Jornal Internacional de Medicina Física e Reabilitação
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Work-Related Musculoskeletal Disorders Prevalence among American, Asian and European Surgeons during Robotic/Video-Assisted Surgery

Philippe Gorce*, Julien Jacquier Bret

Surgeons are highly exposed to Work-Related Musculoskeletal Disorders (WMSDs). The objective of this systematic review and meta-analysis was to summarize the WMSDprevalence by body area with assistive devices among American, Asian, and European surgeons. Thirty-three studies were included in theanalysis. A meta-analysis was performed for five body areas: neck, back, shoulder, wrist, and knee. No sufficient data were available for the other body areas. High heterogeneity (Cochran's Q test and I² statistic) was observed. The worldwide WMSD prevalence was 45.6% for neck, 49.1% for back, 41.6% for shoulder, 28.1% for wrist, and 18.5% for knee. Random effects model revealed the highest prevalence was for neck (America: 39.3%-CI 95%: 29.5-49.2%; Asia: 50.4%-CI95%: 19.3-81.5%; Europe: 54.1%-CI 95%: 41.5-66.7%), back (America: 38.5%-CI 95%: 13.2-63.8%; Asia: 40.7%-CI 95%: 5.0-76.6%; Europe: 58.7%-CI 95%: 40.9-76.6%), shoulder (America: 35.9%-CI 95%: 25.2-46.7%; Asia:35.6%-CI 95%: 21.2-50.1%; Europe: 51.4%-CI 95%: 41.5-61.4%), wrist (America: 27.2%-CI 95%: 19.5-34.9%; Asia: 25.8%-CI 95%: 15.0-36.5%; Europe: 31.8%-CI 95%: 18.1-45.5%), and knee (America: 11.9%-CI 95%: 3.5-20.4%; Asia: 19.6%- CI 95%: 6.5-32.7%; Europe: 26.7%-CI 95%: 20.0-33.3%). Americansurgeons using video orrobotic assistance appear to have a lower risk of WMSDs in these five areas than European surgeons.