scholarly journals Job strain and the risk of severe asthma exacerbations: a meta-analysis of individual-participant data from 100 000 European men and women

Allergy ◽  
2014 ◽  
Vol 69 (6) ◽  
pp. 775-783 ◽  
Author(s):  
K. Heikkilä ◽  
I. E. H. Madsen ◽  
S. T. Nyberg ◽  
E. I. Fransson ◽  
H. Westerlund ◽  
...  
PLoS ONE ◽  
2012 ◽  
Vol 7 (7) ◽  
pp. e40101 ◽  
Author(s):  
Katriina Heikkilä ◽  
Solja T. Nyberg ◽  
Eleonor I. Fransson ◽  
Lars Alfredsson ◽  
Dirk De Bacquer ◽  
...  

Author(s):  
Leila Karimi ◽  
Susanne J. Vijverberg ◽  
Marjolein Engelkes ◽  
Natalia Hernandez‐Pacheco ◽  
Niloufar Farzan ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (7) ◽  
pp. e35463 ◽  
Author(s):  
Katriina Heikkilä ◽  
Solja T. Nyberg ◽  
Eleonor I. Fransson ◽  
Lars Alfredsson ◽  
Dirk De Bacquer ◽  
...  

PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e88711 ◽  
Author(s):  
Katriina Heikkilä ◽  
Ida E. H. Madsen ◽  
Solja T. Nyberg ◽  
Eleonor I. Fransson ◽  
Kirsi Ahola ◽  
...  

The Lancet ◽  
2012 ◽  
Vol 380 (9852) ◽  
pp. 1491-1497 ◽  
Author(s):  
Mika Kivimäki ◽  
Solja T Nyberg ◽  
G David Batty ◽  
Eleonor I Fransson ◽  
Katriina Heikkilä ◽  
...  

F1000Research ◽  
2014 ◽  
Vol 2 ◽  
pp. 233 ◽  
Author(s):  
Ida E. H. Madsen ◽  
Harald Hannerz ◽  
Solja T. Nyberg ◽  
Linda L. Magnusson Hanson ◽  
Kirsi Ahola ◽  
...  

Background: Previous studies have shown that gainfully employed individuals with high work demands and low control at work (denoted “job strain”) are at increased risk of common mental disorders, including depression. Most existing studies have, however, measured depression using self-rated symptom scales that do not necessarily correspond to clinically diagnosed depression. In addition, a meta-analysis from 2008 indicated publication bias in the field. Methods: This study protocol describes the planned design and analyses of an individual participant data meta-analysis, to examine whether job strain is associated with an increased risk of clinically diagnosed unipolar depression based on hospital treatment registers.  The study will be based on data from approximately 120,000 individuals who participated in 14 studies on work environment and health in 4 European countries. The self-reported working conditions data will be merged with national registers on psychiatric hospital treatment, primarily hospital admissions. Study-specific risk estimates for the association between job strain and depression will be calculated using Cox regressions. The study-specific risk estimates will be pooled using random effects meta-analysis. Discussion: The planned analyses will help clarify whether job strain is associated with an increased risk of clinically diagnosed unipolar depression. As the analysis is based on pre-planned study protocols and an individual participant data meta-analysis, the pooled risk estimates will not be influenced by selective reporting and publication bias. However, the results of the planned study may only pertain to severe cases of unipolar depression, because of the outcome measure applied.


2019 ◽  
Vol 54 (5) ◽  
pp. 1901381 ◽  
Author(s):  
Sarah A. Hiles ◽  
Vanessa M. McDonald ◽  
Michelle Guilhermino ◽  
Guy G. Brusselle ◽  
Peter G. Gibson

BackgroundPreventing exacerbations is an important goal of asthma treatment. Long-term treatment with azithromycin may help achieve this. Our aim was to conduct a systematic review and individual participant data (IPD) meta-analysis to examine the efficacy of azithromycin in reducing exacerbations in asthma, and in the subphenotypes of noneosinophilic asthma, eosinophilic asthma and severe asthma.MethodWe completed a systematic search of Embase, MEDLINE, PubMed, Cochrane Library, ClinicalTrials.gov and reference lists of previous systematic reviews in February 2019. We included parallel-group, double-blind, randomised controlled trials in adults comparing at least 8 weeks of azithromycin treatment with placebo, where the outcome of exacerbations was assessed over at least 6 months. Data were extracted from published sources, Cochrane Risk of Bias Tool was applied and IPD were sought from authors. Reviews were undertaken in duplicate. We conducted an IPD meta-analysis on the primary outcome of exacerbations and a random effects meta-analysis for secondary outcomes.ResultsThree studies were identified (n=604). In the IPD meta-analysis, treatment with azithromycin was associated with a reduced rate of exacerbations (oral corticosteroid course due to worsening asthma, antibiotic use for lower respiratory tract infection, hospitalisation and/or emergency department visits) in asthma as well as in the noneosinophilic, eosinophilic and severe asthma subgroups. Examining each exacerbation type separately, patients with eosinophilic asthma reported fewer oral corticosteroid courses, and patients with noneosinophilic and severe asthma reported fewer antibiotic courses. Azithromycin was well tolerated.DiscussionMaintenance use of azithromycin reduces exacerbations in patients with eosinophilic, noneosinophilic and severe asthma.


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