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Is Your Career Hurting You? The Ergonomic Consequences of Surgery in 701 Urologists Worldwide.
J Endourol. 2019 12; 33(12):1037-1042.JE

Abstract

Purpose: Our objective was to seek correlations between the type, volume, and duration of surgical work performed, surgeon habits and characteristics, and the prevalence of neck and back musculoskeletal complaint and intervention across career from training to retirement. Materials and Methods: An anonymous web-based multinational survey of urologists was conducted. The primary outcome measured was pain. Secondary outcomes included pain requiring intervention and surgery. Responses were subgrouped according to geography, practice patterns, and demographics. Student t test, Fisher's exact test, and chi-square test were used for analysis. Results: A total of 701 complete responses were received from this multinational survey. Gender, pain distribution, and private or academic practice did not correlate with pain, whereas exercise, lower weight, and body mass index (BMI) were protective. Dose-response of surgical type was assessed with high- and low-volume density quartiles and frequency of each pain severity; no correlation was found. Secondary analysis showed that female practitioners seek invasive therapy less than male counterparts, and practitioners of direct optical cystoscopy report no more neck trouble than others. Length of career since residency shows little relationship to pain or pain-free rates. Conclusions: In this, the largest surgical ergonomic study to date: surgical type, duration, volume, setting, and physician gender were unrelated to surgeon pain throughout career. Exercise was associated with lower prevalence of pain in a dose-related manner; increasing weight and BMI were positively associated with pain. Although 47% of urologists with spinal pain blame their career, we are unable to identify any dose-response relationship that supports that assumption.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Lloyd GL
Department of Surgery, University of Colorado, Aurora, Colorado. Division of Urology, Rocky Mountain Regional VA Hospital, Aurora, Colorado.
Chung ASJ
Department of Surgery/Urology, University of Sydney, Sydney, Australia. Department of Urology, Royal North Shore Hospital, Sydney, Australia. Department of Surgery/Urology, Macquarie University Hospital, Sydney, Australia.
Steinberg S
Department of Surgery, University of Colorado, Aurora, Colorado. Division of Urology, Rocky Mountain Regional VA Hospital, Aurora, Colorado.
Sawyer M
Department of Surgery, University of Colorado, Aurora, Colorado. Division of Urology, Rocky Mountain Regional VA Hospital, Aurora, Colorado.
Williams DH
Department of Urology, University of Wisconsin, Madison, Wisconsin.
Overbey D
Department of Surgery, University of Colorado, Aurora, Colorado.

MeSH

Chi-Square DistributionErgonomicsFemaleGlobal HealthHumansLow Back PainMaleOccupational DiseasesPrevalenceSurgeonsSurveys and QuestionnairesUrologists

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31187638

Citation

Lloyd, Granville L., et al. "Is Your Career Hurting You? the Ergonomic Consequences of Surgery in 701 Urologists Worldwide." Journal of Endourology, vol. 33, no. 12, 2019, pp. 1037-1042.
Lloyd GL, Chung ASJ, Steinberg S, et al. Is Your Career Hurting You? The Ergonomic Consequences of Surgery in 701 Urologists Worldwide. J Endourol. 2019;33(12):1037-1042.
Lloyd, G. L., Chung, A. S. J., Steinberg, S., Sawyer, M., Williams, D. H., & Overbey, D. (2019). Is Your Career Hurting You? The Ergonomic Consequences of Surgery in 701 Urologists Worldwide. Journal of Endourology, 33(12), 1037-1042. https://doi.org/10.1089/end.2019.0150
Lloyd GL, et al. Is Your Career Hurting You? the Ergonomic Consequences of Surgery in 701 Urologists Worldwide. J Endourol. 2019;33(12):1037-1042. PubMed PMID: 31187638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is Your Career Hurting You? The Ergonomic Consequences of Surgery in 701 Urologists Worldwide. AU - Lloyd,Granville L, AU - Chung,Amanda S J, AU - Steinberg,Steven, AU - Sawyer,Mark, AU - Williams,Daniel H, AU - Overbey,Douglas, Y1 - 2019/07/17/ PY - 2019/6/13/pubmed PY - 2020/8/14/medline PY - 2019/6/13/entrez KW - endoscopy KW - ergonomics KW - laparoscopy KW - microsurgery KW - occupational injury KW - surgery SP - 1037 EP - 1042 JF - Journal of endourology JO - J Endourol VL - 33 IS - 12 N2 - Purpose: Our objective was to seek correlations between the type, volume, and duration of surgical work performed, surgeon habits and characteristics, and the prevalence of neck and back musculoskeletal complaint and intervention across career from training to retirement. Materials and Methods: An anonymous web-based multinational survey of urologists was conducted. The primary outcome measured was pain. Secondary outcomes included pain requiring intervention and surgery. Responses were subgrouped according to geography, practice patterns, and demographics. Student t test, Fisher's exact test, and chi-square test were used for analysis. Results: A total of 701 complete responses were received from this multinational survey. Gender, pain distribution, and private or academic practice did not correlate with pain, whereas exercise, lower weight, and body mass index (BMI) were protective. Dose-response of surgical type was assessed with high- and low-volume density quartiles and frequency of each pain severity; no correlation was found. Secondary analysis showed that female practitioners seek invasive therapy less than male counterparts, and practitioners of direct optical cystoscopy report no more neck trouble than others. Length of career since residency shows little relationship to pain or pain-free rates. Conclusions: In this, the largest surgical ergonomic study to date: surgical type, duration, volume, setting, and physician gender were unrelated to surgeon pain throughout career. Exercise was associated with lower prevalence of pain in a dose-related manner; increasing weight and BMI were positively associated with pain. Although 47% of urologists with spinal pain blame their career, we are unable to identify any dose-response relationship that supports that assumption. SN - 1557-900X UR - https://www.unboundmedicine.com/medline/citation/31187638/Is_Your_Career_Hurting_You_The_Ergonomic_Consequences_of_Surgery_in_701_Urologists_Worldwide_ DB - PRIME DP - Unbound Medicine ER -