Tags

Type your tag names separated by a space and hit enter

Musculoskeletal injury and ergonomics in pediatric gastrointestinal endoscopic practice.
Surg Endosc. 2023 01; 37(1):248-254.SE

Abstract

BACKGROUND AND AIMS

Endoscopy-related musculoskeletal injuries (ERI) are increasingly prevalent in adult endoscopists; however, there are no studies that have evaluated ERI and ergonomic practices among pediatric gastroenterologists and trainees. We aimed to examine the prevalence, nature, and impact of musculoskeletal injuries in pediatric endoscopic practice and assess attitudes towards ergonomic training needs.

METHODS

Pediatric gastroenterologists and trainees were surveyed to collect information on endoscopist and practice characteristics, the prevalence, nature, and impacts of ERI, ergonomics strategies employed in practice, previous ergonomics training, and perceptions of ergonomics training (elicited using a 1 (strongly disagree) to 5 (strongly agree) Likert scale). Responses were analyzed using descriptive statistics, and bivariate analyses were conducted to explore correlates of ERI.

RESULTS

Among 146 survey respondents, 50 (34.2%) were trainees and 96 (65.8%) were practicing endoscopists with a mean duration of endoscopic practice of 9.7 ± 9.4 years. Overall, 55.6% (n = 80/144) reported experiencing a musculoskeletal injury, with 34.7% (n = 50/144) reporting an injury attributable to endoscopy. Among those with ERI, the most common sites were the neck/upper back (44.0%), thumb (42.0%), hand/finger (38.0%), and lower back (36.0%). Women were more likely to experience ERI compared to men (43.4% vs. 23.4%; p = 0.013). Only 20.9% of participants had formal training in ergonomics. Respondents reported being motivated to implement practice changes to prevent ERI (4.41 ± 0.95) and perceived ergonomics training as important (4.37 ± 0.96).

CONCLUSIONS

Pediatric endoscopists, and particularly women, experience significant ERI; however, formal endoscopy ergonomics training is rare. Improved ergonomics training is needed for both practicing pediatric gastroenterologists and trainees.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Ruan W
Section of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, 6701 Fannin Street, D1010.18, Houston, TX, 77030, USA. wenly.ruan@bcm.edu.
Walsh CM
Division of Gastroenterology, Hepatology, and Nutrition, and the Research and Learning Institutes, Hospital for Sick Children,, Department of Paediatrics and the Wilson Centre, University of Toronto, Toronto, ON, Canada.
Pawa S
Section of Gastroenterology and Hepatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA. Bill Hefner VA Healthcare System, Salisbury, NC, USA.
D'Souza SL
Gasteroenterology Consultants, Medford, OR, USA.
Banerjee P
Loyola Stritch School of Medicine and Edward Hines Jr Veterans Administration Hospital, Hines, IL, USA.
Kothari S
University of Rochester Medical Center, Rochester, NY, USA.
McCreath GA
The Hospital for Sick Children, SickKids Research Institute, Toronto, ON, Canada.
Fishman DS
Section of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, 6701 Fannin Street, D1010.18, Houston, TX, 77030, USA.

MeSH

MaleAdultHumansFemaleChildOccupational DiseasesMusculoskeletal DiseasesEndoscopy, GastrointestinalErgonomicsOccupational InjuriesSurveys and Questionnaires

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35920909

Citation

Ruan, Wenly, et al. "Musculoskeletal Injury and Ergonomics in Pediatric Gastrointestinal Endoscopic Practice." Surgical Endoscopy, vol. 37, no. 1, 2023, pp. 248-254.
Ruan W, Walsh CM, Pawa S, et al. Musculoskeletal injury and ergonomics in pediatric gastrointestinal endoscopic practice. Surg Endosc. 2023;37(1):248-254.
Ruan, W., Walsh, C. M., Pawa, S., D'Souza, S. L., Banerjee, P., Kothari, S., McCreath, G. A., & Fishman, D. S. (2023). Musculoskeletal injury and ergonomics in pediatric gastrointestinal endoscopic practice. Surgical Endoscopy, 37(1), 248-254. https://doi.org/10.1007/s00464-022-09455-9
Ruan W, et al. Musculoskeletal Injury and Ergonomics in Pediatric Gastrointestinal Endoscopic Practice. Surg Endosc. 2023;37(1):248-254. PubMed PMID: 35920909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Musculoskeletal injury and ergonomics in pediatric gastrointestinal endoscopic practice. AU - Ruan,Wenly, AU - Walsh,Catharine M, AU - Pawa,Swati, AU - D'Souza,Sharlene L, AU - Banerjee,Promila, AU - Kothari,Shivangi, AU - McCreath,Graham A, AU - Fishman,Douglas S, Y1 - 2022/08/03/ PY - 2022/01/22/received PY - 2022/07/06/accepted PY - 2022/8/4/pubmed PY - 2023/1/18/medline PY - 2022/8/3/entrez KW - Ergonomics KW - Musculoskeletal injury KW - Pediatric endoscopy SP - 248 EP - 254 JF - Surgical endoscopy JO - Surg Endosc VL - 37 IS - 1 N2 - BACKGROUND AND AIMS: Endoscopy-related musculoskeletal injuries (ERI) are increasingly prevalent in adult endoscopists; however, there are no studies that have evaluated ERI and ergonomic practices among pediatric gastroenterologists and trainees. We aimed to examine the prevalence, nature, and impact of musculoskeletal injuries in pediatric endoscopic practice and assess attitudes towards ergonomic training needs. METHODS: Pediatric gastroenterologists and trainees were surveyed to collect information on endoscopist and practice characteristics, the prevalence, nature, and impacts of ERI, ergonomics strategies employed in practice, previous ergonomics training, and perceptions of ergonomics training (elicited using a 1 (strongly disagree) to 5 (strongly agree) Likert scale). Responses were analyzed using descriptive statistics, and bivariate analyses were conducted to explore correlates of ERI. RESULTS: Among 146 survey respondents, 50 (34.2%) were trainees and 96 (65.8%) were practicing endoscopists with a mean duration of endoscopic practice of 9.7 ± 9.4 years. Overall, 55.6% (n = 80/144) reported experiencing a musculoskeletal injury, with 34.7% (n = 50/144) reporting an injury attributable to endoscopy. Among those with ERI, the most common sites were the neck/upper back (44.0%), thumb (42.0%), hand/finger (38.0%), and lower back (36.0%). Women were more likely to experience ERI compared to men (43.4% vs. 23.4%; p = 0.013). Only 20.9% of participants had formal training in ergonomics. Respondents reported being motivated to implement practice changes to prevent ERI (4.41 ± 0.95) and perceived ergonomics training as important (4.37 ± 0.96). CONCLUSIONS: Pediatric endoscopists, and particularly women, experience significant ERI; however, formal endoscopy ergonomics training is rare. Improved ergonomics training is needed for both practicing pediatric gastroenterologists and trainees. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/35920909/Musculoskeletal_injury_and_ergonomics_in_pediatric_gastrointestinal_endoscopic_practice_ DB - PRIME DP - Unbound Medicine ER -