Musculoskeletal injury and ergonomics in pediatric gastrointestinal endoscopic practice

Ruan, Wenly; Walsh, Catharine M.; Pawa, Swati; D’Souza, Susan; Banerjee, Promila; Kothari, Shivangi; McCreath, Graham A.; Fishman, Douglas S.

doi:10.1007/s00464-022-09455-9

Cited by 8 publications

(13 citation statements)

References 44 publications

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“…The career prevalence of de Quervain's tenosynovitis was 8.5% (95%CI 0.1%-17.0%; I 2 = 98.6%) (▶ Fig. 3) [10,16,17,21,22]. Hand injury or numbness was present in 10.1% (95%CI 3.5%-16.7%) [7,19,20,21,22].…”

Section: Discussionmentioning

confidence: 98%

“…3) [10,16,17,21,22]. Hand injury or numbness was present in 10.1% (95%CI 3.5%-16.7%) [7,19,20,21,22]. ▶ Co-primary outcome: prevalence of endoscopy-related pain…”

Section: Discussionmentioning

confidence: 99%

“…[13] Characteristics of the included studies Data was extracted from 12 studies including 4563 respondents, 3172 were doctors while 22 were GI nurses and technicians. [7,10,[14][15][16][17][18][19][20][21][22][23] The surveys included gastroenterologist, general surgeons, colorectal surgeons performing colonoscopies, nurses, and endoscopy technicians. Of two studies performed from the same center, the paper with higher response rates was selected.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…[7,10,14-17,19-22] The career prevalence of DQTS was 8.5 % (95% CI: 0.1, 17.0, I 2: 98.6%) (Figure 3). [10,16,17,21,22] Hand injury or numbness was present in 10.1% (3.5, 16.7%). [7,[19][20][21][22] 12…”

Section: Co-primary Outcome: Prevalence Of Endoscopic Related Injuriesmentioning

confidence: 99%

“…Eleven studies assessed the impact of ERI on the clinical practice of endoscopists [7,10,[14][15][16][18][19][20][21][22][23]. Of the 4782 respondents, 601 (12.6%) respondents reported missing work due to injuries while the number of missed workdays ranged from 1 to 90 days.…”

Section: Secondary Outcome: Impact Of Endoscopy Related Injuries On C...mentioning

confidence: 99%

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Prevalence of endoscopy-related injuries and their impact on clinical practice: a systematic review and meta-analysis

Singh,

Aggarwal,

Mohan

et al. 2024

Endoscopy

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BACKGROUND: Endoscopy related musculoskeletal injuries (ERI) are commonly reported but its exact prevalence and clinical impact remains obscure. We conducted a systematic review and meta-analysis of the present literature to answer these questions. METHODS: MEDLINE, Embase and Scopus databases were searched for studies evaluating ERI in gastroenterologists, and surgeons. The co-primary outcome was to assess prevalence of endoscopy related injuries ie. Carpal tunnel syndrome (CTS), De Quervain’s tenosynovitis (DQTS) and hand numbness. The other co-primary outcome was to assess prevalence of endoscopy related pain syndromes in the present literature. RESULTS: Twelve studies including 4563 respondents were included. Majority of the participants were males (3321, 72.7%) and most were right-handed (86.2%). The career prevalence of CTS as pooled from ten studies was 5.3% (95% CI: 1.5%, 8.9%, I2=97.1%), while prevalence of DQTS as reported by five studies was 8.5% (95% CI 0.1%, 17.0%). The pooled prevalence of thumb pain, neck pain and back pain was 25.4%, 23.1% and 19.7% respectively but the prevalence varied according to the type of questionnaires used. Only 341 of 864 (39.4%) respondents had received prior training in ergonomics while 623 of 889 (69.0%) respondents expressed a desire for further training in ergonomics. Overall, there is a moderate risk of bias in the present literature. CONCLUSION: Endoscopy related injuries of CTS, DQTS and endoscopy related pain are very common. These injuries can be severe, requiring surgery, and lead to loss of productivity. Most gastroenterologist report an unmet need for training in proper ergonomics of endoscopy.

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Section: Discussionmentioning

confidence: 98%

“…3) [10,16,17,21,22]. Hand injury or numbness was present in 10.1% (95%CI 3.5%-16.7%) [7,19,20,21,22]. ▶ Co-primary outcome: prevalence of endoscopy-related pain…”

Section: Discussionmentioning

confidence: 99%