Division of Gastroenterology, UC Davis Medical Center, Sacramento, CA, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Appl Ergon. 2022 Oct;104:103805. doi: 10.1016/j.apergo.2022.103805. Epub 2022 May 29.
Musculoskeletal (MSK) injuries among gastroenterologists are common. Our study describes risk factors and consequences of injury by comparing provider-specific anthropometric and objective procedural data to self-reported injury patterns.
A validated MSK symptom survey was sent to gastroenterologists to gauge prevalence, distribution, and severity of active injury. Respondents' procedural activities over 7 years were collected via an endoscopic database.
64 surveys were completed. 54 respondents had active pain; 53.1% reported activity-limiting injury. Activity-limiting injuries lead to longer colonoscopy times (25.3 vs. 22.1 min, P = 0.03) and lower procedural volumes (532 vs. 807, P = 0.01). Hand/wrist injuries yielded longer colonoscopy insertion times (9.35 vs. 8.21 min, P = 0.03) and less hands-on scope hours (81.2 vs. 111.7 h, P = 0.04). Higher esophagogastroduodenoscopy volume corelated with shoulder injury (336.5 vs. 243.1 EGDs/year, P = 0.04). Females had more foot injuries (P = 0.04).
Activity-limiting MSK symptoms/injuries affect over 50% of endoscopists with negative impact on procedural volume and efficiency.
胃肠病学家的肌肉骨骼（MSK）损伤很常见。我们的研究通过比较特定提供者的人体测量和客观手术数据与自我报告的损伤模式，描述了损伤的危险因素和后果。
向胃肠病学家发送了一份经过验证的 MSK 症状调查，以评估活跃性损伤的流行率、分布和严重程度。通过内镜数据库收集了 7 年的受访者手术活动数据。
完成了 64 份调查。54 名受访者有活动性疼痛；53.1%报告有活动受限的损伤。活动受限的损伤导致更长的结肠镜检查时间（25.3 与 22.1 分钟，P = 0.03）和更低的手术量（532 与 807，P = 0.01）。手部/腕部损伤导致更长的结肠镜插入时间（9.35 与 8.21 分钟，P = 0.03）和更少的手持内镜时间（81.2 与 111.7 小时，P = 0.04）。更高的食管胃十二指肠镜检查量与肩部损伤相关（336.5 与 243.1 EGDs/年，P = 0.04）。女性足部受伤更多（P = 0.04）。
活动受限的 MSK 症状/损伤影响超过 50%的内镜医生，对手术量和效率产生负面影响。
