proceedings (2006, June)

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See detailValidation of a self-administered questionnaire for assessing exposure to back pain mechanical risk factors
Somville, Pierre ULg; Van Nieuwenhuyse, An; Seidel, Laurence ULg et al

in International Archives of Occupational and Environmental Health (2006), 79(6), 499-508

Objective: To validate a self-administered questionnaire assessing exposure to mechanical risk factors, developed for a cohort study aiming at assessing the influence of physical and psycho-social factors ... [more ▼]

Objective: To validate a self-administered questionnaire assessing exposure to mechanical risk factors, developed for a cohort study aiming at assessing the influence of physical and psycho-social factors on the incidence of low back pain (LBP). Methods: The study first involved a criterion validity test. A sample of the cohort workers (n=152) was observed at the workplace during four 30 min periods randomly distributed along the shift. At the end of the work shift, the questionnaire was filled in both by the worker and the observer. Agreements were tested between self-reports and observations, and between self-reports and observer opinion. Secondly, a comparison of exposure-effect relationships based on self-reports to those based on observations was carried out on the whole study cohort (n=716). Both sets of Relative Risks of being an incident case (LBP lasting at least 7 consecutive days in the follow-up year) were tested for heterogeneity. Results: Self-reports agreement levels were better with observer opinion than with observational data and were higher for answers at a dichotomous level. Vehicle driving, manual handling without estimation of weight and frequencies, or trunk bending without rotation showed a fair to good agreement with the external criteria. Limits in the validation procedure did not allow validating the sitting and standing durations. As regards the health outcome comparison, questionnaire and observations led to homogeneous Relative Risks for the variables tested. Conclusions: Results show that self-reports provide a limited accuracy to assess actual frequencies and durations of work activities. Using a questionnaire, classifying the workers into exposure categories is rather relative, but questionnaire and observations seem similar in their relationships to outcome. [less ▲]

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See detailPredictieve risicofactoren voor lage rugpijn bij jonge werknemers : de BELCOBACK-studie
Van Nieuwenhuyse, A.; Somville, Pierre-René ULg; Johannik, K. et al

in Tijdschrift voor bedrijfs- en verzekeringsgeneeskunde (2006), 14(4), 155-160

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See detailThe role of physical workload and pain related fear in the development of low back pain in young workers: evidence from the BelCoBack Study; results after one year of follow up
Van Nieuwenhuyse, A.; Somville, Pierre-René ULg; Crombez, G. et al

in Occupational and Environmental Medicine (2006), 63(1), 45-52

Aims: To study the influence of work related physical and psychosocial factors and individual characteristics on the occurrence of low back pain among young and pain free workers. Methods: The Belgian ... [more ▼]

Aims: To study the influence of work related physical and psychosocial factors and individual characteristics on the occurrence of low back pain among young and pain free workers. Methods: The Belgian Cohort Back Study was designed as a prospective cohort study. The study population of this paper consisted of 716 young healthcare or distribution workers without low back pain lasting seven or more consecutive days during the year before inclusion. The median age was 26 years with an interquartile range between 24 and 29 years. At baseline, these workers filled in a questionnaire with physical exposures, work related psychosocial factors and individual characteristics. One year later, the occurrence of low back pain lasting seven or more consecutive days and some of its characteristics were registered by means of a questionnaire. To assess the respective role of predictors at baseline on the occurrence of low back pain in the following year, Cox regression with a constant risk period for all subjects was applied. Results: After one year of follow up, 12.6% (95% CI 10.1 to 15.0) of the 716 workers had developed low back pain lasting seven or more consecutive days. An increased risk was observed for working with the trunk in a bent and twisted position for more than two hours a day (RR 2.2, 95% CI 1.2 to 4.1), inability to change posture regularly (RR 2.1, 95% CI 1.3 to 3.5), back complaints in the year before inclusion (RR 1.7, 95% CI 1.1 to 2.8), and high scores of pain related fear (RR 1.8, 95% CI 1.0 to 3.1). Work related psychosocial factors and physical factors during leisure time were not predictive. Conclusion: This study highlighted the importance of physical work factors and revealed the importance of high scores of pain related fear in the development of low back pain among young workers. [less ▲]

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See detailLes programmes de "retour au travail" pour la prévention de la lombalgie chronique
Mairiaux, Philippe ULg; Mazina, Déogratias

in Ortho-Rhumato (2006), 4(6), 172-175

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See detailBelCoBack. Une étude prospective sur les facteurs étiologiques et pronostiques des maux de dos liés à la profession
Somville, Pierre-René ULg; Van Nieuwenhuyse, A.; Moens, G. et al

in Médecine du Travail & Ergonomie= Arbeidsgezondheidszorg & Ergonomie (2005), 42(4), 159-164

