ArticleWorld journal of gastrointestinal endoscopy2022
Ergonomics of gastrointestinal endoscopies: Musculoskeletal injury among endoscopy physicians, nurses, and technicians.
Article in World journal of gastrointestinal endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Endoscopy-Related Musculoskeletal Injuries: A Systematic Review and Meta-Analysis on Prevalence, Risk Factors and Prevention.United European gastroenterology journal · 2025Pooled it
- Ergonomics in Knee Arthroscopy: A Scoping Review.Arthroscopy, sports medicine, and rehabilitation · 2026Review
- Associated Factors and Latent Patterns of Work-Related Musculoskeletal Disorders Among Digestive Endoscopy Nurses: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Adaptive Control of the Redundant Axis of a Surgical Robot for Operating Room Workspace Optimization Using Reinforcement Learning.Sensors (Basel, Switzerland) · 2026Article
- Regional Differences in Medicare Reimbursements and Gastroenterology Workforce Dynamics: Implications for Access to Care.Healthcare (Basel, Switzerland) · 2026Article
- Use of an augmented reality headset to optimize ergonomics in digestive endoscopy settings.Endoscopy · 2025Article
- Characterization of biomechanical risk factors during endoscopic submucosal dissection: Ergonomic pilot study.Endoscopy international open · 2025Article
- Design and evaluation of new user control devices for improved ergonomics in flexible robotic endoscopy.Frontiers in robotics and AI · 2025Article
- Minimally Invasive Approaches to Spinal Cerebrospinal Fluid Leak Repair: Current Strategies and a Novel Technique.Journal of personalized medicine · 2024Article
- Prevalence and sex differences in endoscopy-related injuries: comprehensive systematic review and meta-analysis.iGIE : innovation, investigation and insights · 2024Article
- Work-Related Musculoskeletal Injury Rates, Risk Factors, and Ergonomics in Different Endoscopic Specialties: A Review.Healthcare (Basel, Switzerland) · 2024Review
- Ergonomics of bronchoscopy: good advice or a pain in the neck?European respiratory review : an official journal of the European Respiratory Society · 2023Review
- New Insight into Endoscopic Work-Related Musculoskeletal Disorders (WRMD): Why Repeated Motions Damage.Digestive diseases and sciences · 2023Article
- Patient Factors Affect Ergonomic Strain of Endoscopists During Colonoscopy.Digestive diseases and sciences · 2023Article
- Methods for Gastrointestinal Endoscopy Quantification: A Focus on Hands and Fingers Kinematics.Sensors (Basel, Switzerland) · 2022Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMusculoskeletal injuries (MSI) have plagued endoscopists and ancillary staff for decades without any innovative and strong ergonomic guidelines. It has placed a physical and mental strain on our endoscopists and ancillary staff. We have very have limited data supporting this claim in our region and most data is supported by western literature.
aimTo document the prevalence of MSI, and awareness and practices of ergonomics by endoscopists and ancillary staff.
methodsThis is an observational cross-sectional study, conducted in Karachi, a city that boasts the maximum number of daily endoscopies in the country. An eleven-point self-administered questionnaire was distributed and used to evaluate MSI and ergonomic adjustments amongst three tertiary care setups in Karachi. An onsite survey
resultsThere were 56 participants in total with 39 (69.6%) males. Pain and numbness were documented by 75% of the patients, with pain in the neck (41.1%), lower back (32.1%), shoulder (21.4%), thumb (12.5%), hand (23.2%), elbow (8.9%), and carpal tunnel syndrome (CTS) (7.1%). Of those, 33.3% attributed their symptoms to endoscopy, 14.2% said that symptoms were not caused by endoscopy, and 52.4% were not certain whether endoscopy had caused their symptoms. Twenty-one point four percent of patients had to take time off their work, while 33.9% took medications for pain. Ergonomic modifications to prevent musculoskeletal injury, including placement of endoscopic monitor at eye level and the cardiac monitor in front, stopping the procedure to move patients, sitting while performing colonoscopy, and navigating height-adjustable bed were used by 21.4%. Nine out of 13 ergonomic facilities were not present in all five tertiary care hospitals. Conveniences, such as anti-fatigue mats, height-adjustable computer stations, and time out between patients were not present.
conclusionThree-fourth of our endoscopists reported MSI, of which more than half were not sure or attributed this problem to endoscopy. The prevalence of MSI warrants urgent attention.
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Registered trials
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