Assessing Surgeon Work-Related Injury and Surgical ...€¦ · • 21 question survey collecting...
Transcript of Assessing Surgeon Work-Related Injury and Surgical ...€¦ · • 21 question survey collecting...
Background
• Significant number of surgeons experience work-related injuries • Height and hand size are associated with different types of
injuries • Increased attention to educating surgeons on operating room
ergonomic principles is warranted
• 59 out of 98 (60%) of attending surgeons responded • 40% reported having a current or previous work-related
injury • Most common injuries included:
! Neck (31%) ! Thumb (17%) ! Shoulder (14%)
• Surgeons attributed their injuries to: ! Standing for an extended time ! Not taking breaks ! Large case volumes ! Table height
• 82% of surgeons reported having little to no knowledge of ergonomics
• 93% reports that applying ergonomic principles in the OR would improve their well-being
Research Objectives
Methods
Results
Conclusions
Assessing Surgeon Work-Related Injury and Surgical Ergonomics Awareness in the Operating Room
Emily Cerier, MD1, Sara Mills, MD1, Andrew Hu, MD1, Swati Kulkarni, MD1
1Department of Surgery, Northwestern Memorial Hospital, Chicago, IL
1. Better understand the current status of ergonomics knowledge and work-related injuries among surgeons
2. Identify risk factors for surgery related injuries 3. Increase surgeon awareness regarding ergonomic principles in
the operating room
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
5.5 6.0 6.5 7 7.5 8 8.5
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
100%
< 5'4" 5'5" - 5'8" >5'9"
0% 5%
10% 15% 20% 25% 30% 35% 40% 45%
<5’4” 5’5” – 5’8” >5’9”
shoulder pain neck pain
• 21 question survey collecting information regarding surgeons’ demographics, burnout, work related pain, and ergonomics knowledge was distributed to attending surgeons via anonymous link in an email
• Results were analyzed using Qualtrics software to perform Chi-squared and Pairwise Z-tests
Ergonomics pertains to designing and arranging things people use so that the two interact most efficiently and safely1
Over 80% of surgeons experience generalized injuries exacerbated by operating with less than half seeking treatment2,3
Ergonomic principals have not been incorporated into surgical practice with less than 6% of surgeons receiving formal ergonomics training4
Less than 15% of surgeons report being aware of any ergonomic guidelines5
Poor adherence to ergonomic principles in the operating room leads to increased muscle fatigue and injury which can lead to career changes or early retirement4
References 1. “Ergonomics.” Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/ergonomics.
Accessed 13 Feb. 2020 2. Soueid A, Oudit D, Thiagarajah S, Laitung G. The pain of surgery: pain experienced by surgeons while operating. Int J Surg
2010;8:118e120. 3. Stucky, Chee-Chee H et al. “Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical
ergonomics.” Annals of medicine and surgery (2012) vol. 27 1-8. 9 Jan. 2018, doi:10.1016/j.amsu.2017.12.013 4. Epstein, Sherise et al. “Prevalence of Work-Related Musculoskeletal Disorders Among Surgeons and Interventionalists: A
Systematic Review and Meta-analysis.” JAMA surgery vol. 153,2 (2018): e174947. doi:10.1001/jamasurg.2017.4947 5. Wauben, L.S.G.L., van Veelen, M.A., Gossot, D. et al. Surg Endosc (2006) 20: 1268. https://doi.org/10.1007/s00464-005-0647-y
Surgeons with smaller(<6)/larger (>8.5) gloves were more likely to report injuries (87.5% vs 42.9%, p = 0.046)
Taller surgeons experienced more neck pain (42% vs 14%) while shorter surgeons were more likely to experience shoulder pain (21% vs 5%)
Table 1. Percent of Surgeons with pain by glove size
Table 3. Height Distribution of Reported Neck and Shoulder pain
Table 2. Percent of Surgeons with pain by height Results