Ergonomic Injuries in Endoscopists and Their Risk Factors
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Background/Aims: Prolonged repetitive strain caused by the continuous performance of complex endoscopic procedures enhancesthe risk of ergonomic injuries among health-care providers (HCPs), specifically endoscopists. This study aimed to assess the riskfactors of ergonomic injuries among endoscopists and non-endoscopists. Methods: This cross-sectional study was conducted at the Gastroenterology Department of Liaquat National Hospital, Karachi,Pakistan. A total of 92 HCPs were enrolled, of whom 61 were involved in endoscopic procedures and 31 were non-endoscopists. Data were collected through a self-administered questionnaire during national gastroenterology conferences and analyzed usingSPSS version 22 (IBM Corp. Chicago, IL, USA). Results: Of the total study population, 95.08% of endoscopists were observed to have ergonomic injuries, whereas only 54.83% ofnon-endoscopists had ergonomic injuries (p<0.00). The most common injury associated with musculoskeletal (MSK) pain sites wasback (41%), leg (23%), and hand (19.7%) pain among endoscopists. Of 28 endoscopists performing ≥20 procedures/week, 26 hadMSK injury. However, 95.08% of endoscopists had developed MSK injury irrespective of working hours (>5 or <5 hr/wk). Conclusions: Endoscopists are at high risk of developing ergonomic injuries, representing the negative potential of the endoscopyassociatedworkload. To overcome these issues, an appropriate strategic framework needs to be designed to avoid occupationalcompromises.
Abstract
Background/Aims: Prolonged repetitive strain caused by the continuous performance of complex endoscopic procedures enhancesthe risk of ergonomic injuries among health-care providers (HCPs), specifically endoscopists. This study aimed to assess the riskfactors of ergonomic injuries among endoscopists and non-endoscopists. Methods: This cross-sectional study was conducted at the Gastroenterology Department of Liaquat National Hospital, Karachi,Pakistan. A total of 92 HCPs were enrolled, of whom 61 were involved in endoscopic procedures and 31 were non-endoscopists. Data were collected through a self-administered questionnaire during national gastroenterology conferences and analyzed usingSPSS version 22 (IBM Corp. Chicago, IL, USA). Results: Of the total study population, 95.08% of endoscopists were observed to have ergonomic injuries, whereas only 54.83% ofnon-endoscopists had ergonomic injuries (p<0.00). The most common injury associated with musculoskeletal (MSK) pain sites wasback (41%), leg (23%), and hand (19.7%) pain among endoscopists. Of 28 endoscopists performing ≥20 procedures/week, 26 hadMSK injury. However, 95.08% of endoscopists had developed MSK injury irrespective of working hours (>5 or <5 hr/wk). Conclusions: Endoscopists are at high risk of developing ergonomic injuries, representing the negative potential of the endoscopyassociatedworkload. To overcome these issues, an appropriate strategic framework needs to be designed to avoid occupationalcompromises.
참고문헌 (22)
- O’Sullivan S, "Musculoskeletal injuries among ERCP endoscopists in Canada", Can J Gastroenterol, 16, pp.369~374 (2002)
- Liberman AS, "Injuries sustained by colorectal surgeons performing colonoscopy", Surg Endosc, 19, pp.1606~1609 (2005)
- Byun YH, "Procedure-related musculoskeletal symptoms in gastrointestinal endoscopists in Korea", World J Gastroenterol, 14, pp.4359~4364 (2008)
- Hansel SL, "Prevalence and impact of musculoskeletal injury among endoscopists : a controlled pilot study", J Clin Gastroenterol, 43, pp.399~404 (2009)
- Kuwabara T, "Prevalence and impact of musculoskeletal pain in Japanese gastrointestinal endoscopists : a controlled study", World J Gastroenterol, 17, pp.1488~1493 (2011)
- Geraghty J, "A questionnaire study assessing overuse injuries in United Kingdom endoscopists and any effect from the introduction of the National Bowel Cancer Screening Program on these injuries", Gastrointest Endosc, 73, pp.1069~1070 (2011)
- Harris-Adamson C, "Biomechanical risk factors for carpal tunnel syndrome : a pooled study of 2474 workers", Occup Environ Med, 72, pp.33~41 (2015)
- Shergill AK, "Ergonomic endoscopy : an oxymoron or realistic goal?", Gastrointest Endosc, 90, pp.966~970 (2019)
- Harvin G, "Review of musculoskeletal injuries and prevention in the endoscopy practitioner", J Clin Gastroenterol, 48, pp.590~594 (2014)
- Singla M, "Training the endo-athlete : an update in ergonomics in endoscopy", Clin Gastroenterol Hepatol, 16, pp.1003~1006 (2018)
- Dolay K, "The role of surgeons on the development and performance of endoscopy", Turk J Surg, 33, pp.1~4 (2017)
- Ridtitid W, "Prevalence and risk factors for musculoskeletal injuries related to endoscopy", Gastrointest Endosc, 81, pp.294~302 (2015)
- "Work-related musculoskeletal disorders & ergonomics" (2020)[URL]
- Lötters F, "Prognostic factors for duration of sickness absence due to musculoskeletal disorders", Clin J Pain, 22, pp.212~221 (2006)
- "Securing the future workforce supply:gastrointestinal endoscopy workforce review" (2017)[URL]
- Villa E, "Endoscopy-related musculoskeletal injuries in gastroenterology fellows", Endosc Int Open, 7, pp.E808~E812 (2019)
- Lipp MJ, "The risks of GI endoscopy", Gastrointest Endosc, 69, pp.1149~1151 (2009)
- Eastman Kodak Company, "Kodak’s ergonomic design for people at work" (2004), Wiley
- ASGE Quality Assurance In Endoscopy Committee, "Multisociety guideline on reprocessing flexible gastrointestinal endoscopes : 2011", Gastrointest Endosc, 73, pp.1075~1084 (2011)
- Edelman KM, "Endoscopy-related musculoskeletal injury in AGA gastroenterologists is common while training in ergonomics is rare", Gastroenterology, 152(5 Suppl 1), pp.S217~ (2017)
- Chang MA, "Optimizing ergonomics before endoscopy", VideoGIE, 2, pp.169~ (2017)
- Chang MA, "Optimizing ergonomics during endoscopy", VideoGIE, 2, pp.170~ (2017)