Musculoskeletal complaints among gastrointestinal endoscopists: prevalence, risk factors, and occupational impact. Insights from a Spanish national survey.

BACKGROUND

the absence of proper ergonomics in digestive endoscopy, combined with an increasing workload, has contributed to a growing incidence of musculoskeletal complaints among endoscopists. This study aimed to assess the frequency of musculoskeletal complaints and their impact on clinical practice among Spanish endoscopists.

METHODS

an electronic survey was sent to active members of the Spanish Society of Digestive Endoscopy (SEED) in July 2019. The survey collected data on the endoscopist's anthropometrics, workload, complaints prevalence, work impact, required treatments, and their relationship with endoscopic procedures.

RESULTS

the survey was completed by 287 endoscopists. Of these, 192 (66.9 %) reported musculoskeletal complaints that were clearly or possibly related to endoscopy practice. Factors associated with a higher incidence of complaints included female gender, moderate to vigorous physical activity, and shorter height. The most commonly affected areas were the neck and/or upper back (79.7 %), thumb (63.5 %), and wrist/hand (60.4 %). Seven endoscopists (3.6 %) reported temporary absence from work due to symptoms, while 17 (8.9 %) had to reduce the number of endoscopies performed per session. Treatments most frequently reported were physiotherapy (59.6 %), oral medications (55.7 %), and steroid injections (19.2 %). Our study has limitations, including recall bias from self-reported data, participation bias favoring injured physicians, and a low response rate, which may limit the generalizability of the findings.

CONCLUSION

musculoskeletal complaints related to endoscopy are highly prevalent among Spanish endoscopists. Factors such as gender, workload, and physical activity levels were associated with a greater risk of complaints. Strategies to improve the work environment and manage workloads are urgently needed.