{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T00:18:23Z","timestamp":1793578703762,"version":"4.5.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:00:00Z","timestamp":1769212800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Traumatic finger\/thumb amputations are common and preventable occupational injuries that impose significant physical, psychological, and financial burdens.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n This study investigated 20-year trends in the incidence of work-related digit amputations (partial\/complete) in Victoria, Australia, from 2003\/2004 to 2022\/2023, and analysed patient profiles and hospital burden during 2013\/2014 to 2022\/2023.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Data were obtained from the Victorian Admitted Episodes Dataset for hospital admissions related to work-related digit amputations (2003\/2004\u20132022\/2023). Poisson regression was used to assess trends over time, while descriptive analyses were conducted to compare patient characteristics and hospital burden.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Age-standardized incidence of work-related digit amputations in Victoria decreased significantly from 12.54 hospital admissions per 100 000 employed persons in 2005\/2006 to 4.71 per 100 000 in 2022\/2023; the modelled annual reduction was 4.655% (95% CI\u2009=\u2009\u22125.23%, \u22123.6%, P\u2009&lt;\u20090.0001). A total of 2144 finger\/thumb amputation\u2013related admissions were recorded between 2013\/2014 and 2022\/2023, occupying 5055 bed days. Rates were similar by age band. Male rates were 10 times higher than female rates, accounting for 91% of cases. Most amputations occurred in metropolitan areas (70%), but rates\/head of population were higher in regional\/rural areas. Mechanical forces caused 95% of amputations, with machinery contact, being caught in objects, and powered saws the major contributors.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Work-related digit amputations have significantly declined over 20\u2009years, with male workers and those in regional\/rural areas disproportionately affected. Despite the decline over time, work-related digit amputations remain common and targeted prevention strategies focusing on high-risk groups and machinery safety are needed to further reduce the incidence and burden.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/occmed\/kqaf134","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T12:59:04Z","timestamp":1765025944000},"page":"57-63","source":"Crossref","is-referenced-by-count":3,"title":["Work-related traumatic finger and thumb amputations: 20-year trends"],"prefix":"10.1093","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4242-5651","authenticated-orcid":false,"given":"Win","family":"Wah","sequence":"first","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University , Melbourne, Victoria 3004,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janneke","family":"Berecki-Gisolf","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University , Melbourne, Victoria 3004,","place":["Australia"]},{"name":"Victorian Injury Surveillance Unit, Monash University Accident Research Centre, Monash University , Melbourne, Victoria 3168,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-1459","authenticated-orcid":false,"given":"Karen","family":"Walker-Bone","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University , Melbourne, Victoria 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