Endoscopy-Related Musculoskeletal Injuries: A Systematic Review and Meta-Analysis on Prevalence, Risk Factors and Prevention.

IF 5.8 2区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

United European Gastroenterology Journal Pub Date : 2025-05-19 DOI:10.1002/ueg2.70042

Raquel Oliveira, Joana Roseira, Maria Manuela Estevinho, Helena Tavares de Sousa, Carla Rolanda, Alexander Meining, Benjamin Walter

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引用次数: 0

Abstract

Background: Endoscopy-related musculoskeletal injuries (ERIs) are a major occupational hazard, impacting career longevity and personal well-being.

Objective: This systematic review and meta-analysis aimed to update and expand on previous findings by assessing prevalence, risk factors and management of ERIs among endoscopists.

Methods: Following PRISMA guidelines, we systematically searched MEDLINE, Web of Science and Scopus for relevant studies published since the last comprehensive review. A manual search of the references of relevant manuscripts was also performed. Outcomes of interest included the prevalence of ERIs, common pain syndromes, risk factors, and preventive or treatment strategies. Studies' quality was assessed using the National Institutes of Health (NIH) Quality Assessment Tool.

Results: Thirty studies were included, incorporating data from 7646 gastrointestinal endoscopists. The pooled career-long prevalence of overall ERI was 62.5% (CI 52.6-71.8, I² = 98%), including pain (67.5%; CI 46.4%-85.6%; I² = 98%) and numbness (12.4%; 95% CI 6.6%-19.7%; I² = 98%) syndromes. Among pain syndromes, the most affected areas were the hand (28.2%; CI 19.2%-38.2%; I² = 99%), lower back (27.3%; CI 20.1%-35.2%; I² = 97%), thumb (27.1%; CI 18.9%-37.7%; I² = 99%) and neck (25.7%; CI 19.3%-32.7%; I² = 98%). Higher procedural volume, years in practice and female gender were consistently reported as risk factors for ERIs. Concerning therapy, 41.8% of endoscopists used medications (CI 31.2%-52.8%; I² = 94%), while 28.2% engaged in physical therapy (CI 18.2%-39.5%; I² = 96%). Sick leave was reported by 13.8% of endoscopists (CI 7.9%-20.9%; I² = 94%). Practice modifications to manage ERIs included adjusting monitor (45.5%, CI 22.2%-69.9%; I² = 96%) and table (32.4%, CI 14.5%-53.5%; I² = 97%) height, but also reducing the number of cases per endoscopy session (14.6%; CI 10.4%-19.4%; I² = 72%).

Conclusion: ERIs are highly prevalent among international gastrointestinal endoscopists, and are linked to procedural volume, years in practice, and gender. Ergonomic training and workplace adaptations are essential to mitigate risks and support career sustainability.

Trial registration: PROSPERO Registration: CRD42024534349.

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内窥镜相关的肌肉骨骼损伤：患病率、危险因素和预防的系统回顾和荟萃分析。

背景：内窥镜相关的肌肉骨骼损伤（ERIs）是一种主要的职业危害，影响职业寿命和个人福祉。目的：本系统综述和荟萃分析旨在通过评估内镜医师中ERIs的患病率、危险因素和管理来更新和扩展先前的研究结果。方法：按照PRISMA指南，系统检索MEDLINE、Web of Science和Scopus自上次综合综述以来发表的相关研究。还对有关手稿的参考文献进行了人工检索。研究结果包括ERIs患病率、常见疼痛综合征、危险因素和预防或治疗策略。采用美国国立卫生研究院（NIH）质量评估工具对研究质量进行评估。结果：纳入了30项研究，纳入了7646名胃肠道内窥镜医师的数据。总体ERI的职业生涯总患病率为62.5% (CI 52.6-71.8, I2 = 98%)，包括疼痛(67.5%；CI 46.4% - -85.6%;I2 = 98%)和麻木(12.4%；95% ci 6.6%-19.7%；I2 = 98%)综合征。在疼痛综合征中，受影响最大的部位是手部（28.2%）；CI 19.2% - -38.2%;I2 = 99%)，下背部(27.3%；CI 20.1% - -35.2%;I2 = 97%)，拇指(27.1%；CI 18.9% - -37.7%;I2 = 99%)和颈部(25.7%；CI 19.3% - -32.7%;i2 = 98%)。较高的手术量、执业年数和女性性别一直被报告为ERIs的危险因素。在治疗方面，41.8%的内镜医师使用药物(CI 31.2% ~ 52.8%；I2 = 94%)， 28.2%从事物理治疗(CI 18.2% ~ 39.5%；i2 = 96%)。13.8%的内镜医师报告请了病假(CI 7.9%-20.9%；i2 = 94%)。管理ERIs的实践修改包括调整监护仪（45.5%,CI 22.2% ~ 69.9%）；I2 = 96%)和表(32.4%,CI 14.5%-53.5%；I2 = 97%)的高度，但也减少了每次内镜检查的病例数(14.6%；CI 10.4% - -19.4%;i2 = 72%)。结论：ERIs在国际胃肠道内窥镜医师中非常普遍，并且与手术量、实践年限和性别有关。人体工程学培训和工作场所适应对于降低风险和支持职业可持续发展至关重要。试验注册：PROSPERO注册号：CRD42024534349。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

United European Gastroenterology Journal GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

10.50

自引率

13.30%

发文量

147

期刊介绍： United European Gastroenterology Journal (UEG Journal) is the official Journal of the United European Gastroenterology (UEG), a professional non-profit organisation combining all the leading European societies concerned with digestive disease. UEG’s member societies represent over 22,000 specialists working across medicine, surgery, paediatrics, GI oncology and endoscopy, which makes UEG a unique platform for collaboration and the exchange of knowledge.