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Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery.
Gynecol Oncol. 2012 Sep; 126(3):437-42.GO

Abstract

OBJECTIVES

There is limited data regarding physical strain and minimally invasive gynecologic surgery (MIS). We sought to evaluate ergonomic strain among gynecologic oncologists.

METHODS

An online survey was sent to all physician members of the Society of Gynecologic Oncology in North America in 2010. The survey contained 42 questions and data was analyzed using univariate and bivariate analyses with summary statistics, t-tests, and chi-squared test.

RESULTS

There were 260 respondents (31.2%) to the survey. Case mix was 26% benign and 64% oncologic surgery. Over 52% of respondents had been in practice for greater than 11 years and 52% practice in an academic setting. Physical discomfort related to MIS was reported in 88% (216/244) of surgeons with 52% reporting persistent pain. Increased pain symptoms were associated with surgeon's height, glove size, age and female gender. Patient body mass index (BMI) was associated with pain symptoms in surgeons performing conventional laparoscopic surgery, but not robotic surgery. To decrease pain, surgeons changed positions (78%), limited the number of cases per day (14%), spread cases throughout the week (6%), or limited the total number of cases (3%). Only 29% had received treatment at any time for pain symptoms. Treatment included physical therapy (59%), medical management (28%), surgery (13%), and time off (1%). Only 16% of those with pain symptoms had received formal ergonomic training.

CONCLUSION

Physical strain rates of 88% are far greater than previously reported. Such prevalent occupational strain presents a growing problem in the face of increasing demand for MIS.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599–7570, USA. jfranasi@unch.unc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22613351

Citation

Franasiak, Jason, et al. "Physical Strain and Urgent Need for Ergonomic Training Among Gynecologic Oncologists Who Perform Minimally Invasive Surgery." Gynecologic Oncology, vol. 126, no. 3, 2012, pp. 437-42.
Franasiak J, Ko EM, Kidd J, et al. Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery. Gynecol Oncol. 2012;126(3):437-42.
Franasiak, J., Ko, E. M., Kidd, J., Secord, A. A., Bell, M., Boggess, J. F., & Gehrig, P. A. (2012). Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery. Gynecologic Oncology, 126(3), 437-42. https://doi.org/10.1016/j.ygyno.2012.05.016
Franasiak J, et al. Physical Strain and Urgent Need for Ergonomic Training Among Gynecologic Oncologists Who Perform Minimally Invasive Surgery. Gynecol Oncol. 2012;126(3):437-42. PubMed PMID: 22613351.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery. AU - Franasiak,Jason, AU - Ko,Emily M, AU - Kidd,Juli, AU - Secord,Angeles Alvarez, AU - Bell,Maria, AU - Boggess,John F, AU - Gehrig,Paola A, Y1 - 2012/05/18/ PY - 2012/04/02/received PY - 2012/05/05/revised PY - 2012/05/13/accepted PY - 2012/5/23/entrez PY - 2012/5/23/pubmed PY - 2012/10/17/medline SP - 437 EP - 42 JF - Gynecologic oncology JO - Gynecol Oncol VL - 126 IS - 3 N2 - OBJECTIVES: There is limited data regarding physical strain and minimally invasive gynecologic surgery (MIS). We sought to evaluate ergonomic strain among gynecologic oncologists. METHODS: An online survey was sent to all physician members of the Society of Gynecologic Oncology in North America in 2010. The survey contained 42 questions and data was analyzed using univariate and bivariate analyses with summary statistics, t-tests, and chi-squared test. RESULTS: There were 260 respondents (31.2%) to the survey. Case mix was 26% benign and 64% oncologic surgery. Over 52% of respondents had been in practice for greater than 11 years and 52% practice in an academic setting. Physical discomfort related to MIS was reported in 88% (216/244) of surgeons with 52% reporting persistent pain. Increased pain symptoms were associated with surgeon's height, glove size, age and female gender. Patient body mass index (BMI) was associated with pain symptoms in surgeons performing conventional laparoscopic surgery, but not robotic surgery. To decrease pain, surgeons changed positions (78%), limited the number of cases per day (14%), spread cases throughout the week (6%), or limited the total number of cases (3%). Only 29% had received treatment at any time for pain symptoms. Treatment included physical therapy (59%), medical management (28%), surgery (13%), and time off (1%). Only 16% of those with pain symptoms had received formal ergonomic training. CONCLUSION: Physical strain rates of 88% are far greater than previously reported. Such prevalent occupational strain presents a growing problem in the face of increasing demand for MIS. SN - 1095-6859 UR - https://www.unboundmedicine.com/medline/citation/22613351/Physical_strain_and_urgent_need_for_ergonomic_training_among_gynecologic_oncologists_who_perform_minimally_invasive_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-8258(12)00360-5 DB - PRIME DP - Unbound Medicine ER -