Prevalence and risk factors for musculoskeletal injuries related to endoscopy

Ridtitid, Wiriyaporn; Coté, Gregory A.; Leung, Wesley D.; Buschbacher, Ralph M.; Lynch, Sheryl; Fogel, Evan L.; Watkins, James L.; Lehman, Glen A.; Sherman, Stuart; McHenry, Lee

doi:10.1016/j.gie.2014.06.036

Cited by 81 publications

(113 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Taking these into account, we performed a nationwide study on this topic. Prevalence of endoscopy-related MI was 69.6 %, significantly higher compared to most of the previous studies, including the survey among all ASGE members (prevalence of 53 %) [10] and the study among Japanese endoscopists (prevalence of 43 %) [20], but inferior to the study in Korean endoscopists (89.1 %) [18]. It is important to note that the workload among respondents in our study was significant, with a median of 25 hours per week spent performing endoscopy.…”

Section: Discussioncontrasting

confidence: 56%

“…On the other hand, differences in endoscopy practice are known, even among different European countries [7]. Except for the study by Ridtitid et al [10] that evaluated all active members of ASGE, quality issues in previous studies arose mainly from the fact that the survey responders were selfselected, being unclear if that led to response modulation [24]. Taking these into account, we performed a nationwide study on this topic.…”

Section: Discussionmentioning

confidence: 99%

“…Despite previous American [10,17,19,[22][23], Korean [18], and Japanese [20] reports on this topic, little evidence has come from European countries. Therefore, our main aim was to evaluate prevalence, type, and impact of MI in regular and labor activity among Portuguese endoscopists.…”

Section: Introductionmentioning

confidence: 99%

“…Gastrointestinal endoscopy has assumed an exponential role in the diagnostic and therapeutic approach of conditions, with an increasing number of procedures performed worldwide [7][8][9]. The ever-growing performance of longer, more complex and technically challenging procedures such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography (EUS), endoscopic submucosal dissection (ESD) or natural orifice transluminal endoscopic surgery (NOTES) may predispose endoscopists to higher rates of overuse injuries than previously reported [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review estimated that 39 % to89 % of endoscopists developed work-related MI [24]. A recent study among active members of the American Society for Gastrointestinal Endoscopy (ASGE) reported that 53 % of endoscopists had a MI related to endoscopy and identified higher procedure volume, number of weekly hours performing endoscopy, and number of years performing endoscopy as factors associated with a higher rate of MI [10]. Nevertheless, ergonomic factors like bad posture during the procedure [18] or poor ergonomic design of facilities [16] have also been related to development of MI.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

et al. 2020

View full text Add to dashboard Cite

show abstract

Promoting endoscopists' health through cutting-edge motion analysis technology: Accuracy and precision of ergonomic motion tracking system for endoscopy suite (EMTES)

Ono

Hori

Tsunemi

et al. 2022

Journal of Occupational Health

View full text Add to dashboard Cite

Objectives Endoscopists often suffer from musculoskeletal disorders due to posture‐specific workloads imposed by precise maneuvering or long procedural duration. An ergonomic motion tracking system for endoscopy suite (EMTES) was developed using Azure Kinect sensors to evaluate the occlusion, accuracy, and precision, focusing mainly on upper and lower limb movements. Methods Three healthy male participants pointed the prescribed points for 5 s on the designated work envelopes and their coordinates were measured. The mean occlusion rate (%) of the 32 motion tracking landmarks, standard deviation (SD) of distance and orientation, and partial regression coefficient (β) and R2 model fit for accuracy were calculated using the time series of coordinates data of the upper/lower limb movements. Results The mean occlusion rate was 5.2 ± 10.6% and 1.6 ± 1.4% for upper and lower limb movements, respectively. Of the 32 landmarks, 28 (87.5%) had occlusion rates of 10% or less. The mean SDs of 4.2 mm for distance and 1.2° for orientation were found. Most of the R2 values were over 0.9. In the case of right upper/lower limb measurement for orientation, β coefficients ranged from 0.82 to 1.36. Conclusion EMTES is reliable in calculating occlusion, precision, and accuracy for practical motion‐tracking measurements in endoscopists.

show abstract