Affiliation:
1. Faculty of Medicine and Health University of Sydney Camperdown New South Wales Australia
2. Faculty of Medicine, Health and Human Sciences Macquarie University Macquarie Park New South Wales Australia
3. Rhinology and Skull Base Research Group, Applied Medical Research Centre University of New South Wales Sydney Australia
4. Faculty of Medicine and Health, Sydney School of Public Health, Sydney Musculoskeletal Health and Institute for Musculoskeletal Health University of Sydney Camperdown New South Wales Australia
5. Department of Otorhinolaryngology–Head and Neck Surgery Singapore General Hospital Singapore City Singapore
6. Faculty of Medical and Health Sciences, Surgery University of Auckland Auckland New Zealand
7. Faculty of Science, Medicine and Health University of Wollongong Wollongong New South Wales Australia
Abstract
AbstractObjectiveEndoscopic sinus and skull base surgery has led to significant improvements in patient outcomes, yet may have come at a cost to surgeons' musculoskeletal (MSK) health. We aimed to determine the prevalence and characteristics of work‐related MSK disorders (WRMDs) in endoscopic sinus and skull base surgeons; to investigate contributing factors for WRMD in this population; and to evaluate the effectiveness of ergonomic interventions on the severity or prevalence of WRMD in this population.Data SourcesMedline, Embase, CINAHL, Web of Science, and Scopus from inception to April 2, 2024. A bibliographic examination was performed for further papers.Review MethodsInclusion criteria included original peer‐reviewed papers with work‐related MSK outcomes (prevalence, contributing factors, and interventions) relating to endoscopic sinus and/or skull base surgeons in any language.ResultsOf 25,772 unique citations, 37 studies met the inclusion criteria. The pooled lifetime, point, and 12‐month prevalences of WRMD were 75.9% (95% confidence interval; I2, 67.2%‐83.6%, I2 95.6%), 80.8% (77.0%‐84.3%, I2 98.0%), and 82.0% (71.8%‐90.3%, I2 60.96%) respectively. The neck, lumbar spine, and thoracic spine were the most commonly involved areas. One of 9 studies on contributing factors investigated discomfort as an outcome. The remainder focussed on surrogate outcomes (eg, posture, hand dysfunction). Two of the 13 intervention studies investigated pain or fatigue as an outcome. The remainder targeted posture, muscle activity, or workload.ConclusionWRMDs are highly prevalent in endoscopic sinus and skull base surgeons. Further studies focusing on the direct outcomes of WRMD such as pain are needed.
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