Evidence map›Paper›PMID 40262229›Full record

ArticleThe Journal of surgical research2025

Stress and Strain: Ergonomic Practices and Associated Injuries Among Pediatric Surgeons.

Sydney F Tan, Michael Stellon, Devashish Joshi, Jessica Hellner, Romeo C Ignacio, Kyle J Van Arendonk, Barrie S Rich, Mehul V Raval, Erin E Perrone, Kevin P Moriarty and 5 more

Abstract read
In one paragraph

Article in The Journal of surgical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Sydney F TanDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Michael StellonDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Devashish JoshiDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Jessica HellnerDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Romeo C IgnacioDivision of Pediatric Surgery, Department of Surgery, University of California San Diego School of Medicine, San Diego, California.
Kyle J Van ArendonkDepartment of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio.
Barrie S RichDivision of Pediatric Surgery, Northwell Health, Cohen Children's Medical Center, New Hyde Park, New York.
Mehul V RavalDivision of Pediatric Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Erin E PerroneSection of Pediatric Surgery, University of Michigan, Ann Arbor, Michigan.
Kevin P MoriartyDepartment of Surgery, Division of Pediatric Surgery, UMass Chan Medical School-Baystate, Springfield, Massachusetts.
Danielle S WalshDepartment of Surgery, Division of Pediatric Surgery, University of Kentucky, Lexington, Kentucky.
Jason C FisherDivision of Pediatric Surgery, NYU Grossman School of Medicine, New York, New York.
Terry L BuchmillerDepartment of Pediatric Surgery, Boston Children's Hospital, Boston, Massachusetts.
Kenneth W GowDivision of Pediatric Surgery, Stony Brook University, Stony Brook, New York.
Hau D LeDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. Electronic address: leh@surgery.wisc.edu.

Funding

Training Program in Translational Cardiovascular Science (TPTCS)T32HL007936 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Lee Lochbaum Eckhardt, Gail A Robertson · 2001 to 2026
$11.6M
Predicting Future Liver Remnant Function and Growth Trajectory Using Novel MR Imaging BiomarkersF32CA284535 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI JOSHI, DEVASHISH · 2023 to 2023
$70k
NCI NIH HHS F32 CA284535NHLBI NIH HHS T32 HL007936
6 · The paper itself

Abstract

introductionErgonomic injuries pose significant risks to surgeons, affecting health, productivity, care access, and retirement age. Despite unique challenges in pediatric surgery, including varied patient sizes and operations, little is known about pediatric surgeons' ergonomics. This study aimed to assess ergonomic practices and associated injuries among pediatric surgeons.

methodsA cross-sectional survey was distributed to the American Pediatric Surgical Association regular members and fellows. Data collected included demographics, physical health, surgical practices, operating habits, discomfort, injuries, interventions, and outcomes. Associations with injury were analyzed using Fisher's exact test, Pearson's Chi-squared test, and Wilcoxon rank-sum tests.

resultsOne hundred seventeen (11%) surgeons responded, 53% were male with a median of 15 y in practice (interquartile range: 6-25). Regarding operating habits, 76% did not take regular breaks, 48% double-gloved, and 51% used loupes regularly. Notably, 90% experienced discomfort or pain, and 30% sustained injuries from operating, primarily affecting the neck and cervical spine (53%). White-identifying pediatric surgeons (80%) reported significantly more ergonomic injuries than other races (P < 0.01). Only 18% of respondents received ergonomic training. Ergonomics training and operating with a resident or co-surgeon were associated with less injury (P < 0.05). Among those experiencing discomfort or injury, 13% underwent a procedure, 63% experienced sleep disturbance, 74% reported contribution to burnout, and 88% used pain medications.

conclusionsErgonomic-related discomfort and injuries occurred in nearly 90% of pediatric surgeons who responded. Few had ergonomic training and most reported an impact on well-being. Modifiable ergonomic factors for pediatric surgeons, along with targeted interventions to reduce injuries, can improve surgeon well-being.

Indexed as

ErgonomicsOccupational InjuriesOccupational StressSurgeonsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesDiscomfortErgonomicsInjuryOccupational hazardPediatric surgerySurgical educationWell-being

Identifiers

PMID40262229
PMCPMC13387479

What OpenQuestion holds

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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.