Morais Rui, Vilas-Boas Filipe, Pereira Pedro, Lopes Pedro, Simões Carolina, Dantas Eduardo, Cunha Inês, Roseira Joana, Cortez-Pinto João, Silva João, Lage Jorge, Caine Mafalda, Rocha Manuel, Flor de Lima Margarida, Costa Santos Maria Pia, Garrido Mónica, Sousa Paula, Marcos Pedro, Azevedo Richard, Castro Rui, Cúrdia Gonçalves Tiago, Leal Tiago, Magno-Pereira Vítor, Ramalho Rosa, Rodrigues-Pinto Eduardo, Macedo Guilherme
Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Physical Medicine and Rehabilitation Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Endosc Int Open. 2020 Apr;8(4):E470-E480. doi: 10.1055/a-1038-4343. Epub 2020 Mar 23.
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. 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. 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. Prevalence of MI was significant among Portuguese endoscopists and had a relevant impact on regular and professional activities.
以往研究表明，内镜医师中肌肉骨骼损伤（MI）的患病率较高。来自欧洲国家的证据很少。我们的主要目的是评估葡萄牙内镜医师中MI的患病率、类型及影响。我们还试图确定与内镜检查相关的MI发生、严重程度及数量的风险因素。一个多学科小组设计了一份包含48个问题的电子调查问卷。2019年5月，该电子调查问卷被发送给葡萄牙胃肠病学会的所有成员（n = 705）。研究数据使用由SPG - CEREGA托管的REDCap电子数据采集工具进行收集和管理。171名内镜医师完成了该调查（回复率为24.3%），其中55.0%为女性，中位年龄为36岁（范围26 - 78岁）。至少发生一次与内镜检查相关的MI的患病率为69.6%（n = 119），最常见的是颈部疼痛（30.4%）和拇指疼痛（29.2%）。MI发生的中位时间为6年（范围2个月 - 30年）。19.3%的人报告有严重疼痛。61.3%的人改变了内镜技术，22.7%的人减少了内镜检查工作量。10.1%的人报告有误工，误工的中位时间为30天（范围1 - 90天）。女性和从业≥15年与MI及严重疼痛独立相关。从业年限、每周进行内镜检查的时间和性别是MI数量的重要预测因素。葡萄牙内镜医师中MI的患病率较高，且对日常和专业活动有显著影响。
