“…The selection of studies for inclusion, from a random sample (N=100) of the papers identified in Medline by the second reviewer, led to an initial 2% disagreement. Five of the 36 selected studies were excluded post hoc for the following reasons: (i) there was low variability in physical load because the study population was restricted to workers with lifting tasks (50,51,95,98,99), (ii) the physical exposures at work were measured by means of a questionnaire on which only 1 of a list of items could be ticked (85), and (iii) the early retirements that were studied did not necessarily have a back disorder as the main diagnosis (25,26). Thus a total of 31 studies was finally included in this review, comprised of 28 cohort studies (27-49, 52-76, 78, 82-84, 86-94, 96, 97, 100, 102-104) and 3 case-referent studies (77,79-81, 101).…”