TY - JOUR
T1 - Occupational health hazards of interventional cardiologists in the current decade
T2 - Results of the 2014 SCAI membership survey
AU - Klein, Lloyd W.
AU - Tra, Yolande
AU - Garratt, Kirk N.
AU - Powell, Wayne
AU - Lopez-Cruz, Georgina
AU - Chambers, Charles
AU - Goldstein, James A.
N1 - Publisher Copyright:
© 2015 Wiley Periodicals, Inc.
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Background Interventional cardiologists and staff are subject to unique physical demands that predispose them to distinct occupational health hazards not seen in other medical disciplines. Methods To characterize the prevalence of these occupational health problems, The Society for Cardiovascular Angiography and Interventions (SCAI) surveyed its members by email. Inquiries included age, years of invasive practice, and diagnostic and interventional cases per year. Questions focused on orthopedic (spine, hips, knees, and ankles) and radiation-associated problems (cataracts and cancers). Results There were 314 responses. Responders were on average busy and experienced, performing a mean of 380 ± 249 diagnostic and 200 ± 129 interventional cases annually. Of the responders, 6.9% of operators have had to limit their caseload because of radiation exposure and 9.3% have had a health-related period of absence. Furthermore, 153 (49.4%) operators reported at least one orthopedic injury: 24.7% cervical spine disease, 34.4% lumbar spine problems, and 19.6% hip, knee or ankle joint problems. Age was most significantly correlated with orthopedic illnesses: cervical injuries (χ2 = 150.7, P < 0.0001); hip/knee or ankle injuries (χ2 = 80.9, P < 0.0001); lumbar injuries (χ2 = 147.0, P < 0.0001); and any orthopedic illness (χ2 = 241.2, P < 0.0001). Annual total caseload was also associated: the estimated change in the odds of orthopedic illness for each additional total caseload quintile is 1.0013 (1.0001, 1.0026). There is a small but substantial incidence of cancer. Conclusions These findings are consistent with, and extend the findings, of a prior 2004 SCAI survey, in documenting a substantial prevalence of orthopedic complications among active interventional cardiologists, which persists despite increased awareness.
AB - Background Interventional cardiologists and staff are subject to unique physical demands that predispose them to distinct occupational health hazards not seen in other medical disciplines. Methods To characterize the prevalence of these occupational health problems, The Society for Cardiovascular Angiography and Interventions (SCAI) surveyed its members by email. Inquiries included age, years of invasive practice, and diagnostic and interventional cases per year. Questions focused on orthopedic (spine, hips, knees, and ankles) and radiation-associated problems (cataracts and cancers). Results There were 314 responses. Responders were on average busy and experienced, performing a mean of 380 ± 249 diagnostic and 200 ± 129 interventional cases annually. Of the responders, 6.9% of operators have had to limit their caseload because of radiation exposure and 9.3% have had a health-related period of absence. Furthermore, 153 (49.4%) operators reported at least one orthopedic injury: 24.7% cervical spine disease, 34.4% lumbar spine problems, and 19.6% hip, knee or ankle joint problems. Age was most significantly correlated with orthopedic illnesses: cervical injuries (χ2 = 150.7, P < 0.0001); hip/knee or ankle injuries (χ2 = 80.9, P < 0.0001); lumbar injuries (χ2 = 147.0, P < 0.0001); and any orthopedic illness (χ2 = 241.2, P < 0.0001). Annual total caseload was also associated: the estimated change in the odds of orthopedic illness for each additional total caseload quintile is 1.0013 (1.0001, 1.0026). There is a small but substantial incidence of cancer. Conclusions These findings are consistent with, and extend the findings, of a prior 2004 SCAI survey, in documenting a substantial prevalence of orthopedic complications among active interventional cardiologists, which persists despite increased awareness.
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U2 - 10.1002/ccd.25927
DO - 10.1002/ccd.25927
M3 - Article
C2 - 25810341
AN - SCOPUS:84944884745
SN - 1522-1946
VL - 86
SP - 913
EP - 924
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 5
ER -