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). 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.