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Clermont E Dionne

Clermont E Dionne
Laval University, Faculty of Medicine · Department of Social and Preventive Medicine

PhD in Epidemiology, School of Public Health, U Washington (Seattle) 1995

About

186
Publications
40,012
Reads
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5,353
Citations
Additional affiliations
July 2012 - present
Hôpital du Saint-Sacrement
Position
  • Centre hospitalier universitaire (CHU) de Québec
June 1999 - July 2012
Centre hospitalier affilié universitaire de Québec (CHA)
April 1995 - December 2021
Laval University
Position
  • Chair
Education
October 1991 - April 1995
University of Washington Seattle
Field of study
  • Epidemiology

Publications

Publications (186)
Article
Back pain brings about one of the heaviest burden of disease. Despite much research, this condition remains poorly understood and effective treatments are frustratingly elusive. Thus, researchers in the field need to consider new hypotheses. Vitamin C (ascorbic acid) is an essential co-factor for collagen crosslinks, a key determinant of ligament,...
Article
Study design: A nationwide cross-sectional study. Objectives: To measure the associations between cigarette smoking (defined as serum cotinine concentration > 15 ng/ml) and the 3-month prevalence of spinal pain (neck pain, low back pain, low back pain with pain below knee, and self-reported diagnosis of arthritis/rheumatism) and related limitati...
Article
Contexte Les douleurs chroniques non cancéreuses (DCNC) ont de multiples causes et affectent souvent les os, les muscles et les articulations. Malheureusement, les options pharmacologiques actuelles ne permettent souvent pas leur soulagement optimal. Bien que les propriétés analgésiques du cannabis soient connues depuis des millénaires les évidence...
Article
Objective: To develop a clinical practice guideline (CPG) covering the assessment, management, and return to work of adults with rotator cuff disorders. Design: Clinical practice guideline. Methods: Using systematic reviews, appraisal of the literature and an iterative approach to obtain consensus from key stakeholders, clinical recommendation...
Article
Objective: To present the methods used to develop a clinical practice guideline (CPG) with recommendations endorsed by key stakeholders for assessing, managing, and supporting return to work for adults with rotator cuff disorders. Design: Clinical practice guideline development. Methods: A steering committee composed of the research team of th...
Article
Study design: The 16th meeting of the International Forum for Back and Neck Pain Research in Primary Care was held in Québec City in July 2019 under the theme of innovation. This paper addresses the state of research in the field. Objective: To ascertain the evolution of knowledge and clinical application in back and neck pain and identify shift...
Article
Full-text available
Objectives This study was an in-depth exploration of unique data from a nationally representative sample of adults living in the United States to identify biomarkers associated with musculoskeletal pain. Methods We performed secondary analyses of 2003–2004 NHANES data. After a first screening of 187 markers, analyses of 31 biomarkers were conducte...
Article
Full-text available
Background: Patients with noncardiac chest pain (NCCP) report more severe symptoms and lowered health-related quality of life when they present with comorbid panic disorder (PD). Although generalized anxiety disorder (GAD) is the second most common psychiatric disorder in these patients, its impact on NCCP and health-related quality of life remain...
Article
Full-text available
Aim: The high heterogeneity in the definitions of low back pain encountered in the literature has led to the development of standardized definitions of this condition called “Delphi definitions of low back pain prevalence (Delphi DOLBaPP)” by a group of international researchers. In order to be widely used, these definitions need to be adapted acco...
Article
Full-text available
Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non-cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and frequently consist of pain management with non-steroidal anti-inflammatories, gabapentinoids, or opioids, which carry major adverse effect...
Article
Purpose: The aim of this study was to check if self-reported smoking is still associated with back pain above and beyond its association with cotinine, to test the hypothesis that the association of self-reported cigarette smoking with back pain is due to residual confounding. Methods: Secondary analyses of population-based cross-sectional data...
Preprint
Full-text available
Background: Previous studies on the prevalence of low back pain have found large variations between different population-based studies. The use of different definitions could partly explain these differences. In a Delphi study 28 experts in back pain research agreed on standardized items: the "Delphi Definitions of Low Back Pain Prevalence” (DOLBaP...