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See detailTravailleurs lombalgiques : Bases scientifiques des programmes de "retour au travail"
Mairiaux, Philippe ULg

in Documents pour le Médecin du Travail (2005), (101), 23-29

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See detailRisk factors for first-ever low back pain among workers in their first employment
Van Nieuwenhuyse, A.; Fatkhutdinova, L.; Verbeke, G. et al

in Occupational Medicine-Oxford (2004), 54(8), 513-519

Background Low back pain has been estimated to be the most costly ailment of people of working age. Both work characteristics and individual factors have been identified as risk factors. The first ... [more ▼]

Background Low back pain has been estimated to be the most costly ailment of people of working age. Both work characteristics and individual factors have been identified as risk factors. The first interaction between work characteristics and individual factors occurs when workers start in their first job. Aims To investigate work-related risk factors for first-ever low back pain in young workers in their first employment. Methods A cross-sectional analysis was performed on 278 young workers in their first employment and without a history of low back pain prior to working. Work-related physical factors, psychosocial work characteristics, individual variables and first-ever low back pain were queried by means of a questionnaire. Results About half of the workers who developed low back pain after job start did so in the first year of employment. An increased risk was observed for (i) long periods of seated work [relative risk (RR) = 3.2, 95% confidence interval (CI) = 1.6-6.4]; (ii) more than 12 flexion or rotation movements of the trunk per hour (RR = 3.0, 95% CI = 1.4-6.4); and (iii) more than 3 years seniority in a job involving lifting more than 25 kg at least once an hour (RR = 3.7, 95% CI = 1.4-9.4). As to psychosocial work characteristics, first-ever low back pain was associated with a combination of low psychological job demands and low supervisor support. Conclusion Work-related physical factors and psychosocial work characteristics should be considered as risk factors for first-ever low back pain. First-ever episodes of low back pain are common in the first year of employment. This may reflect a lack of work experience or training. [less ▲]

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See detailCharacteristics of adolescent attempts to manage overweight
Grignard, Sophie ULg; Bourguignon, Jean-Pierre ULg; Born, Michel ULg et al

in Patient Education & Counseling (2003), 51(2), 183-189

This study evaluates the actions taken by obese adolescents in an attempt to lose weight in relation to changes in weight. Particular emphasis is put on the context surrounding the management process ... [more ▼]

This study evaluates the actions taken by obese adolescents in an attempt to lose weight in relation to changes in weight. Particular emphasis is put on the context surrounding the management process. Thirty one obese adolescents aged 14-18 participated in this study. The adolescents answered a written questionnaire, took a body-size dissatisfaction test and were interviewed. Their family physicians were interviewed by telephone. Quantitative data concerned changes in weight and body-size dissatisfaction scores. Qualitative analysis included cases analyses and building up of synthesis variables. Loss of weight is linked with continuity of management attempts as well as with medical follow-up. The most frequent management attempt is diet. Self-image is correlated with weight. The exclusive emphasis put on diet is discussed in relation to the importance of more psychosocial factors such as self-image, denial and attraction to discontinuity. Some recommendations for the management of overweight adolescents are then outlined. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved. [less ▲]

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See detailA structured strategy for assessing chemical risks, suitable for small and medium-sized enterprises
Balsat, Alain; De Graeve, Jean ULg; Mairiaux, Philippe ULg

in Annals of Occupational Hygiene (2003), 47(7), 549-556

BACKGROUND: A previous study carried out in 20 Belgian companies, especially small and medium-sized enterprises (SMEs), showed that prevention advisors did not use any structured approaches to assess ... [more ▼]

BACKGROUND: A previous study carried out in 20 Belgian companies, especially small and medium-sized enterprises (SMEs), showed that prevention advisors did not use any structured approaches to assess chemical risk. They used their personal judgement and the information contained in manufacturers' Safety Data Sheets to assess the risk. OBJECTIVE AND METHOD: The purpose of the Regetox network is to provide companies with a global approach for assessing chemical health risks. The structured approach proposed consists of two successive steps of increasing complexity. For the first step, we chose a method developed by the INRS (France), the 'ranking of potential risk', which allows the safety officer or staff member to identify hazards and to set priorities among all the supplied products used in the workplace. For the second step, we applied the COSHH method and EASE model established by the UK Health [less ▲]

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