Workload and cross-harvest kidney injury in a Nicaraguan sugarcane worker cohort.
Erik HanssonJason GlaserIlana WeissUlf EkströmJenny ApelqvistChrister HogstedtSandra PerazaRebekah LucasKristina JakobssonCatharina WesselingDavid H WegmanPublished in: Occupational and environmental medicine (2020)
Workers considered to have the highest workload had more cross-harvest kidney damage than workers with less workload. Work practices preventing heat stress should be strengthened and their role in preventing kidney damage examined further. Future occupational studies on chronic kidney disease of unknown aetiology should account for a healthy worker effect by pursuing those lost to follow-up.