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Alshareef L, Al Luhaybi F, Alsamli RS, Alsulami A, Alfahmi G, Mohamedelhussein WA, Almaghrabi A. Prevalence of Back and Neck Pain Among Surgeons Regardless of Their Specialties in Saudi Arabia. Cureus 2023; 15:e49421. [PMID: 38149136 PMCID: PMC10750446 DOI: 10.7759/cureus.49421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2023] [Indexed: 12/28/2023] Open
Abstract
BACKGROUND Musculoskeletal disorders are the second-most common complaint among surgeons. OBJECTIVES This study aimed to determine the prevalence of back and neck pain among Saudi surgeons of all specialties. MATERIALS AND METHODS A descriptive, cross-sectional study was used to collect data from 195 surgeons of different specialties in Saudi Arabia. The data were collected using a self-administered questionnaire to measure back pain, neck pain, and overall musculoskeletal pain (MSP). RESULTS Surgeons have a high level of neck and back pain. The prevalence of back, neck, and shoulder pain among the studied surgeons was 68.2%, 56.9%, and 46.2%, respectively, while the overall prevalence of MSP was 87.2%. MSP was significantly (p <.05) higher among male surgeons, in those who experienced fatigue only on long days, and in those who reported that the cause of fatigue was laparoscopic procedures. CONCLUSION Musculoskeletal symptoms are highly prevalent among surgeons in Saudi Arabia. Therefore, more studies should be conducted to assess and identify all the potential risk factors involved as well as ergonomic strategies to reduce the prevalence of MSP among surgeons, improve their quality of life, and avoid further complications.
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Affiliation(s)
- Lujain Alshareef
- College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU
| | | | - Rawan S Alsamli
- College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU
| | - Amirah Alsulami
- College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU
| | - Ghania Alfahmi
- College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU
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Gorce P, Jacquier-Bret J. Effect of Assisted Surgery on Work-Related Musculoskeletal Disorder Prevalence by Body Area among Surgeons: Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6419. [PMID: 37510651 PMCID: PMC10379148 DOI: 10.3390/ijerph20146419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/23/2023] [Accepted: 07/11/2023] [Indexed: 07/30/2023]
Abstract
Surgeons are highly exposed to work-related musculoskeletal disorders (WMSDs). The objective of this review was to summarize the WMSD prevalence by body area with and without assistive devices. The underlying question was whether there is an effect of assistive device use (robot, video, or other) during surgery on WMSD prevalence by body area among surgeons, regardless of their specialty. The systematic review was conducted according to the PRISMA guidelines. The Google Scholar, Pubmed/Medline, and ScienceDirect databases were scanned to identify relevant studies. The article selection, review, critical appraisal, and data extraction were performed by two authors independently. Among the 34,854 unique identified records, 77 studies were included. They were divided into two groups: 35 focused on robotic- and video-assisted surgery (RVAS) and 48 concerning surgery without video/robotic assistance (WAS) (6 studies evaluated the prevalence for both groups). WMSD prevalence was reported for 13 body areas: the neck, back, upper back, mid-back, lower back, shoulders, elbows, wrists, fingers, thumbs, hips, knees, and ankles. The results showed that WMSD prevalence was significantly higher (unpaired t-test, p < 0.05) for RVAS in the shoulders (WAS: 28.3% vs. RVAS: 41.9%), wrists (WAS: 20.9% vs. RVAS: 31.5%), and thumbs (WAS: 9.9% vs. RVAS: 21.8%). A meta-analysis was performed for 10 body areas (with 4 areas including more than 25 studies). No sufficient data were available for the mid-back, thumbs, or hips. A high heterogeneity (Cochran's Q test and I2 statistic) was observed. A random-effects model revealed that the highest worldwide prevalence was in the neck (WAS: 41% and RVAS: 45.3%), back (WAS: 37.7% and RVAS: 49.9%), lower back (WAS: 40.0% and RVAS: 37.8%), and shoulders (WAS: 27.3% and RVAS: 41.4%). Future work could focus on work environment design, particularly the positioning and adjustment of equipment, and on postural analysis to reduce the appearance of WMSDs. Recommendations are proposed for future reviews and meta-analyses.
