Evaluation of Musculoskeletal Disorders and Ergonomic Measures among French Digestive Endoscopists

Background Work-related musculoskeletal disorders (WRMSDs) affect 37-89% of gastroenterologists. This study aimed to evaluate the prevalence of MSDs among French digestive endoscopists and identify associated risk factors. Methods An anonymized online questionnaire about MSD was distributed to all members of the French Society of Endoscopy (SFED) over one month. Results A total of 485 digestive endoscopists participated in October 2024. Most respondents were male (55%), with a median age of 48 years (IQR 37-60). About 76.3% reported experiencing work-related joint and/or musculoskeletal disorders leading to decreased efficiency (5.1%), job adaptation (3.8%), reduction of activity (2.4%), and work stoppage (2.1%). In multivariate analysis, practicing endoscopy for more than 20 years (OR 2.53 (95% CI 1.01-6.33), p = 0.046) and the number of hours of endoscopy practice per week were independently associated with WRMSDs (OR 1.10 (95% CI 1.04-1.18), p = 0.002). Performing more than 16.5 hours of endoscopy per week increased WRMSD risk (sensitivity 35%, specificity 83%). Conversely, practicing sports at least three times per week and adjusting the endoscopy schedule were associated with a lower risk. Conclusion WRMSDs are frequent and impactful among French endoscopists. Targeted preventive strategies are urgently needed to protect practitioners' health and maintain care quality.