Lifetime prevalence of and factors associated with non-traumatic musculoskeletal pains amongst surgeons and patients

Bernstein, David N.; Sood, Ankit; Mellema, Jos J.; Li, Yue; Ring, David

doi:10.1007/s00264-016-3338-5

Cited by 9 publications

(30 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The PHQ-2 is a two-item measure of symptoms of depression over the past 2 weeks [8,23,26] (Appendix 2). The PCS-4 is a four-item measure with scores rating per item from 0 "not at all" to 4 "all the time" with total scores ranging from 0 to 16 with higher scores representing more catastrophic thinking (defined as mis-or overinterpretation of nociception) [6,8,37] (Appendix 2). The SHAI-5 is a five-item measure that assesses symptoms of health anxiety (the sense that one has a serious health problem despite reassurance to the contrary) [8,24,35].…”

Section: Methodsmentioning

confidence: 99%

Adverse Childhood Experiences Are Not Associated With Patient-reported Outcome Measures in Patients With Musculoskeletal Illness

Ottenhoff

Kortlever

Ring

et al. 2018

Clin Orthop Relat Res

Self Cite

View full text Add to dashboard Cite

Background Adverse childhood experiences (ACEs) affect adult mental health and tend to contribute to greater symptoms of depression and more frequent suicide attempts. Given the relationship between symptoms of depression and patient-reported outcomes (PROs), adversity in childhood might be associated with PROs in patients seeking care for musculoskeletal problems, but it is not clear whether in fact there is such an association among patients seeking care in an outpatient, upper extremity orthopaedic practice. Questions/purposes (1) Are ACE scores independently associated with variation in physical limitations measured among patients seen by an orthopaedic surgeon? (2) Are ACE scores independently associated with variations in pain intensity? (3) What factors are associated with ACE scores when treated as a continuous variable or as a categorical variable? Methods We prospectively enrolled 143 adult patients visiting one of seven participating orthopaedic surgeons at three private and one academic orthopaedic surgery offices in a large urban area. We recorded their demographics and measured ACEs (using a validated 10-item binary questionnaire that measured physical, emotional, and sexual abuse in the first 18 years of life), magnitude of physical limitations, pain intensity, symptoms of depression, catastrophic thinking, and health anxiety. There were 143 patients with a mean age of 51 years, 62 (43%) of whom were men. In addition, 112 (78%) presented with a specific diagnosis and most (n = 79 [55%]) had upper extremity symptoms. We created one logistic and three linear regression models to test whether age, gender, race, marital status, having children, level of education, work status, insurance type, comorbidities, body mass index, smoking, site of symptoms, type of diagnosis, symptoms of depression, catastrophic thinking, and health anxiety were One of the authors certifies that he (DR), or a member of his immediate family, has received or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 from Skeletal Dynamics (Miami, FL, USA), less than USD 10,000 USD from Wright Medical (Memphis, TN, USA) for royalties for elbow implants, is Deputy Editor for the Journal of Hand Surgery, is Deputy Editor for Clinical Orthopaedics and Related Research®, universities and hospitals, and lawyers outside the submitted work. Clinical Orthopaedics and Related Research® neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

show abstract

Section: Methodsmentioning

confidence: 99%

Adverse Childhood Experiences Are Not Associated With Patient-reported Outcome Measures in Patients With Musculoskeletal Illness

Ottenhoff

Kortlever

Ring

et al. 2018

Clin Orthop Relat Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Overall, 17 studies reported on orthopaedic surgeons who required treatment for a MSK condition 4,6-9,21-25,27,28,31,32,38-40 (Table III). Of surgeons with any reported MSK symptom or injury, 27% to 65.7% required nonoperative treatment and 3.2% to 34.3% required surgery 6-9,21-23,25,27,28,31,32,39 . Medical attention was most commonly sought for the neck (14%-73%), knee/lower leg (5.0%-73%), foot/ankle (4.6%-75%), and lower back (12%-64%) 4,9,21-24 .…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, 13 studies estimated the prevalence of wrist/hand symptoms or injury at 10.5% to 54% 4,5,7,9,21-25,27,29,33,36 . Joint pain affected 10.5% to 32.2% of surgeons, wrist/forearm tendinitis 10.9% to 17.4%, carpal tunnel syndrome 8.6% to 25.6%, cubital tunnel syndrome 2.3%, and osteoarthritis 8.7% to 23.3% 4,5,7,21-25,29,33 . One study reported on upper extremity sensorineural symptoms, including arm/hand weakness (4%), finger tingling (29%), finger numbness (21%), and difficulties with fine finger movement (4%) 36 .…”

