Barnard Emily, Sheaffer Kristin, Hampton Sarah, Measel Megan L, Farag Ahmed, Shaw Cathyrn
Medicine, Mercer University School of Medicine, Savannah, USA.
Biomedical Engineering, Georgia Institute of Technology, Atlanta, USA.
Cureus. 2021 Sep 23;13(9):e18226. doi: 10.7759/cureus.18226. eCollection 2021 Sep.
Interventional radiology is a procedural specialty that performs minimally invasive operations under image guidance. Currently, there are inadequate ergonomic protocols for work-related musculoskeletal disorder (WMSD) prevention in interventional radiology (IR), and there is a paucity of information discerning gender differences in WMSDs. This article reviews current literature that addresses WMSDs in female physicians practicing interventional and fluoroscopic procedures, including interventional radiology, interventional cardiology, electrophysiology, vascular surgery, orthopedic surgery, neurosurgery, and gastroenterology. We searched PubMed and EBSCOhost databases for ergonomic studies that reported female physician WMSDs in the specialties listed above. After a thorough evaluation for inclusion based on eligibility criteria, 11 studies were included. From this search, there was poor female representation, averaging 25.7% of respondents. Several characteristics identified across the studies were that women were generally shorter, wore smaller glove sizes, and were younger than their male colleagues. Seventy-two percent of female proceduralists reported WMSDs versus 46.6% of their male colleagues. Additionally, women may experience more upper extremity pain than lumbar pain, which men commonly reported. Potential contributing factors to WMSDs are the size and design of procedural tools and the possible predisposition of female physicians to experience upper extremity WMSDs while performing the same operations as men. As more women enter medicine and pursue careers in procedural fields like interventional radiology, it is essential to address these discrepancies and develop ergonomically sound solutions for women.
介入放射学是一门在影像引导下进行微创手术的程序性专业学科。目前，介入放射学（IR）领域缺乏预防与工作相关的肌肉骨骼疾病（WMSD）的人体工程学方案，而且关于WMSD的性别差异的信息也很少。本文综述了当前有关从事介入和荧光镜检查程序的女性医生（包括介入放射科医生、介入心脏病科医生、电生理医生、血管外科医生、骨科医生、神经外科医生和胃肠病科医生）中WMSD的文献。我们在PubMed和EBSCOhost数据库中搜索了有关上述专业中女性医生WMSD的人体工程学研究。根据纳入标准进行全面评估后，纳入了11项研究。通过此次检索发现，女性的代表性不足，平均占受访者的25.7%。各项研究中确定的几个特征是，女性通常身材较矮、手套尺寸较小，且比男性同事年轻。72%的女性操作医生报告患有WMSD，而男性同事的这一比例为46.6%。此外，女性可能比男性更常报告的腰部疼痛相比，上肢疼痛更多。WMSD的潜在促成因素包括操作工具的尺寸和设计，以及女性医生在与男性进行相同操作时可能更容易出现上肢WMSD的倾向。随着越来越多的女性进入医学领域并从事介入放射学等程序性领域的职业，解决这些差异并为女性开发符合人体工程学的合理解决方案至关重要。
