Division of Vascular Surgery, University of British Columbia, Vancouver, BC, Canada.
Division of Vascular Surgery, University of British Columbia, Vancouver, BC, Canada.
J Vasc Surg. 2022 Apr;75(4):1431-1436. doi: 10.1016/j.jvs.2021.09.048. Epub 2021 Oct 28.
Occupational injuries and disability are a source of surgeon morbidity. The purpose of this study was to assess the physical toll of working in operating rooms by Canadian vascular surgeons.
To assess workplace musculoskeletal (MSK) complaints and challenges faced by Canadian vascular surgeons and trainees and their implications on surgical practice and occupational longevity.
An online survey was distributed to resident and surgeon members of the Canadian Society of Vascular Surgery. The survey collected data on demographics, operative volume, and work-related MSK symptoms.
The survey was distributed to 188 surgeons and trainees. After three e-mailings, 109 surveys were returned (58% response rate). Of the responders, 87% were male, 51% were 45 years or older, and 56% had been in practice for 10 or more years. Workplace MSK symptoms were reported by 83% of the responders. The most common locations were the low back (78%), neck (74%), and shoulder (30%). Most responders (83%) believed that these symptoms were related to their operative environment. Almost half (48%) sought medical care. As a result of these MSK symptoms, 25% experience chronic pain with 8% reporting time off work as a consequence. Another 11% reported an impact on their operative performance with 14% considering early retirement. A lack of operating room system changes to prevent workplace injury and disability was noted by 85% of the responders although only 3% reported their disability to their department.
Occupational MSK symptoms and disability are common among Canadian vascular surgeons. Further research is needed to create programs to improve surgeon morbidity.
职业伤害和残疾是外科医生发病的一个来源。本研究的目的是评估加拿大血管外科医生在手术室工作中的身体消耗。
评估加拿大血管外科医生和住院医生所面临的工作场所肌肉骨骼(MSK)投诉和挑战,以及这些问题对手术实践和职业寿命的影响。
向加拿大血管外科学会的住院医生和外科医生成员发放在线调查。该调查收集了有关人口统计学、手术量和与工作相关的 MSK 症状的数据。
该调查分发给 188 名外科医生和住院医生。经过三次电子邮件发送,共收回 109 份调查(回复率为 58%)。在回复者中,87%为男性,51%年龄在 45 岁或以上,56%的人从业 10 年或以上。83%的回复者报告有工作场所的 MSK 症状。最常见的部位是下背部(78%)、颈部(74%)和肩部(30%)。大多数回复者(83%)认为这些症状与他们的手术环境有关。近一半(48%)寻求医疗护理。由于这些 MSK 症状,25%的人患有慢性疼痛,其中 8%因此请假。另有 11%报告对手术表现有影响,其中 14%考虑提前退休。85%的回复者注意到手术室系统缺乏变化以防止职业伤害和残疾,但只有 3%的人向他们的部门报告了残疾情况。
职业性 MSK 症状和残疾在加拿大血管外科医生中很常见。需要进一步研究以创建改善外科医生发病率的计划。