Section: Resultsmentioning

confidence: 99%

“…The present findings also further understanding on surgeon experiences and behavioral responses when faced with injury. In 1 study, the lifetime prevalence of chronic pain in orthopaedic surgeons was found to be 83%—a prevalence higher than their own patients 25 . This pattern may be explained by surgeons being more aware of or better able to recall bodily pains than the average patient because of their expertise and awareness, which can lead to an elevated reported incidence, or orthopaedic surgery indeed casts greater loads than other occupations.…”

Section: Discussionmentioning

confidence: 96%

“…Of these, 13 studies presented an overall prevalence ranging from 44% to 97% of MSK symptoms or injury involving any body region in this population 4,5,7,9,[21][22][23]25,27,28,31,32,39 . Prevalence of MSK pain ranged from 67% to 97% 4,25,28,31,32 . Prevalence of MSK diagnoses ranged from 44% to 89.4% 5,7,[21][22][23]27 .…”

Section: Msk Injuries Among Orthopaedic Surgeons Overall Prevalencementioning

confidence: 99%

See 2 more Smart Citations

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Covarrubius

Yakkanti

et al. 2023

JBJS Reviews

View full text Add to dashboard Cite

Background:Orthopaedic surgeons are at high risk for experiencing work-related musculoskeletal (MSK) injuries and chronic pain due to repetitive large magnitude forces, altered posture from lead vests, and prolonged irregular body positions. We sought to synthesize available evidence regarding (1) the biomechanics of orthopaedic surgery and (2) MSK injuries sustained by orthopaedic surgeons with subsequent treatment and consequences.Methods:To conduct this systematic review, we queried 4 databases (PubMed, Embase, MEDLINE, and Web of Science) for original research studies presenting on the biomechanics of orthopaedic surgery or MSK injuries sustained by orthopaedic surgeons. Studies were excluded if they were not original research (i.e., reviews) or reported on non-MSK injuries and injuries in patients or nonorthopaedic specialists. The literature search yielded 3,202 publications, 34 of which were included in the final analysis.Results:Eight studies reported on the biomechanics of orthopaedic surgery. Surgeons spent an average 41.6% of operating time slouched. Head and whole spine angles were closest to natural standing position when using a microscope for visualization and with higher surgical field heights. Use of lead aprons resulted in a shifted weight distribution on the forefoot, gain in thoracic kyphosis, and increase in lateral deviation from postural loading. Twenty-six studies reported on MSK symptoms and injuries experienced by orthopaedic surgeons, with an overall prevalence from 44% to 97%. The most common body regions involved were lower back (15.2%-89.5%), hip/thigh (5.0%-86.6%), neck (2.4%-74%), hand/wrist (10.5%-54%), shoulder (7.1%-48.5%), elbow (3.1%-28.3%), knee/lower leg (7.9%-27.4%), and foot/ankle (7%-25.7%). Of surgeons with any reported MSK symptom or injury, 27% to 65.7% required nonoperative treatment, 3.2% to 34.3% surgery, and 4.5% to 31% time off work. Up to 59.3% of surgeons reported that their injuries would negatively influence their ability to perform surgical procedures in the future.Conclusions:The orthopaedic surgeon population experiences a high prevalence of MSK symptoms and injuries, likely secondary to the biomechanical burdens of tasks required of them during strenuous operations.Level of Evidence:Level III. See Instructions for Authors for a complete description of levels of evidence.

show abstract

Orthopaedic surgery patients who use recreational marijuana have less pre-operative pain

Medina

Nadarajah

Jauregui

et al. 2018

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

Lifetime prevalence of and factors associated with non-traumatic musculoskeletal pains amongst surgeons and patients

Cited by 9 publications

References 29 publications

Adverse Childhood Experiences Are Not Associated With Patient-reported Outcome Measures in Patients With Musculoskeletal Illness

Adverse Childhood Experiences Are Not Associated With Patient-reported Outcome Measures in Patients With Musculoskeletal Illness

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Orthopaedic surgery patients who use recreational marijuana have less pre-operative pain

Contact Info

Product

Resources

About