Ergonomics Among Craniofacial Surgeons: A Survey of Work-Related Musculoskeletal Discomfort and Injury.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Oct 2021
01 Oct 2021
Historique:
entrez:
27
10
2021
pubmed:
28
10
2021
medline:
30
10
2021
Statut:
ppublish
Résumé
Surgical procedures with loupe magnification, headlights, and microscopes expose craniofacial surgeons to mechanical stress that can increase risk of long-term musculoskeletal pain and injury. Identifying the prevalence and cause of work-related musculoskeletal discomfort may guide preventative strategies to prolong well-being, job satisfaction, and greater duration of surgical careers. A 29-question online survey was distributed to the surgeon members of the American Cleft Palate-Craniofacial Association. Eight hundred seventy-three surveys were distributed, and the anonymous responses were recorded using Google forms. One hundred ninety-six unique responses were recorded (22.5% response rate). A total of 64.2% reported experiencing musculoskeletal symptoms during their career, with neck, lower back, and shoulders being the most common problem areas. Multivariate analysis demonstrated surgical loupes (odds ratio 2.36, P = 0.03) and length of surgical practice >15 years (odds ratio 1.95, P = 0.04) were independently associated with greater odds of developing symptoms. Headlights (median pain = 3, P < 0.001), loupes (median pain = 3.5, P < 0.001), and operative microscope use (median pain = 2, P = 0.02) were all associated with higher pain while operating. A total of 52.5% respondents sought medical treatments, 50.5% were concerned musculoskeletal discomfort would affect their careers, 56.6% reported a colleague that required an operation, and 30.2% reported a colleague on temporary or permanent disability. Craniofacial surgery often involves long procedures, use of surgical adjuncts, and ergonomically straining postures, which can lead to musculoskeletal discomfort and injury. This under-reported and important phenomenon merits candid conversation and active preventative strategies to prolong surgical careers, improve professional satisfaction, and maximize patient safety.
Identifiants
pubmed: 34705387
doi: 10.1097/SCS.0000000000007933
pii: 00001665-202110000-00040
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2411-2415Informations de copyright
Copyright © 2021 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Soueid A, Oudit D, Thiagarajah S, et al. The pain of surgery: pain experienced by surgeons while operating. Int J Surg 2010; 8:118–120.
Epstein S, Sparer EH, Tran BN, et al. Prevalence of work-related musculoskeletal disorders among surgeons and interventionalists: a systematic review and meta-analysis. JAMA Surg 2018; 153:e174947.
Carayon P, Schoofs-Hunt A, Karsh BT, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care 2006; 15: (Suppl 1): i50–i58.
Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. Ergonomics 2015; 58:33–49.
Park A, Lee G, Seagull FJ, et al. Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg 2010; 210:306–313.
Catanzarite T, Tan-Kim J, Whitcomb EL, et al. Ergonomics in surgery: a review. Female Pelvic Med Reconstr Surg 2018; 24:1–12.
Kokosis G, Dellon LA, Lidsky ME, et al. Prevalence of musculoskeletal symptoms and ergonomics among plastic surgery residents: results of a national survey and analysis of contributing factors. Ann Plast Surg 2020; 85:310–315.
Khansa I, Khansa L, Westvik TS, et al. Work-related musculoskeletal injuries in plastic surgeons in the United States, Canada, and Norway. Plast Reconstr Surg 2018; 141:165e–175e.
Capone AC, Parikh PM, Gatti ME, et al. Occupational injury in plastic surgeons. Plast Reconstr Surg 2010; 125:1555–1561.
Fisher SM, Teven CM, Song DH. Ergonomics in the operating room: the cervicospinal health of today's surgeons. Plast Reconstr Surg 2018; 142:1380–1387.
Lakhiani C, Fisher SM, Janhofer DE, et al. Ergonomics in microsurgery. J Surg Oncol 2018; 118:840–844.
Tanaka SA, Oatel NM, Murthy AS. No longer a pain in the neck: use of operating microscope for palatoplasty. Plast Reconstr Surg Glob Open 2020; 8:e3196.
Howarth AL, Hallbeck MS, Lemaine V, et al. Work-related musculoskeletal discomfort and injury in craniofacial and maxillofacial surgeons. J Craniofac Surg 2019; 30:1982–1985.
Gerety PA, Serletti JM, Taylor JA. An international survey of craniofacial surgeons: current trends in practice. J Craniofac Surg 2013; 24:136–140.
Singh C, Loseth C, Shoqirat N. Women in surgery: a systematic review of 25 years. BMJ Leader 2020; 0:1–8. doi: 10.1136/leader-2019-000199.
doi: 10.1136/leader-2019-000199
Winters JN, Sommer NZ, Romanelli MR. Stretching and strength training to improve postural ergonomics and endurance in the operating room. Plast Reconstr Surg Glob Open 2020; 85:e2810.
Sivak-Callcott JA, Mancinelli CA, Nimbarte AD. Cervical occupational hazards in ophthalmic plastic surgery. Curr Opin Ophthalmol 2015; 26:392–398.
Sahni D, James KB, Hipp J, et al. Is there an increased incidence of cervical degenerative disease in surgeons who use loupes and a headlight? J Spine 2015; 4:256doi:10.4172/2165-7939.1000256.
doi: 10.4172/2165-7939.1000256
Epstein S, Tran BN, Capone AC, et al. Work-related musculoskeletal disorders among plastic surgeons: a systematic review. J Reconstr Microsurg 2018; 34:553–562.
Lindegård A, Nordander C, Jacobsson H, et al. Opting to wear prismatic spectacles was associated with reduced neck pain in dental personnel: a longitudinal cohort study. BMC Musculoskelet Disord 2016; 17:347.