Prevalence, risk factors and global impact of musculoskeletal injuries among endoscopists: a nationwide European study

Rui Morais; Filipe Vilas-Boas; Pedro Pereira; Pedro Lopes; Carolina Simões; Eduardo Dantas; Inês Cunha; Joana Roseira; João Cortez-Pinto; João Silva; Jorge Lage; Mafalda Caine; Manuel Rocha; Margarida Flor de Lima; Maria Pia Costa Santos; Mónica Garrido; Paula Sousa; Pedro Marcos; Richard Azevedo; Rui Castro; Tiago Cúrdia Gonçalves; Tiago Leal; Vítor Magno-Pereira; Rosa Ramalho; Eduardo Rodrigues-Pinto; Guilherme Macedo

doi:10.1055/a-1038-4343

Endoscopy International Open, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Endosc Int Open 2020; 08(04): E470-E480
DOI: 10.1055/a-1038-4343

Original article

Prevalence, risk factors and global impact of musculoskeletal injuries among endoscopists: a nationwide European study

Rui Morais

¹Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal

,

Filipe Vilas-Boas

¹Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal

,

Pedro Pereira

¹Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal

,

Pedro Lopes

²Physical Medicine and Rehabilitation Department, Centro Hospitalar Universitário de São João, Porto, Portugal

,

Carolina Simões

³Gastroenterology Department, Centro Hospitalar Lisboa Norte, Lisboa, Portugal

,

Eduardo Dantas

⁴Gastroenterology Department, Centro Hospitalar de Setúbal, Setúbal, Portugal

,

Inês Cunha

⁵Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra Coimbra, Portugal

,

Joana Roseira

⁶Gastroenterology Department, Centro Hospitalar Universitário Algarve, Faro, Portugal

,

João Cortez-Pinto

⁷Gastroenterology Department, IPO Lisboa, Lisboa, Portugal

,

João Silva

⁸Gastroenterology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

,

Jorge Lage

⁹Gastroenterology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal

,

Mafalda Caine

¹⁰Gastroenterology Department, IPO Coimbra, Coimbra, Portugal

,

Manuel Rocha

¹¹Gastroenterology Department, Centro Hospitalar Lisboa Central, Lisboa, Portugal

,

Margarida Flor de Lima

¹²Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal

,

Maria Pia Costa Santos

¹³Gastroenterology Department, Hospital Beatriz Ângelo, Loures, Portugal

,

Mónica Garrido

¹⁴Gastroenterology Department, Centro Hospitalar Porto, Porto, Portugal

,

Paula Sousa

¹⁵Gastroenterology Department, Centro Hospitalar Tondela-Viseu, Tondedla-Visue, Portugal

,

Pedro Marcos

¹⁶Gastroenterology Department, Centro Hospitalar de Leiria, Leiria, Portugal

,

Richard Azevedo

¹⁷Gastroenterology Department, Centro Hospitalar de Castelo-Branco, Castelo-Branco, Portugal

,

Rui Castro

¹⁸Gastroenterology Department, IPO Porto, Porto, Portugal

,

Tiago Cúrdia Gonçalves

¹⁹Gastroenterology Department, Hospital Senhora da Oliveira, Guimarães Braga, Portugal

²⁰Life and Health Sciences Research Institute, School of Medicine, University of Minho, Braga/Guimarães, Braga, Portugal

²¹ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Braga, Portugal

,

Tiago Leal

²²Gastroenterology Department, Hospital de Braga, Braga, Portugal

,

Vítor Magno-Pereira

²³Gastroenterology Department, Hospital Central do Funchal, Madeira, Portugal

,

Rosa Ramalho

¹Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal

,

Eduardo Rodrigues-Pinto

¹Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal

,

Guilherme Macedo

¹Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal

› Institutsangaben

Abstract

Background and study aims Previous studies have suggested a high prevalence of musculoskeletal injuries (MI) in endoscopists. Little evidence has come from European countries. Our main aim was to evaluate the prevalence, type, and impact of MI among Portuguese endoscopists. We also sought to identify risk factors for the development, severity and number of endoscopy-related MI.

Material and methods A 48-question electronic survey was developed by a multidisciplinary group. The electronic survey was sent to all members of Portuguese Society of Gastroenterology (n = 705) during May 2019. Study data were collected and managed using REDCap electronic data capture tools hosted at SPG – CEREGA.

Results The survey was completed by 171 endoscopists (response rate of 24.3 %), 55.0 % female with a median age of 36 years (range 26–78). The prevalence of at least one MI related to endoscopy was 69.6 % (n = 119), the most frequent being neck pain (30.4 %) and thumb pain (29.2 %). The median time for MI development was 6 years (range 2 months-30 years). Severe pain was reported by 19.3 %. Change in endoscopic technique was undertaken by 61.3 % and reduction in endoscopic caseload was undertaken by 22.7 %. Missing work was reported by 10.1 %, with the median time off from work being 30 days (range 1–90). Female gender and ≥ 15 years in practice were independently associated with MI and severe pain. Years in practice, weekly-time performing endoscopy, and gender were significant predictors of the number of MI.

Conclusions Prevalence of MI was significant among Portuguese endoscopists and had a relevant impact on regular and professional activities.

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Referenzen

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