骨科医生肌肉骨骼疾病的调查:识别损伤,加重工作场所因素,以及骨科社区的治疗模式

Katherine R Swank, Jamie E Furness, E. Baker, Corinn K. Gehrke, R. Rohde
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引用次数: 5

摘要

导言:随着对骨科护理需求的增加,骨科社区必须保持获得熟练医生的机会。工作场所的危险和相关的伤害或状况会对骨科医生造成肌肉骨骼(MSK)压力,这可能导致不希望的病假或提前退休。本研究的目的是确定和描述影响骨科医生的与工作相关和与工作无关的MSK状况,以及男性和女性外科医生的不同损伤模式。本研究假设MSK状况会因工作而恶化,与年龄相关,并表现出基于性别的差异。确定MSK条件和相关的工作场所危害可能最终有助于指导预防或保护工作。方法:在获得IRB和协会批准后,通过电子邮件随机选择美国矫形外科学会(AAOS)会员和Ruth Jackson矫形外科学会所有会员进行一份修改后的15个问题的身体不适调查。通过AAOS对数据进行识别和合并;由作者进行分析。结果:大多数外科医生报告了至少一种MSK情况(86%;95%为男性,82%为女性,P = 0.317),平均每个外科医生有两种情况。腰痛(56%)和颈部疼痛(42%)是最常见的两种疾病。男性外科医生更容易报告内侧上髁炎(P = 0.040)、外侧上髁炎(P≤0.001)、腰痛(P = 0.001)和腰椎神经根病(P = 0.001);然而,男性应答者的年龄明显大于女性应答者(57岁vs 43岁,P≤0.0001),并且某些情况与年龄相关。大多数受访者报告至少有一种工作相关的MSK状况(64%;68%男性vs 62%女性,P = 0.806)。病例量与与工作相关的MSK病症数量增加无关;然而,60%的外科医生报告说工作加重了症状。手术治疗最常用于腰椎神经根病(6%)和腕管综合征(6%)。据报有69人请假;大多数不到1个月(55%)。加重工作场所因素包括体位(患者/外科医生)、器械和个人防护装备。讨论:与工作相关的MSK在骨科医生中很常见。需要提高对与工作场所有关的潜在危害和条件的认识,以解决和减轻MSK对骨科医生健康的负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Survey of Musculoskeletal Disorders in the Orthopaedic Surgeon: Identifying Injuries, Exacerbating Workplace Factors, and Treatment Patterns in the Orthopaedic Community
Introduction: As demand for orthopaedic care increases, the orthopaedic community must preserve access to skilled physicians. Workplace hazards and related injuries or conditions contribute to musculoskeletal (MSK) stress on orthopaedic surgeons, which can lead to undesirable medical leaves of absence or early retirement. The purpose of this study was to identify and characterize work-related and non–work-related MSK conditions that affect orthopaedic surgeons and differential injury patterns among male and female surgeons. This study hypothesized that MSK conditions would be exacerbated by work, correlate with age, and show gender-based disparities. Identifying MSK conditions and associated workplace hazards may ultimately help guide preventive or protective efforts. Methods: Following IRB and society approvals, a modified 15-question physical discomfort survey was emailed to a randomized selection of American Academy of Orthopaedic Surgeons (AAOS) members and all Ruth Jackson Orthopaedic Society members. Data were deidentified and merged by AAOS; analyses were performed by the authors. Results: Most surgeons reported at least one MSK condition (86%; 95% male versus 82% female, P = 0.317), with an average of two conditions per surgeon. Low back pain (56%) and neck pain (42%) were the two most common conditions reported. Male surgeons were more likely to report medial epicondylitis (P = 0.040), lateral epicondylitis (P ≤ 0.001), low back pain (P = 0.001), and lumbar radiculopathy (P = 0.001); however, male respondents were significantly older than female respondents (57 versus 43 years, P ≤ 0.0001), and some conditions were age-correlated. Most respondents reported at least one work-attributed MSK condition (64%; 68% male versus 62% female, P = 0.806). Caseload was not associated with an increased number of work-related MSK conditions; yet, 60% of surgeons reported that work worsened symptoms. Surgical treatment was sought most often for lumbar radiculopathy (6%) and carpal tunnel syndrome (6%). Sixty-nine leaves of absence were reported; most less than 1 month (55%). Exacerbating workplace factors included positioning (patient/surgeon), instruments, and personal protective equipment. Discussion: Work-related MSK conditions are common among orthopaedic surgeons. Greater awareness of potential workplace-related hazards and conditions is needed to address and mitigate negative MSK health effects on orthopaedic surgeons.
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