Article
L’intervention coronarienne percutanée (ICP) et le pontage aortocoronarien (PAC) sont deux procédures de revascularisation visant à traiter la maladie coronarienne athérosclérotique. La perception du patient face à celles-ci influencerait l’anxiété et la dépression au stade postopératoire. Toutefois, peu d’études ont documenté l’impact de ces procé...
Preprint
Full-text available
Background Patients with noncardiac chest pain (NCCP) report more severe symptoms and lowered health-related quality of life when they present with comorbid panic disorder (PD). Although generalized anxiety disorder (GAD) is the second most common psychiatric disorder in these patients, its impact on NCCP and health-related quality of life remains...
Article
Background Chronic low-grade inflammation has been associated with high risk of several chronic diseases such as cardiovascular diseases, diabetes, depression, and dementia. As low-grade inflammation could be present long before the apparition of the disease, identifying modifiable risk factors could allow to act upstream. Psychosocial stressors at...
Article
Objectives Psychosocial stressors at work have been proposed as modifiable risk factors for mild cognitive impairment (MCI). This study aimed to evaluate the effect of cumulative exposure to psychosocial stressors at work on cognitive function. Methods This study was conducted among 9188 white-collar workers recruited in 1991–1993 (T1), with follo...
Article
Full-text available
Purpose The objective of this study was to identify organizational factors that are predictive of return-to-work (RTW) among workers with musculoskeletal (MSD) and common mental disorders (CMD), and to subsequently catalogue and characterize the questionnaires (tools) used to measure them. Methods A systematic search on PubMed, Web of Science and P...
Article
Full-text available
Background Anxiety is associated with poorer prognosis in patients with coronary artery disease (CAD). Due to their severity and chronic course, anxiety disorders, particularly generalized anxiety disorder (GAD) and panic disorder (PD), are of considerable interest and clinical importance in this population. This study has two main objectives: (1)...
Article
Full-text available
Background Low back pain (LBP) is the first cause of years lived with disability worldwide. This is due to the development of chronic pain. Thus, it is necessary to identify the best therapeutic approaches in the acute phase of LBP to limit the transition to chronic pain. Superficial heat presents the highest level of evidence for short-term reduct...
Article
Full-text available
The aim of this study was to determine the wound healing outcomes of patients with a plantar diabetic foot ulcer (DFU) treated with an interdisciplinary team approach, and to identify associated variables. A retrospective observational cohort study of 140 adult patients, with a plantar DFU, treated between 2012 and 2018 at a wound care clinic of a...
Article
Objectives Diabetic foot ulcer (DFU), a serious complication of diabetes, is associated with increased morbidity and mortality and presents a substantial socioeconomic burden. However, DFU quality of care has been insufficiently studied. Therefore, the aim of this study was to evaluate the quality of DFU care at an interdisciplinary wound care clin...
Article
Full-text available
Background: Noncardiac chest pain (NCCP) is one of the leading reasons for emergency department visits and significantly limits patients' daily functioning. The protective effect of physical activity has been established in a number of pain problems, but its role in the course of NCCP is unknown. This study aimed to document the level of physical...
Preprint
Full-text available
Background: The scientific literature shows an association between inflammatory arthritis and cardiovascular diseases (CVD) with inflammation being a shared characteristic between the two types of diseases. Among patients with arthritis, it is possible that the protective factors against inflammation, such as vitamin D, are also protective factors...
Technical Report
Full-text available
Despite growing interest, and regulation to address mental health in the workplace, stakeholders report that they feel unsure about how, when, and what types of occupational mental health interventions are necessary. Furthermore, employers and organizations face ever increasing financial pressure that often requires clear financial benefit in order...
Preprint
Full-text available
Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and mainly consist of pain management with gabapentinoids or opioids, which carry major adverse effects. Although the effectiveness of medical...
Preprint
Full-text available
Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and frequently consist of pain management with non-steroidal anti-inflammatories, gabapentinoids or opioids, which carry major adverse effects...
Article
Objectives: To perform a systematic review of clinical practice guidelines (CPGs) and semantic analysis of specific clinical recommendations for the management of rotator cuff disorders in adults. Data sources: A systematic bibliographic search was conducted up until May 2018 in Medline, Embase and PeDro databases, in addition to twelve clinical...
Article
Background: Shoulder pain is one of the most frequent musculoskeletal complaints, and its prevalence and consequences increase with age. However, little is known about the incidence of shoulder pain among aging adults. We conducted this review to estimate the incidence of shoulder pain in ageing adults and its associated factors. Databases And Dat...
