Conclusions : Neck pain was not significantly associated with high job dem and s , low skill discretion , low decision authority , or low peer support .
However , when these variables were combined with increased duration of computing tasks , or ergonomic dem and s , they reached significance .
Supervisor support was found to be the only significant buffer capable of preventing these variables reaching significance in female office workers
Introduction : The purpose of this systematic review was to examine literature on workplace factors associated with  neck pain or symptoms in computer users performing clerical functions .
Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement.
OBJECTIVE In the course of performing systematic review s on the prevalence of low back and neck pain , we required a tool to assess the risk of study bias . Our objectives were to ( 1 ) modify an existing checklist and ( 2 ) test the final tool for interrater agreement . STUDY DESIGN AND SETTING The final tool consists of 10 items addressing four domains of bias plus a summary risk of bias assessment . Two research ers tested the interrater agreement of the tool by independently assessing 54 r and omly selected studies .  Interrater agreement overall and for each individual item was assessed using the proportion of agreement and Kappa statistic . RESULTS Raters found the tool easy to use , and there was high interrater agreement : overall agreement was 91 % and the Kappa statistic was 0.82 ( 95 % confidence interval : 0.76 , 0.86 ) . Agreement was almost perfect for the individual items on the tool and moderate for the summary assessment . CONCLUSION We have addressed a research gap by modifying and testing a tool to assess risk of study bias . Further research may be useful for assessing the applicability of the tool across different conditions
Conclusions : Neck pain was not significantly associated with high job dem and s , low skill discretion , low decision authority , or low peer support .
However , when these variables were combined with increased duration of computing tasks , or ergonomic dem and s , they reached significance .
Supervisor support was found to be the only significant buffer capable of preventing these variables reaching significance in female office workers
Introduction : The purpose of this systematic review was to examine literature on workplace factors associated with  neck pain or symptoms in computer users performing clerical functions .