{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:49:30Z","timestamp":1792612170746,"version":"4.5.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"09","license":[{"start":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T00:00:00Z","timestamp":1663113600000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Endoscopists are at high risk of musculoskeletal pain and injuries (MSPI). Recently, ergonomics has emerged as an area of interest to reduce and prevent the incidence of MSPI in endoscopy. The aim of this systematic review was to determine educational interventions using ergonomic strategies that target reduction of endoscopist MSPI from gastrointestinal endoscopy.<\/jats:p><jats:p>\n          Methods\u2002In December 2020, we conducted a systematic search in MEDLINE, EMBASE, PsycINFO, Web of Science, Scopus, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews for articles published from inception to December 16, 2020.\u200aStudies were included if they investigated educational interventions aimed at changing knowledge and\/or behaviors related to ergonomics in gastrointestinal endoscopy. After screening and full-text review, we extracted data on study design, participants, type of training, and assessment of primary outcomes. We evaluated study quality with the Medical Education Research Study Quality Instrument (MERSQI).<\/jats:p><jats:p>\n          Results\u2002Of the initial 575 records identified in the search, five met inclusion criteria for qualitative synthesis. We found that most studies (n\u200a=\u200a4\/5, 80\u200a%) were single-arm interventional studies that were conducted in simulated and\/or clinical settings. The most common types of interventions were didactic sessions and\/or videos (n\u200a=\u200a4\/5, 80%). Two (40\u200a%) studies used both standardized assessment studies and formal statistical analyses. The mean MERSQI score was 9.7.<\/jats:p><jats:p>\n          Conclusions\u2002There is emerging literature demonstrating the effectiveness of interventions to improve ergonomics in gastrointestinal endoscopy.<\/jats:p>","DOI":"10.1055\/a-1897-4835","type":"journal-article","created":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T22:48:31Z","timestamp":1663195711000},"page":"E1322-E1327","source":"Crossref","is-referenced-by-count":11,"title":["Educational interventions to improve ergonomics in gastrointestinal endoscopy: a systematic review"],"prefix":"10.1055","volume":"10","author":[{"given":"Amandeep K.","family":"Shergill","sequence":"first","affiliation":[{"name":"Medicine, Gastroenterology, San Francisco VA Medical Center\/ University of CA, San Francisco, San Francisco, California, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir C.","family":"Grover","sequence":"first","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"},{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Scaffidi","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikko","family":"Gimpaya","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andras B.","family":"Fecso","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"},{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishad","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"},{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juana","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi","family":"Bansal","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazi","family":"Torabi","sequence":"additional","affiliation":[{"name":"John P Robarts Library, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1080\/17474124.2017.1356225","article-title":"Musculoskeletal injuries in gastrointestinal endoscopists: A systematic review","volume":"11","author":"D E Yung","year":"2017","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.gie.2008.12.235","article-title":"Ergonomics and GI endoscopy","volume":"70","author":"A K Shergill","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1016\/j.gie.2020.03.3754","article-title":"Impact of a simulation-based ergonomics training curriculum on work-related musculoskeletal injury risk in colonoscopy","volume":"92","author":"R Khan","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1488","DOI":"10.3748\/wjg.v17.i11.1488","article-title":"Prevalence and impact of musculoskeletal pain in Japanese gastrointestinal endoscopists: A controlled study","volume":"17","author":"T Kuwabara","year":"2011","journal-title":"World J Gastroenterol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.gie.2014.06.036","article-title":"Prevalence and risk factors for musculoskeletal injuries related to endoscopy","volume":"81","author":"W Ridtitid","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1001\/jamasurg.2017.4947","article-title":"Prevalence of work-related musculoskeletal disorders among surgeons and interventionalists: A systematic review and meta-analysis","volume":"153","author":"S Epstein","year":"2018","journal-title":"JAMA Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"E813","DOI":"10.1055\/a-0838-5534","article-title":"Ergonomics in endoscopy\u202f: Should the endoscopist be considered and trained like an athlete?","volume":"07","author":"K Siau","year":"2019","journal-title":"Endosc Int Open"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1016\/j.gie.2021.01.023","article-title":"Core curriculum for ergonomics in endoscopy","volume":"93","author":"C M Walsh","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/2046-4053-4-1","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement","volume":"4","author":"D Moher","year":"2015","journal-title":"Syst Rev"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jclinepi.2016.01.021","article-title":"PRESS Peer Review of Electronic Search Strategies: 2015 Guideline Statement","volume":"75","author":"J McGowan","year":"2016","journal-title":"J Clin Epidemiol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1097\/ACM.0000000000000786","article-title":"Appraising the Quality of Medical Education Research Methods: The Medical Education Research Study Quality Instrument and the Newcastle-Ottawa Scale-Education","volume":"90","author":"D A Cook","year":"2015","journal-title":"Acad Med"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.gie.2021.01.045","article-title":"Individualized ergonomic wellness approach for the practicing gastroenterologist (with video)","volume":"94","author":"S A Markwell","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"S143","DOI":"10.1016\/S0016-5085(18)30897-7","article-title":"701 \u2013 Ergo-Fest: A division-wide quality improvement project","volume":"154","author":"G Brennan","year":"2018","journal-title":"Gastroenterology"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"AB263","DOI":"10.1016\/j.gie.2016.03.387","article-title":"Sa1228 Ergonomics of endoscopy: pre- and post-video training evaluation of gi fellows\u2019 awareness of occupational injury due to endoscopy and best practices for prevention","volume":"83","author":"A M Ahmed","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/S0003-6870(99)00039-3","article-title":"Rapid Entire Body Assessment (REBA)","volume":"31","author":"S Hignett","year":"2000","journal-title":"Appl Ergon"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.1007\/s10620-020-06406-z","article-title":"Assurance for endurance? Introducing a novel ergonomics curriculum to reduce pain and enhance physical well-being among GI fellows","volume":"65","author":"M Sussman","year":"2020","journal-title":"Dig Dis Sci"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1016\/j.gie.2019.08.023","article-title":"Ergonomic endoscopy: An oxymoron or realistic goal\u202f?","volume":"90","author":"A K Shergill","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"S63","DOI":"10.1097\/00001888-199009000-00045","article-title":"The assessment of clinical skills\/ competence\/ performance","volume":"65","author":"G E Miller","year":"1990","journal-title":"Acad Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"530","DOI":"10.14309\/ajg.0000000000001136","article-title":"Are all endoscopy-related musculoskeletal injuries created equal? Results of a national gender-based survey","volume":"116","author":"S Pawa","year":"2021","journal-title":"Am J Gastroenterol"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.14309\/ajg.0000000000001308","article-title":"Future related injuries will be of different types and gender","volume":"116","author":"W Marlicz","year":"2021","journal-title":"Am J Gastroenterol"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1897-4835.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T22:57:13Z","timestamp":1663196233000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1897-4835"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":20,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2022,9,14]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1897-4835","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}