Article
This study documented the 6-month incidence of panic disorder and its predictors in emergency department patients with panic attacks and non-cardiac chest pain. The assessment included a validated structured interview to identify panic attacks and questionnaires measuring the potential predictors of panic disorder. Presence of panic disorder was as...
Article
Objective: Evaluate the effect of the Quebec Healthy Enterprise Standard (QHES) on adverse physical and psychosocial work factors and work-related musculoskeletal problems (WMSP). Methods: Workers of ten organizations completed questionnaires before (n = 2849) and 2-3 years following (n = 2560) QHES implementation. Outcomes were assessed using v...
Article
Objectives: We sought to reduce the 90% rate of missed diagnoses of panic-like anxiety (panic attacks with or without panic disorder) among emergency department patients with low risk noncardiac chest pain by validating and improving the Panic Screening Score (PSS). Method: A total of 1,102 patients with low risk noncardiac chest pain were prosp...
Article
Objective: To determine inter-rater agreement and utility of the Consensus on Exercise Reporting Template (CERT) for evaluating reporting of musculoskeletal exercise trials. Study design and setting: Two independent reviewers applied the CERT to a random sample of 20 exercise trials published 2010 to 2015 identified from searches of PEDro, CENTR...
Article
Objective: To assess work absenteeism and presenteeism, and to identify biopsychosocial predictors of these outcomes in workers with non-cardiac chest pain (NCCP). Methods: This retrospective cohort study included 375 active workers consulting in an emergency room for NCCP. Results: About 66% (247/375) of participants reported work absenteeism...
Conference Paper
Introduction Work-related musculoskeletal problems (WMSP) are amongst the most frequent and costly health problems experienced by the working population. Both adverse physical and psychosocial work factors can lead to WMSP. The Healthy Enterprise Standard (HES) targets four intervention areas, including the Workplace environment and the Management...
Article
In the last decades, interactions between health professionals have mostly been discussed in the context of interprofessional teamwork where professionals work closely together and share a team identity. Comparatively, little work has been done to explore interactions that occur between professionals in contexts where traditionally formal structure...
Article
Full-text available
Objective To compare the duration of financial compensation and the occurrence of a second episode of compensation of workers with occupational back pain who first sought three types of healthcare providers. Methods We analyzed data from a cohort of 5511 workers who received compensation from the Workplace Safety and Insurance Board for back pain i...
Article
Full-text available
Purpose To identify the characteristics associated with the timing of the first healthcare consultation and to measure the impact of that timing on the duration of the first episode of compensation for occupational back pain following the injury. Methods We analyzed data from a cohort of workers with compensated back pain in 2005 in Ontario obtaine...
Article
Objective: To perform a systematic review and meta-analysis of randomized controlled trials on the efficacy of workplace-based interventions to prevent or treat shoulder pain. Data sources: A systematic review of 4 databases was performed up to January 2016. Study selection: Randomized controlled trials were included if the intervention under...
Technical Report
Full-text available
Musculoskeletal disorders of the shoulder constitute a major problem among the general population and particularly among workers. This type of disorder affects the shoulder’s functional status and the quality of life of the individuals involved. In the case of workers, it can lead to problems of absenteeism and losses of productivity. Workers who p...
Article
Full-text available
Background Mental health problems (MHP) are the leading cause of disability worldwide. The inverse association between socioeconomic position (SEP) and MHP has been well documented. There is prospective evidence that factors from the work environment, including adverse psychosocial work factors, could contribute to the development of MHP including...
Article
Full-text available
This study examined the prevalence of emergency department visits prompted by panic attacks in patients with non-cardiac chest pain. A validated structured telephone interview was used to assess panic attacks and their association with the emergency department consultation in 1327 emergency department patients with non-cardiac chest pain. Patients...
Article
Full-text available
Background Few studies have compared the factors that drive patients’ decision to choose a chiropractor, physician or physiotherapist as their first healthcare provider for occupational back pain. The purpose of this study is to identify characteristics associated with the choice of first healthcare provider seen for acute uncomplicated occupationa...
Article
Exercise is effective for prevention and management of acute and chronic health conditions. However, trial descriptions of exercise interventions are often suboptimal, leaving readers unclear about the content of effective programmes. To address this, the 16-item internationally endorsed Consensus on Exercise Reporting Template (CERT) was developed...
