Swati Pawa1, Promila Banerjee, Shivangi Kothari, Sharlene L D'Souza, Sarah L Martindale, Jill K J Gaidos, Amy S Oxentenko, Carol A Burke. 1. Section of Gastroenterology and Hepatology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA; W. G. (Bill) Hefner VA Healthcare System, Salisbury, North Carolina, USA; Department of Gastroenterology and Hepatology, Loyola University Stritch School of Medicine and Hines VA Hospital, Hines, Illinois, USA; Division of Gastroenterology and Hepatology, University of Rochester, Rochester, New York, USA; Gastroenterology Consultants, PC, Medford, Oregon, USA; Research and Academic Affairs Service Line, W. G. (Bill) Hefner VA Healthcare System, Salisbury, North Carolina, USA; Department of Physiology and Pharmacology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA; Department of Gastroenterology and Hepatology, Virginia Commonwealth University and McGuire VA Medical Center, Richmond, Virginia, USA; Department of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA; Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Abstract
INTRODUCTION: Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns of injury, and endoscopist knowledge of preventative strategies in a nationally representative sample. METHODS: A 38-item electronic survey was sent to 15,868 American College of Gastroenterology physician members. The survey was completed by 1,698 members and was included in analyses. Descriptive, univariate, and multivariate analyses were conducted to evaluate the likelihood of ERI based on workload parameters and gender. RESULTS: ERI was reported by 75% of respondents. ERI was most common in the thumb (63.3%), neck (59%), hand/finger (56.5%), lower back (52.6%), shoulder (47%), and wrist (45%). There was no significant difference in the prevalence of ERI between men and women GI. However, women GI were significantly more likely to report upper extremity ERI while men were more likely to report lower-back pain-related ERI. Significant gender differences were noted in the reported mechanisms attributed to ERI. Most respondents did not discuss ergonomic strategies in their current practice (63%). ERI was less likely to be reported in GI who took breaks during endoscopy (P = 0.002). DISCUSSION: ERI is highly prevalent in GI physicians. Significant gender differences regarding specific sites affected by ERI and the contributing mechanisms were observed. Results strongly support institution of training in ergonomics for all GI as a strategy to prevent its impact on providers of endoscopy.
INTRODUCTION: Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns of injury, and endoscopist knowledge of preventative strategies in a nationally representative sample. METHODS: A 38-item electronic survey was sent to 15,868 American College of Gastroenterology physician members. The survey was completed by 1,698 members and was included in analyses. Descriptive, univariate, and multivariate analyses were conducted to evaluate the likelihood of ERI based on workload parameters and gender. RESULTS: ERI was reported by 75% of respondents. ERI was most common in the thumb (63.3%), neck (59%), hand/finger (56.5%), lower back (52.6%), shoulder (47%), and wrist (45%). There was no significant difference in the prevalence of ERI between men and womenGI. However, womenGI were significantly more likely to report upper extremity ERI while men were more likely to report lower-back pain-related ERI. Significant gender differences were noted in the reported mechanisms attributed to ERI. Most respondents did not discuss ergonomic strategies in their current practice (63%). ERI was less likely to be reported in GI who took breaks during endoscopy (P = 0.002). DISCUSSION: ERI is highly prevalent in GI physicians. Significant gender differences regarding specific sites affected by ERI and the contributing mechanisms were observed. Results strongly support institution of training in ergonomics for all GI as a strategy to prevent its impact on providers of endoscopy.
Authors: Wenly Ruan; Catharine M Walsh; Swati Pawa; Sharlene L D'Souza; Promila Banerjee; Shivangi Kothari; Graham A McCreath; Douglas S Fishman Journal: Surg Endosc Date: 2022-08-03 Impact factor: 3.453
Authors: Swati Pawa; Sarah L Martindale; Jill K J Gaidos; Promila Banerjee; Shivangi Kothari; Sharlene L D'Souza; Amy S Oxentenko; Carol A Burke Journal: Endosc Int Open Date: 2022-08-15
Authors: Michael A Scaffidi; Nikko Gimpaya; Andras B Fecso; Rishad Khan; Juana Li; Rishi Bansal; Nazi Torabi; Amandeep K Shergill; Samir C Grover Journal: Endosc Int Open Date: 2022-09-14