Attitudes towards ergonomics in endoscopy: a BSPGHAN endoscopy working group survey of paediatric endoscopists in the United Kingdom

Objectives Endoscopy-related injury (ERI) is a known occupational hazard among gastroenterologists previously reported in the USA paediatric gastroenterology community. Data on prevalence and risk factors for ERI among UK paediatric endoscopists are unavailable. We aimed to determine the prevalence, nature and risk factors for ERI and explore attitudes toward and experience of ergonomics among UK paediatric gastroenterologists. Methods 26-point questionnaire distributed to all members of the British Society of Paediatric Gastroenterology, Hepatology and Nutrition. The survey explored clinical experience, history of ERI and experience with ergonomic modifications. Fisher’s exact test Statistical analysis of differences in ERI rates between groups. Results 65 responses received (20.1% response rate). 53.8% (n=35) reported experiencing pain or injury related to endoscopy. Most common injuries were hand/digit pain (62.2%), backache (35.1%) and arm pain (24.3%). 86.2% (n=56) had never received training on ergonomics or reducing ERI. ERI rates were significantly higher in female endoscopists (69.7% vs 37.5% in males, p=0.013) and respondents not performing weight/resistance exercises (68.8% vs 39.4%, p=0.025). Adherence to optimal endoscopy suite set-up was not significantly associated with reduced ERI rates. Conclusions This is the first UK nationwide study demonstrating that ERI is a significant occupational health issue, affecting over half of paediatric endoscopists surveyed. The significantly higher risk for women and those not performing resistance training highlights potential areas for targeted intervention. These findings underscore an urgent need for the development and integration of formal ergonomics training and guidelines into UK paediatric endoscopy practice to mitigate occupational risk.