Article
Background: Shoulder disorders lead to substantial productivity loss and determinants and predictors of sick leave are poorly known. Objective: To perform a systematic review on determinants and predictors of sick leave and delayed return-to-work (RTW) in workers with shoulder disorders. Methods: A systematic literature search was conducted an...
Article
Full-text available
Objective: To perform a systematic review of randomized controlled trials (RCTs) on the efficacy of therapeutic exercises for workers suffering from rotator cuff (RC) tendinopathy. Methods: A literature search in four bibliographical databases (Pubmed, CINAHL, EMBASE, and PEDro) was conducted from inception up to February 2015. RCTs were include...
Article
Purpose : Although there have been increasing demands for health care providers to take part in inter-professional practices in recent years, very little attention has been paid to the actualization of such practices in the private sector. This study describes private-sector physiotherapists' inter-professional practices regarding low back pain (L...
Poster
Full-text available
The prevalence of hypovitaminosis C in the general population is high. Our study shows associations between vitamin C and spinal pain that warrant further investigation to determine the possible importance of vitamin C in the treatment of back pain patients.
Article
Full-text available
Background: Exercise interventions are often incompletely described in reports of clinical trials hampering evaluation of results and replication and implementation into practice. Objective: To develop a standardized method for reporting exercise programs in clinical trials, the Consensus on Exercise Reporting Template (CERT). Design and method...
Article
Full-text available
Background: The prevention of work disability is beneficial to employees and employers, and mitigates unnecessary societal costs associated with social welfare. Many service providers and employers have initiated workplace interventions designed to reduce unnecessary work disability. Objective: To conduct a best-evidence synthesis of systematic re...
Article
Interprofessional collaboration is recommended in health systems everywhere, but research on its measurement is needed. This psychometric study assessed the construct validity, internal consistency, and test-retest reliability of the Intensity of Interprofessional Practices Questionnaire for Private-Sector Physiotherapists (IIPQ-PT). A random sampl...
Article
Interprofessional collaboration is recommended in health systems everywhere, but research on its measurement is needed. This psychometric study assessed the construct validity, internal consistency, and test-retest reliability of the Intensity of Interprofessional Practices Questionnaire for Private-Sector Physiotherapists (IIPQ-PT). A random sampl...
Article
Full-text available
Background: Mental health issues in the workplace are a growing concern among organizations and policymakers, but it remains unclear what interventions are effective in preventing mental health problems and their associated organizational consequences. This synthesis reports on workplace mental health interventions that impact absenteeism, product...
Article
Musculoskeletal disorders are extremely frequent and account for an important part of the global burden of disease. Risk factors for musculoskeletal disorders include sustained occupational exposure to physically demanding jobs. The effects of sustained occupational physical exposures on knee and shoulder pain are known to persist after retirement;...
Article
Exercise is effective for prevention and management of acute and chronic health conditions. However, trial descriptions of exercise interventions are often suboptimal, leaving readers unclear about the content of effective programmes. To address this, the 16-item internationally endorsed Consensus on Exercise Reporting Template (CERT) was developed...
Article
Full-text available
Background: There is controversy surrounding the impact of workplace interventions aimed at improving social support and supervisory quality on absenteeism, productivity and financial outcomes. Objective: To determine the value of social support interventions for work outcomes. Methods: Databases were searched for systematic reviews between 20...
Article
Full-text available
Study design: A cross-sectional survey. Objective: The purpose of this study was to identify characteristics of Canadian doctors of chiropractic (DCs) associated with their number of workers’ compensation patients. Summary of background data: It has been previously hypothesized that DCs that treat a relatively high volume of workers’ compensation c...
Article
Objective: To perform a systematic review on the efficacy of transcutaneous electrical nerve stimulation (TENS) for the treatment of rotator cuff tendinopathy in adults. Methods: A literature search was conducted in four databases (CINAHL, Embase, PubMed and PeDRO) for randomised controlled trials published from date of inception until April 201...
Article
Full-text available
Background While minimalist running shoes may have an influence on running biomechanics and on the incidence of overuse injuries, the term "minimalist" is currently used without standardisation. The objectives of this study were to reach a consensus on a standard definition of minimalist running shoes, and to develop and validate a rating scale tha...