Endoscopy-Related Musculoskeletal Injury in AGA Gastroenterologists is Common while Training in Ergonomics is Rare

Edelman, Krista; Zheng, Jiayin; Erdmann, Alan; Garrett, Melissa; McGreal, Nancy; Moore, Jill; Saha, Sumona; Borum, Marie L.; Toriz, Bertha E.; Provenzale, Dawn; Chow, Shein‐Chung; Corey, Kathleen E.; Cruz‐Correa, Marcia; Shafi, Mehnaz A.; Garman, Katherine S.

doi:10.1016/s0016-5085(17)31025-9

Cited by 15 publications

(7 citation statements)

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“…Not surprisingly, our study demonstrated that those who reported no injuries had a statistically significantly higher reporting of ergonomics training than those who reported injuries. The lack of endoscopy-specific ergonomics education is believed to play a significant role in the overall poor compliance among endoscopists with regard to ergonomic practices 14 , and our study demonstrates a willingness among the majority of fellows (67 % of all responders) to address this issue by receiving ergonomics training. As such, we believe there is a need to train the instructors in applying endoscopic-specific ergonomic principles to their education of fellows and that there is a clear role for widespread education and implementation of guidelines for best clinical practice of ergonomics 3 14 15 16 .…”

Section: Discussionmentioning

confidence: 68%

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

et al. 2019

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Background and study aims Gastroenterologists are at high risk for work-related musculoskeletal injuries. Studies have shown that 37 % to 89 % of endoscopists have work-related musculoskeletal injuries. While all surveys until now have focused on practicing endoscopists, there have been no publications assessing the prevalence of musculoskeletal injuries among gastrointerology fellows, which we sought to investigate. Methods A 22-question survey about ergonomics and work-related musculoskeletal injuries was sent to 114 gastroenterology fellows in different programs across the United States in June 2016, and an additional 103 surveys were distributed at Digestive Disease Week in May 2017. Responses were collected, and data were analyzed. Results A total of 156 surveys were collected. Of these, 74 fellows (47 %) reported a new musculoskeletal injury related to endoscopy. Injuries occurred mostly in the first year of fellowship (85 %, P < 0.001). The most common sites of injury were the right wrist (53 %), left thumb (42 %), back (27 %), and neck (22 %). Only 26 % those who had endoscopy-related musculoskeletal injuries had received training in ergonomics compared to 45 % of those who did not have injury (P = 0.012), and ergonomics training was highly desirable among respondents, particularly among those with previous injuries (P = 0.0030) Conclusion Musculoskeletal injuries related to endoscopy are very common among gastroenterology fellows, particularly during the first year of fellowship. While the overall percentage of fellows who received training in ergonomics was low, those who did receive training were less like to report a musculoskeletal injury. There is an urgent need for ergonomics training among Gastroenterology fellows.

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Section: Discussionmentioning

confidence: 68%

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

et al. 2019

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“…Our results highlight the fact that despite lack of a formal training program in ergonomics, it is a matter of interest for endoscopists in our country. In a survey of 826 American Gastroenterology Association endoscopists, only 4.5 % received ergonomics training during the fellowship [36]. ASGE guidelines may have been the starting point for a paradigm shift [32], with apparent beneficial effect already evident in the survey by Villa et al [22].…”

Section: E478mentioning

confidence: 99%

Prevalence, risk factors and global impact of musculoskeletal injuries among endoscopists: a nationwide European study

et al. 2020

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Background and study aims Previous studies have suggested a high prevalence of musculoskeletal injuries (MI) in endoscopists. Little evidence has come from European countries. Our main aim was to evaluate the prevalence, type, and impact of MI among Portuguese endoscopists. We also sought to identify risk factors for the development, severity and number of endoscopy-related MI. Material and methods A 48-question electronic survey was developed by a multidisciplinary group. The electronic survey was sent to all members of Portuguese Society of Gastroenterology (n = 705) during May 2019. Study data were collected and managed using REDCap electronic data capture tools hosted at SPG – CEREGA. Results The survey was completed by 171 endoscopists (response rate of 24.3 %), 55.0 % female with a median age of 36 years (range 26–78). The prevalence of at least one MI related to endoscopy was 69.6 % (n = 119), the most frequent being neck pain (30.4 %) and thumb pain (29.2 %). The median time for MI development was 6 years (range 2 months-30 years). Severe pain was reported by 19.3 %. Change in endoscopic technique was undertaken by 61.3 % and reduction in endoscopic caseload was undertaken by 22.7 %. Missing work was reported by 10.1 %, with the median time off from work being 30 days (range 1–90). Female gender and ≥ 15 years in practice were independently associated with MI and severe pain. Years in practice, weekly-time performing endoscopy, and gender were significant predictors of the number of MI. Conclusions Prevalence of MI was significant among Portuguese endoscopists and had a relevant impact on regular and professional activities.

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“…The issue is worth addressing for better clinical practice of ergonomics and better outcomes not only for qualified but also skilled HCPs (endoscopists). [20][21][22] Although our findings indicate a higher prevalence of ergonomic injuries among endoscopists than among non-endoscopists, several study limitations need to be considered. Among the studied predictors or contributing factors, none was found to significantly contribute to ergonomic injuries and MSK pain among endoscopists.…”

Section: Discussionmentioning

confidence: 68%

Ergonomic Injuries in Endoscopists and Their Risk Factors

Kamani

Kalwar²

2021

Clin Endosc

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Work-related musculoskeletal (MSK) injury is the principal occupational health problem reported by the majority of health-care providers (HCPs), as routine practice poses a continuous risk. Moreover, MSK injury is an often reported complaint among endoscopists. 1-5 The continuous occupational load and its associated risks have been known to affect the overall quality of life and the working routine of physicians. Ergonomic injuries have been reported to occur owing to static muscle loading, repetitive movements, and inappropriate body posture during procedures. 6,7 Additionally, continuous repetitive procedures, lack of breaks, and personal routines and practices of HCPs double the risk of occupational injuries. 8 Ergonomic injuries leading to pain in MSK sites (neck, low back, thumb, and hand) are frequently reported by HCPs, specifically endoscopists. 3,4 Previous studies have reported that the overall prevalence of these procedural injuries among endoscopists ranges from 39 % to 89 %. 9,10 Endoscopy has become the most important and frequently performed procedure in gastroenterology. 11 Therefore, the injury risk is comparatively higher among physicians and surgeons involved in endoscopic procedures. Additionally, the disease crisis has intensified during the recent years, thus increasing procedural stress and predisposing endoscopists to occupational injuries at a high rate. 12 Currently, work-related MSK disorders and the associated ergonomic mechanisms are points of concern for the health sector. The condition is threatening for both HCPs and patients, as it results in compromised occupational per

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Endoscopy-Related Musculoskeletal Injury in AGA Gastroenterologists is Common while Training in Ergonomics is Rare

Cited by 15 publications

References 0 publications

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

Prevalence, risk factors and global impact of musculoskeletal injuries among endoscopists: a nationwide European study

Ergonomic Injuries in Endoscopists and Their Risk Factors

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