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Affiliation(s)
- Philippe Gorce
- International Institute of Biomechanics and Occupational Ergonomics, ErBio, Avenue du Dr Marcel Armanet, 83400 Hyères, France
- Université de Toulon, CS60584, CEDEX 9, 83041 Toulon, France
| | - Julien Jacquier-Bret
- International Institute of Biomechanics and Occupational Ergonomics, ErBio, Avenue du Dr Marcel Armanet, 83400 Hyères, France
- Université de Toulon, CS60584, CEDEX 9, 83041 Toulon, France
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Suganthirababu P, Parveen A, Mohan Krishna P, Sivaram B, Kumaresan A, Srinivasan V, Vishnuram S, Alagesan J, Prathap L. Prevalence of work-related musculoskeletal disorders among health care professionals: A systematic review. Work 2022; 74:455-467. [PMID: 36530117 DOI: 10.3233/wor-211041] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders (WRMSDs) are one of the main causes of morbidity among healthcare professionals. It has various secondary consequences on productivity by diminishing the quantity and quality of work completed by the affected personnel, in addition to having a primary impact on the individual with pain and discomfort. OBJECTIVE The study aims to determine the overall prevalence rate of WRMSD among dentists, physiotherapists, and surgeons and also identify the commonly affected regions of the body about specific health care professions among each of the three professions, as recorded by the cross-sectional studies performed in various countries and regions of the world. METHODS A systematic search strategy was framed following the PRISMA guidelines based on the present inclusion and exclusion criteria. A critical search of articles was conducted during June 2020 in CINAHL (DOAJ), PubMed, Google Scholar Scopus, PEDro databases and SAGE journals. RESULTS Out of the 42 articles that met the eligibility criteria, there were 39 cross-sectional studies, 2 pilot cross-sectional surveys and 1 prospective cohort study with one-year follow-up. All studies included in this review used various survey tools for recording the demographic details and measuring the prevalence of WRMSDs and other outcome factors. CONCLUSION We conclude that all three health care professionals (dentists, physiotherapists and surgeons) are highly prone to develop WRMSDs with surgeons and dentists being more vulnerable when compared to physiotherapists. The lower back and neck are identified as the two most commonly affected regions among all three professionals.
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Affiliation(s)
- Prathap Suganthirababu
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - Ayesha Parveen
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - P Mohan Krishna
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - B Sivaram
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - A Kumaresan
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - Vignesh Srinivasan
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - Surya Vishnuram
- East Point College of Physiotherapy, East Point Group of Institutions, Bangalore, Karnataka, India
| | - Jagatheesan Alagesan
- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
| | - Lavanya Prathap
- Department of Anatomy, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
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Acharya H, Patel P, Shetty GM, Shah M, Bamb H, Nene A. Prevalence and risk factors of neck pain in spine surgeons - Are we our own patients? J Clin Orthop Trauma 2022; 33:102012. [PMID: 36110511 PMCID: PMC9467889 DOI: 10.1016/j.jcot.2022.102012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 06/04/2022] [Accepted: 08/27/2022] [Indexed: 10/14/2022] Open
Abstract
Aim This survey of spine surgeons aimed to determine the prevalence of neck pain and identify the associated risk factors. The prevalence of neck pain has been reported in various medical sub-specialities including laparoscopy surgeons, dentists, plastic surgeons, ophthalmologist, urologist and orthopaedic surgeons. However, the literature is lacking on prevalence and risk factors for neck pain in spine surgeons. Methods A survey questionnaire containing demographic, Neck pain and work practice details was administered to 300 spine surgeons (members of an online group) via text message and e-mail. Results One hundred and eighty surgeons responded to the survey (response rate, 60%). Three spine surgeons had previous cervical spine surgeries. The 1-month prevalence rate of neck pain was 74.4% (134/180 surgeons). One hundred and eighteen surgeons (88%) reported only neck pain, 16 surgeons (11.9%) had neck pain with radicular arm pain. Only 20.5% of surgeons used a loupe, 18% of surgeons used a microscope, and 24% of surgeons used operating table height at umbilicus during surgery. There was no significant difference between the mean age (p = 0.65), work experience (p = 0.8), time spent in surgery (p = 0.7), and operating table height preference (p = 0.4) when symptomatic and asymptomatic groups were compared. However, a significantly greater percentage of surgeons had a sedentary lifestyle (p = 0.002) & used loupes as compared to microscopes (p = 0.04) in the symptomatic group. There was significant correlation between the surgeon's lifestyle & use of loupe and the incidence of neck pain. Conclusion Spine surgeons have a higher prevalence of neck pain than general populations and surgeons from other specialties. Considering the high prevalence of neck pain, general health, work, and ergonomic guidelines and recommendations must be formulated to help prevent and decrease the burden of neck pain among spine surgeons.
