Evidence map›Paper›PMID 39915061›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Colorectal surgeon physical pain and conditioning: a national survey.

Garrett Johnson, Haven Roy, Sandra Webber, Farhana Shariff, Ramzi Helewa, David Hochman, Jason Park, Eric Hyun

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Garrett JohnsonFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
Haven RoyFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
Sandra WebberFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
Farhana ShariffFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
Ramzi HelewaFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
David HochmanFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
Jason ParkFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park).
Eric HyunFrom the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Roy, Shariff, Helewa, Hochman, Hyun); the Department of Physical Therapy, University of Manitoba, Winnipeg, Man. (Webber); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Park) ehyun@sbgh.mb.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace injuries are increasingly recognized as a substantial detriment to surgeon longevity and productivity. Limited data exist on pain and injury prevalence among rectal surgeons. In this epidemiologic study, we aimed to estimate the prevalence of physical discomfort among rectal surgeons in Canada and identify potential causative factors.

methodsWe distributed a web-based survey to rectal surgeons in Canada between January and October 2022. We included colorectal surgeons, surgical oncologists, and colorectal surgery fellows associated with Canadian university hospitals.

resultsOf the 72 surgeons we contacted, 48 participated (67%). More than 98% reported experiencing physical discomfort or pain during rectal surgery, with more than half experiencing these symptoms weekly. Neck, shoulders, and back were common pain or discomfort locations, whether surgeons were performing open surgery or using a minimally invasive platform. Laparoscopic equipment, headlight, and pelvic retractor use were the most common causes. Many surgeons (54%) sought professional treatment and employed risk-reducing strategies such as intraoperative stretching (48%) or after-work strength training exercises (52%). Satisfaction with pain levels during surgery was uncommon (40%). Multivariable analysis showed advancing age (odds ratio [OR] 1.12, 95% confidence interval [CI] 1.02-1.23) and larger percentage of minimally invasive surgeries (OR 2.61, 95% CI 1.28-5.33) as significant predictors of increased discomfort. After-work exercise participation was protective in both open (OR 0.14, 95% CI 0.02-0.95) and minimally invasive surgeries (OR 0.60, 95% CI 0.37-0.98).

conclusionRectal surgeons in Canada commonly experience pain and injury during surgery, underscoring the need for improved safety measures to preserve their physical health and career longevity.

Indexed as

Colorectal SurgeryOccupational DiseasesSurgeonsAdultCanadaFemaleHumansMaleMiddle AgedPrevalenceSurveys and Questionnaires

Identifiers

PMID39915061
PMCPMC11818781

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.