Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2024-05-28 DOI:10.1111/vsu.14119

Meghan R Smith, Nicole J Buote, Julia P Sumner, Lynetta J Freeman

{"title":"Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons.","authors":"Meghan R Smith, Nicole J Buote, Julia P Sumner, Lynetta J Freeman","doi":"10.1111/vsu.14119","DOIUrl":null,"url":null,"abstract":"Objective: To investigate the relationship between physical attributes and difficulty performing laparoscopic maneuvers with the prevalence of self-reported musculoskeletal injury.Study design: Online survey.Sample population: Surgeons (n = 140) with 3 or more years of laparoscopic experience.Methods: Electronic survey distributed via LISTSERVEs and Facebook groups. Responses collected included surgeon attributes, presence of musculoskeletal injuries, and surgical practice data. Statistical analysis was performed using the Shapiro-Wilk test, linear regression, logistic regression, and Wilcoxon rank sum tests.Results: A total of 52 of the 140 respondents reported a musculoskeletal injury with 38 specifying at least one injury (72%). Neck strain was the most prevalent reported musculoskeletal injury (18/52, 34.6%), followed by shoulder tendinopathies (16/52, 30.8%), arm/hand tendonitis (8/52, 15.4%), carpal tunnel (7/52, 13.5%), back pain (4/52, 7.7%) and arm/hand arthritis (1/52, 1.9%). Women were significantly more likely to report a musculoskeletal problem than men (p = .011) with the odds of women reporting a musculoskeletal injury 2.59 times greater than men. Women and surgeons with smaller glove sizes were significantly more likely to report shoulder tendonitis (p = .034, p = .1) and neck strain (p = .009, p = .001). Respondents with a musculoskeletal problem experienced significantly more difficulty using rotating cup biopsy forceps (p < .001) and perceived this as difficult a greater amount of time (p = .006).Conclusion: Female surgeons report more musculoskeletal injuries than their male counterparts. Surgeons with musculoskeletal injuries experience more difficulty performing particular laparoscopic maneuvers.Clinical significance: Improving ergonomics for women and surgeons with smaller glove sizes must be prioritized to improve surgeon health and laparoscopic instrument use.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Surgery","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vsu.14119","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To investigate the relationship between physical attributes and difficulty performing laparoscopic maneuvers with the prevalence of self-reported musculoskeletal injury.

Study design: Online survey.

Sample population: Surgeons (n = 140) with 3 or more years of laparoscopic experience.

Methods: Electronic survey distributed via LISTSERVEs and Facebook groups. Responses collected included surgeon attributes, presence of musculoskeletal injuries, and surgical practice data. Statistical analysis was performed using the Shapiro-Wilk test, linear regression, logistic regression, and Wilcoxon rank sum tests.

Results: A total of 52 of the 140 respondents reported a musculoskeletal injury with 38 specifying at least one injury (72%). Neck strain was the most prevalent reported musculoskeletal injury (18/52, 34.6%), followed by shoulder tendinopathies (16/52, 30.8%), arm/hand tendonitis (8/52, 15.4%), carpal tunnel (7/52, 13.5%), back pain (4/52, 7.7%) and arm/hand arthritis (1/52, 1.9%). Women were significantly more likely to report a musculoskeletal problem than men (p = .011) with the odds of women reporting a musculoskeletal injury 2.59 times greater than men. Women and surgeons with smaller glove sizes were significantly more likely to report shoulder tendonitis (p = .034, p = .1) and neck strain (p = .009, p = .001). Respondents with a musculoskeletal problem experienced significantly more difficulty using rotating cup biopsy forceps (p < .001) and perceived this as difficult a greater amount of time (p = .006).

Conclusion: Female surgeons report more musculoskeletal injuries than their male counterparts. Surgeons with musculoskeletal injuries experience more difficulty performing particular laparoscopic maneuvers.

Clinical significance: Improving ergonomics for women and surgeons with smaller glove sizes must be prioritized to improve surgeon health and laparoscopic instrument use.

查看原文本刊更多论文

与兽医腹腔镜外科医生自我报告的工作相关肌肉骨骼疾病患病率有关的变量。

研究目的研究设计：在线调查：研究设计：在线调查：研究设计：在线调查。样本人群：具有3年或3年以上腹腔镜手术经验的外科医生（n = 140）：方法：通过 LISTSERVE 和 Facebook 群组发布电子调查问卷。收集的回复包括外科医生属性、是否存在肌肉骨骼损伤以及手术实践数据。统计分析采用 Shapiro-Wilk 检验、线性回归、逻辑回归和 Wilcoxon 秩和检验：在 140 名受访者中，共有 52 人报告了肌肉骨骼损伤，其中 38 人（72%）至少说明了一种损伤。颈部拉伤是最常见的肌肉骨骼损伤（18/52，34.6%），其次是肩部肌腱病（16/52，30.8%）、手臂/手部肌腱炎（8/52，15.4%）、腕管炎（7/52，13.5%）、背痛（4/52，7.7%）和手臂/手部关节炎（1/52，1.9%）。女性报告肌肉骨骼问题的几率明显高于男性（p = .011），女性报告肌肉骨骼损伤的几率是男性的 2.59 倍。女性和手套尺寸较小的外科医生更有可能报告肩部肌腱炎（p = .034，p = .1）和颈部拉伤（p = .009，p = .001）。有肌肉骨骼问题的受访者在使用旋转杯活检钳时遇到的困难要明显多得多（p = 0.034，p = 0.1）：与男性外科医生相比，女性外科医生报告的肌肉骨骼损伤更多。有肌肉骨骼损伤的外科医生在进行特定腹腔镜操作时会遇到更多困难：临床意义：要改善外科医生的健康和腹腔镜器械的使用，必须优先考虑改善女性外科医生和手套尺寸较小的外科医生的人体工学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.