Future Endoscopy-Related Injuries Will Be of Different Types and Gender-Equal

Marlicz, Wojciech; Koulaouzidis, Anastasios; Koulaouzidis, George

doi:10.14309/ajg.0000000000001308

Cited by 5 publications

(12 citation statements)

References 6 publications

(6 reference statements)

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“…The importance of the ergonomic time-out could be highlighted during endoscopy-specific ergonomic training. Only a small portion of the endoscopists have received such training (18 %), despite its potential benefits in reducing MSIs 9 30 31 . In the study, no correlation between participating in an ergonomic training and occurrence of work-related MSIs was found, differently from what previously reported 19 .…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal endoscopy and work-related injuries: an international survey

Bessone

Adamsen

2022

Endosc Int Open

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Background and study aims Recently, the awareness of work-related musculoskeletal injuries (MSIs) among gastrointestinal endoscopists has increased because of their effect on the private and work life of clinicians as well as on the health care system. The high injury incidence (reported to range from 37 % to 89 %) has been correlated with the intensive muscular demand required during a procedure. Patients and methods An online survey with 32 questions was conducted globally. Clinically active endoscopists (doctors and nurses) participated anonymously and voluntarily. The questionnaire included questions about endoscopist anthropometrics, experience of MSI, treatment, and preventive measures such as ergonomic training. Descriptive statistics were used to analyse the data. Results Of 204 clinicians (78 % males; 81 % > 35 years of age), 107 (53 %) stated to have experienced a work-related MSI. The most frequent locations were in the neck (n = 49), shoulder and thumb (n = 39, both). Female clinicians resulted to be significantly more prone to develop MSI. In addition, endoscopists who performed more than 15 hours of endoscopy or more than 15 procedures per week reported a significantly higher rate of MSI. Conclusions The high frequency of MSIs among gastrointestinal endoscopists highlights the importance of implementing ergonomic training. Including simple precautions before and during endoscopy may reduce the risk of developing an injury.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal endoscopy and work-related injuries: an international survey

Bessone

Adamsen

2022

Endosc Int Open

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“…Second, long-term evaluations of ergonomic interventions in endoscopy will prove invaluable to determine whether they are sustainable. Finally, studies across the spectrum of endoscopist training level (e. g. novice vs. experienced) and characteristics (e. g. age, sex) 22 23 are needed to elucidate nuances that can affect implementation. For example, interventions may need to be tailored to endoscopist sex to better reflect mitigate differences in MSPI, such as the proclivity of women to develop upper extremity injuries 22 .…”

Section: Discussionmentioning

confidence: 99%

Educational interventions to improve ergonomics in gastrointestinal endoscopy: a systematic review

et al. 2022

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Background and study aims Endoscopists are at high risk of musculoskeletal pain and injuries (MSPI). Recently, ergonomics has emerged as an area of interest to reduce and prevent the incidence of MSPI in endoscopy. The aim of this systematic review was to determine educational interventions using ergonomic strategies that target reduction of endoscopist MSPI from gastrointestinal endoscopy. Methods In December 2020, we conducted a systematic search in MEDLINE, EMBASE, PsycINFO, Web of Science, Scopus, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews for articles published from inception to December 16, 2020. Studies were included if they investigated educational interventions aimed at changing knowledge and/or behaviors related to ergonomics in gastrointestinal endoscopy. After screening and full-text review, we extracted data on study design, participants, type of training, and assessment of primary outcomes. We evaluated study quality with the Medical Education Research Study Quality Instrument (MERSQI). Results Of the initial 575 records identified in the search, five met inclusion criteria for qualitative synthesis. We found that most studies (n = 4/5, 80 %) were single-arm interventional studies that were conducted in simulated and/or clinical settings. The most common types of interventions were didactic sessions and/or videos (n = 4/5, 80%). Two (40 %) studies used both standardized assessment studies and formal statistical analyses. The mean MERSQI score was 9.7. Conclusions There is emerging literature demonstrating the effectiveness of interventions to improve ergonomics in gastrointestinal endoscopy.

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“…1 ), 15 which could be induced by endoscopy or hospital-related tasks, such as computer work. 29 However, female endoscopists were more affected in the upper extremities whereas males in their back. 29 Occupational risks related to continuous and repetitive movements contribute to MSI; however, other bias could be originated from posture-related injuries 30 or chronic stress during work 31 could confound the data.…”

Section: Sex/gender Issue From the Perspective Of Gastroenterologistsmentioning

confidence: 99%

Sex/gender differences in gastrointestinal endoscopy from the perspective of patients and gastroenterologists

Kim

2023

Clin Endosc

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The sex/gender of gastroenterologists impact patients’ satisfaction, compliance, and clinical outcomes. For instance, female gastrointestinal (GI) endoscopist–patient gender concordance improves health-related outcomes. This finding suggests that it is important to increase the number of female GI endoscopists. While the number of women in the field of gastroenterology is increasing in the United States and Korea by over 28.3%, it is not enough to account for the gender preferences of female patients. GI endoscopists are at a high risk of endoscopy-related injuries. However, there is a different distribution of muscle and fat; male endoscopists are more affected in their back, while females are more affected in the upper extremities. Women are more susceptible to endoscopy-related injuries than men. There is a correlation between the number of colonoscopies performed and musculoskeletal pain. Job satisfaction is lower in young female gastroenterologists (30’ and 40’) than in the opposite gender and other ages. Thus, it is important to address these issues in the development of GI endoscopy.

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Future Endoscopy-Related Injuries Will Be of Different Types and Gender-Equal

Cited by 5 publications

References 6 publications

Gastrointestinal endoscopy and work-related injuries: an international survey

Gastrointestinal endoscopy and work-related injuries: an international survey

Educational interventions to improve ergonomics in gastrointestinal endoscopy: a systematic review

Sex/gender differences in gastrointestinal endoscopy from the perspective of patients and gastroenterologists

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