Medicine of the Future in America

Musculoskeletal injuries among ERCP endoscopists in Canada: RESULTS Part 2

Occupational injuriesOf the treatments used, the most common was medication (36%), followed by physiotherapy (15%) and massage therapy (13%). Thirty-three per cent of respondents used more than one form of treatment (Table 2). Respondents who had an injury were asked whether they had modified the way in which they performed ERCP to prevent further injury or to alleviate pain symptoms while performing ERCP. Of the 76 injured respondents, 14 (18%) had modified how they performed ERCP, three stated that conditions could not be modified and the remaining 59 had not attempted to change their working conditions. The majority of respondents (61%) wore a one-piece lead apron while performing ERCP. Seventy-nine per cent of respondents currently used a videoscope, while 11% currently used fibre optic scopes. Eighty-nine per cent of respondents had used fibre optic scopes in the past. More than one-half of the respondents did not take regular breaks between procedures (Table 2).

Reported variables of injuries incurred by physicians who perform endoscopic retrograde cholangiopancreatography

Variable Number of responses (%)
Number of years afflicted with symptoms (n=72)
0-5 40 (56)
6-10 23 (32)
11-15 5 (7)
16-20 4 (6)
Type of treatment used (n=76)
None 34 (45)
Medication 27 (36)
Surgery 6 (8)
Chiropractic treatment 8 (11)
Physiotherapy 11 (15)
Massage therapy 10 (13)
Acupuncture 4 (5)
Rest 8 (11)
Other 4 (5)
Frequency of breaks (n=114)
Regular breaks between procedures 58 (51)
Occasional breaks between procedures i 15 (13)
No breaks between procedures 39 (34)

The ergonomic room designs of all the respondents’ ERCP facilities, as per sketches completed in the survey, were analyzed by a kinesiologist and an occupational therapist, and placed into two categories — ‘poor’ (67% of respondents) and ‘good’ (33% of respondents). Seventy-four per cent of respondents reported having tables without adjustable heights, 25% reported having fluoroscopy tables with adjustable heights and 1% did not know whether their tables were adjustable. Respondents were asked about sports and other leisure activities outside of work, and none of the activities were consistent with the injuries; 84% of respondents were classified as ‘active’ and 16% were classified as ‘sedentary’.
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The majority of respondents (64%) were interested in learning more about risk factor modification during ERCP and/or having an ergonomic assessment of their work environment. One per cent of respondents had already had an ergonomic assessment of their workplace.

This entry was posted in Occupational injuries and tagged Endoscopic retrograde cholangiopancreatography, Occupational injuries, Repetitive strain injuries.
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