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Affiliation(s)
- Hriday Acharya
- Dept of Spine Surgery, Lilavati Hospital & Research Center, Mumbai, India
| | - Priyank Patel
- Dept of Spine Surgery, Lilavati Hospital & Research Center, Mumbai, India
| | - Gautam M. Shetty
- Knee and Orthopaedic Clinic, Mumbai Head of Clinical Research, AIMD Research, India
| | - Munjal Shah
- Dept of Spine Surgery, Lilavati Hospital & Research Center, Mumbai, India
| | - Harshal Bamb
- Dept of Spine Surgery, Lilavati Hospital & Research Center, Mumbai, India
| | - Abhay Nene
- Dept of Spine Surgery, Lilavati Hospital & Research Center, Mumbai, India
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Rață AL, Barac S, Garleanu LL, Onofrei RR. Work-Related Musculoskeletal Complaints in Surgeons. Healthcare (Basel) 2021; 9:healthcare9111482. [PMID: 34828528 PMCID: PMC8619976 DOI: 10.3390/healthcare9111482] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/25/2021] [Accepted: 10/27/2021] [Indexed: 11/16/2022] Open
Abstract
The aim of the present study was to examine the prevalence of work-related musculoskeletal complaints and potential risk factors among Romanian surgeons. Ninety-five surgeons of different specialties (62.11% males) completed a questionnaire about work-related musculoskeletal complaints (WMSCs). Ninety-one surgeons (95.78%) experienced WMSCs at least in one body part in the last year. Most surgeons reported pain in four body parts (33.68%). The most common WMSCs were reported on the lower back (74.73%), followed by complaints in the neck region (55.79%), shoulder and upper back (46.32%), knee (31.58%), wrist-hand (16.84%), elbow (14.74%), hip (11.58%) and ankle-foot (4.21%). Surgeons rated their pain more severe on upper back, lower back and knees. A higher percentage of male surgeons reported upper back pain (χ2(1) = 5.818, p = 0.015). Significant age differences were found between the reported pain sites (F8,278 = 2.666, p = 0.008); the surgeons reporting wrist-hand pain were younger than those reporting neck, shoulders, elbows, dorsal and lumbar pain. Surgeons with significantly less experience in years reported significantly more WMSCs in wrist-hand, hip and ankle-foot regions compared with those more experienced (p < 0.05). Surgeons are at high risk of developing work-related musculoskeletal complaints, which affects both their professional and personal life. Further studies are needed to identify all risk factors and ergonomic strategies to reduce the prevalence and the negative impact of WMSCs.
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Affiliation(s)
- Andreea Luciana Rață
- Department of Vascular Surgery, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq no 2, 300042 Timisoara, Romania;
- “Pius Brinzeu” Emergency County Hospital, 300723 Timisoara, Romania
| | - Sorin Barac
- Department of Vascular Surgery, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq no 2, 300042 Timisoara, Romania;
- “Pius Brinzeu” Emergency County Hospital, 300723 Timisoara, Romania
- Correspondence:
| | | | - Roxana Ramona Onofrei
- Department of Rehabilitation, Physical Medicine and Rheumatology, Research Center for Assessment of Human Motion, Functionality and Disability, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania;
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Al Amer HS. Low back pain prevalence and risk factors among health workers in Saudi Arabia: A systematic review and meta-analysis. J Occup Health 2020; 62:e12155. [PMID: 32710807 PMCID: PMC7382437 DOI: 10.1002/1348-9585.12155] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Revised: 07/02/2020] [Accepted: 07/07/2020] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVES Low back pain (LBP) has a major impact on health workers, and its prevalence and risk factors among them in Saudi Arabia have been investigated previously. However, the results have never been comprehensively reviewed. Therefore, the aim of this study was to perform a systematic review and meta-analysis of the available literature to identify the prevalence and risk factors of LBP among health workers in Saudi Arabia. METHODS MEDLINE/PubMed, Web of Science, Scopus, CINAHL, and Saudi peer-reviewed journals were searched for relevant literature. After quality assessment of the eligible articles, 18 studies targeting seven occupational categories, with a total number of 5345 health workers, were analyzed. RESULTS Pooled prevalence rates of 40.8% (n = 7 studies), 65.0% (n = 13 studies), and 81.4% (n = 2 studies) were obtained for week, year, and career, respectively, across all professional groups. Nurses and physical therapists were more susceptible to LBP, in that order, than the other categories considering week and career periods. Age, body mass index, and female gender were the most commonly reported individual risk factors. Occupational risk factors mainly included work-related activities requiring back bending and twisting, lifting and pulling objects, and manual patient-handling. CONCLUSIONS The results of this review indicate that LBP is highly prevalent among health workers in Saudi Arabia when compared with international rates. Proper prophylactic measures are necessary to reduce LBP and minimize its consequences. Further high-quality research is needed in different Saudi regions to achieve a broader understanding of LBP prevalence and causes.
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Affiliation(s)
- Hamad S. Al Amer
- Department of Physical TherapyFaculty of Applied Medical SciencesUniversity of TabukTabukSaudi Arabia
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Koshy N, Sriraman S, Kamat Y. Patient handling in India—Evidence from a pilot study. J Family Med Prim Care 2020; 9:1397-1402. [PMID: 32509622 PMCID: PMC7266231 DOI: 10.4103/jfmpc.jfmpc_1173_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/01/2020] [Accepted: 02/13/2020] [Indexed: 11/04/2022] Open
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