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Occupational musculoskeletal pain amongst ENT surgeons – are we looking at the tip of an iceberg?

Published online by Cambridge University Press:  20 April 2016

A Vijendren ,
M Yung ,
J Sanchez  and
K Duffield
A Vijendren*
Affiliation:
Department of ENT, Ipswich Hospital, UK
M Yung
Affiliation:
Department of ENT, Ipswich Hospital, UK
J Sanchez
Affiliation:
Department of Occupational Health, Ipswich Hospital, UK
K Duffield
Affiliation:
Department of Physiotherapy, Ipswich Hospital, UK
*
Address for correspondence: Mr Ananth Vijendren, 143 Stephendale Road, Fulham, London SW6 2PR, UK E-mail: [email protected]
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Abstract

Objective:

Surgeons are exposed to a variety of occupational risks, including work-related musculoskeletal disorders. This study investigated the prevalence of these latter disorders amongst UK ENT surgeons and compared this with the existing literature.

Methods:

A survey containing questions on work-related musculoskeletal disorders was distributed to the entire membership of ENT-UK electronically, with the assistance of its Survey Guardian. A literature review on the subject was then performed.

Results:

A total of 323 completed questionnaires were received (a 24 per cent response rate). Work-related musculoskeletal disorders had been experienced by 47.4 per cent of respondents. There were no statistical differences between the occurrence of work-related musculoskeletal disorders and: grade, length of time spent in the specialty or the subspecialty of respondents. Eighty-five per cent of affected surgeons sought treatment, with 22.9 per cent taking time off work and six surgeons retiring early. The literature review only identified five related studies.

Conclusion:

Despite the scarcity of studies, work-related musculoskeletal disorders are common amongst ENT surgeons in the UK. Such disparity highlights the need for more research and appropriate ergonomic intervention within the specialty.

Keywords

Musculoskeletal PainOccupational InjuriesOtorhinolaryngologyOccupational Safety
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 5 , May 2016 , pp. 490 - 496
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Vijendren, A, Yung, M, Sanchez, J. The ill surgeon: a review of common work-related health problems amongst UK surgeons. Lagenbecks Arch Surg 2014;399:967–79Google Scholar
2 Soueid, A, Oudit, D, Thiagarajah, S, Laitung, G. The pain of surgery: pain experienced by surgeons while operating. Int J Surg 2010;8:118–20Google Scholar
3 Dorion, D, Darveau, S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study. Ann Surg 2013;257:256–9CrossRefGoogle ScholarPubMed
4 Health and Safety Executive. Risk factors – background information. In: http://www.hse.gov.uk/msd/uld/art/riskfactors.htm [21 August 2015]Google Scholar
5 Babar-Craig, H, Banfield, G, Knight, J. Prevalence of back and neck pain amongst ENT consultants: national survey. J Laryngol Otol 2003;117:979–82CrossRefGoogle ScholarPubMed
6 Health and Safety Executive: Annual Statistics Report for Great Britain 2012/2013. In: http://www.hse.gov.uk/statistics/overall/hssh1213.pdf [18 July 2015]Google Scholar
7 Health and Safety Executive. Work Related Musculoskeletal Disorder Statistics (WRMSDs) in Great Britain. In: http://www.hse.gov.uk/statistics/causdis/musculoskeletal/index.htm [18 July 2015]Google Scholar
8 European Agency for Safety and Health at Work. Work related musculoskeletal disorders among hospital workers. In: http://oshwiki.eu/wiki/Work-related_musculoskeletal_disorders_among_hospital_workers#Prevention_of_MSDs_in_hospital_workers [31 July 2015]Google Scholar
9 Health and Safety Executive. FAQs – Manual handling and labelling loads. In: http://www.hse.gov.uk/msd/faq-manhand.htm [28 July 2015]Google Scholar
10 Premier, IT. NHS e-Learning. In: http://e-learning.premierit.com/solutions/healthcare-e-learning/ [28 July 2015]Google Scholar
11 Mal, RK, Costello CH. Is shoulder impingement syndrome a problem in otolaryngologists? Clin Otolaryngol Allied Sci 2002;27:44–7Google Scholar
12 Wong, A, Baker, N, Smith, L, Rosen, CA. Prevalence and risk factors for musculoskeletal problems associated with microlaryngeal surgery: a national survey. Laryngoscope 2014;124:1854–61Google Scholar
13 Cavanagh, J, Brake, M, Kearns, D, Hong, P. Work environment discomfort and injury: an ergonomic survey study of the American Society of Paediatric Otolaryngology members. Am J Otolaryngol 2012;33:441–6Google Scholar
14 Little, RM, Deal, AM, Zanation, AM, McKinney, K, Senior, BA, Ebert, CS Jr. Occupational hazards of endoscopic surgery. Int Forum Allergy Rhinol 2012;2:212–16CrossRefGoogle ScholarPubMed
15 Kazancioglu, HO, Bereket, MC, Ezirganli, S, Ozsevik, S, Sener, I. Musculoskeletal complaints among oral and maxillofacial surgeons and dentists: a questionnaire study. Acta Odontol Scand 2013;71:469–74Google Scholar
16 Rambabu, T, Suneetha, K. Prevalence of work related musculoskeletal disorders among physicians, surgeons and dentists. Ann Med Health Sci Res 2014;4:578–82CrossRefGoogle ScholarPubMed
17 Capone, AC, Parikh, PM, Gatti, ME, Davidson, BJ, Davison, SP. Occupational injury in plastic surgeons. Plast Reconstr Surg 2010;125:1555–61CrossRefGoogle ScholarPubMed
18 Knudsen, ML, Ludewig, PM, Braman, JP. Musculoskeletal pain in resident orthopaedic surgeons: results of a novel survey. Iowa Orthop J 2014;34:190–6Google Scholar
19 Liang, CA, Levine, VJ, Dusza, SW, Hale, EK, Nehal, KS. Musculoskeletal disorders and ergonomics in dermatologic surgery: a survey of Mohs surgeons in 2010. Dermatol Surg 2012;38:240–8CrossRefGoogle ScholarPubMed
20 Nimbarte, AD, Sivak-Callcott, JA, Zreiqat, M, Chapman, M. Neck postures and cervical spine loading among microsurgeons operating with loupes and headlamps. IIE Trans Occup 2013;1:215–23Google Scholar
21 Esposito, C, Najmaldin, A, Schier, F, Yamataka, A, Ferro, M, Riccipetitoni, G et al. Work-related upper limb musculoskeletal disorders in pediatric minimally invasive surgery: a multicentric survey comparing laparoscopic and SILS ergonomy. Pediatr Surg Int 2014;30:395–9Google Scholar
22 Rodigari, A, Bejor, M, Carlisi, E, Lisi, C, Tinelli, C, Toffola, ED. Identification of risk factors for fatigue and pain when performing surgical interventions. G Ital Med Lav Ergon 2012;34:432–7Google Scholar