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- Title
Work-Related Musculoskeletal Injury Rates, Risk Factors, and Ergonomics in Different Endoscopic Specialties: A Review.
- Authors
Bessone, Veronica; Roppenecker, Daniel B.; Adamsen, Sven
- Abstract
Endoscopy-related musculoskeletal injuries (ERIs) are frequent among gastrointestinal, pulmonary, nasal, and urologic endoscopists, impacting the healthcare system. The present review aims to compare the ERI rates, risk factors, and ergonomic recommendations in the different endoscopic fields. A review was conducted using PubMed and Cochrane Library for articles based on surveys and published until 10 January 2024. Demographic, work, and ERI data from 46 publications were included, covering 10,539 responders. The ERI incidence ranged between 14% and 97%, highlighting the need of intervention independent of the specialties. The neck, back, and shoulder were the most frequent ERI locations, while gender, age, years of experience, and procedure volume the most common risk factors. Ergonomic recommendations suggest concentrating on endoscope design changes, especially in gastrointestinal endoscopy, to increase the comfort, adaptability of the equipment in the operating room, and workflow/institutional policy changes. The inclusion of an ergonomic timeout guarantees the correct equipment positioning, the neutralisation of the endoscopist's posture, and an indirect break between procedures. Ergonomic training to increase awareness and best practice should be promoted, also using new technologies. Future research should concentrate on intervention and comparative studies to evaluate to which extent prevention measures and newly designed equipment could reduce ERI incidence.
- Subjects
MUSCULOSKELETAL system injuries; WORK-related injuries risk factors; RISK assessment; ERGONOMICS; SEX distribution; PRODUCT design; ENDOSCOPIC surgery; AGE distribution; DECISION making; WORK-related injuries; SYSTEMATIC reviews; MEDLINE; WORKFLOW; MEDICAL databases; ORGANIZATIONAL change; ENDOSCOPIC gastrointestinal surgery; ONLINE information services; ENDOSCOPY; MANAGEMENT
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 9, p885
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12090885