Abstract:
BACKGROUND:There are limited data regarding work-related injury among endoscopists. OBJECTIVE:To define the prevalence of endoscopy-related musculoskeletal injuries and their impact on clinical practice and to identify physician and practice characteristics associated with their development. DESIGN:Survey. SETTING:Electronic survey of active members of the American Society for Gastrointestinal Endoscopy with registered e-mail addresses. PARTICIPANTS:Physicians who currently or ever performed endoscopy and responded to the survey between February 2013 and November 2013. INTERVENTION:A 25-question, self-administered, electronic survey. MAIN OUTCOME MEASUREMENTS:Prevalence, location, and ramifications of work-related injuries and endoscopist characteristics and workload parameters associated with endoscopy-related injury. RESULTS:The survey was completed by 684 endoscopists. Of those, 362 (53%) experienced a musculoskeletal injury perceived definitely (n = 204) or possibly (n = 158) related to endoscopy. Factors associated with a higher rate of endoscopy-related injury included higher procedure volume (>20 cases/week; P < .001), greater number of hours per week spent performing endoscopy (>16 hours/week; P < .001), and total number of years performing endoscopy (P = .004). The most common sites of injury were neck and/or upper back (29%) and thumb (28%). Only 55% of injured endoscopists used practice modifications in response to injuries. Specific treatments included medications (57%), steroid injection (27%), physiotherapy (45%), rest (34%), splinting (23%), and surgery (13%). LIMITATIONS:Self-reported data of endoscopy-related injury. CONCLUSION:Among endoscopists there is a high prevalence of injuries definitely or potentially related to endoscopy. Higher procedure volume, more time doing endoscopy per week, and cumulative years performing endoscopy are associated with more work-related injuries.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Ridtitid W,Coté GA,Leung W,Buschbacher R,Lynch S,Fogel EL,Watkins JL,Lehman GA,Sherman S,McHenry Ldoi
10.1016/j.gie.2014.06.036subject
Has Abstractpub_date
2015-02-01 00:00:00pages
294-302.e4issue
2eissn
0016-5107issn
1097-6779pii
S0016-5107(14)01927-0journal_volume
81pub_type
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