Gender differences in ergonomics during simulated ureteroscopy.

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  • Additional Information
    • Source:
      Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
    • Publication Information:
      Publication: Belle Mead, NJ : Excerpta Medica
      Original Publication: New York.
    • Subject Terms:
      Ureteroscopy* ; Ergonomics* ; Electromyography*; Humans ; Female ; Male ; Sex Factors ; Adult ; Workload/statistics & numerical data ; Middle Aged ; Task Performance and Analysis
    • Abstract:
      Background: Female urologists report higher rates of work-related physical discomfort compared to male urologists. We compared ergonomics during simulated ureteroscopy, the most common surgery for kidney stones, between male and female urologists.
      Methods: Surface electromyography was used to measure muscle activation during common ureteroscopic tasks in urology trainees and staff with different surgeon positions and ureteroscopes. Subjective workload was assessed using the NASA Task Load Index (NASA-TLX). Paired t-tests, Wilcoxon rank-sum tests, and multivariate regressions were used to compare muscle activation by gender for each trial condition.
      Results: There was no difference in age or distribution of training level between genders, though men had larger glove sizes. Across all conditions, women required greater muscle activation in multiple muscle groups and had greater NASA-TLX scores compared to men.
      Conclusions: There may be gender differences in ergonomics during ureteroscopy based on muscle activation and subjective workload, suggesting potential for personalizing surgical ecosystems.
      Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
      (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: Ergonomics; Gender; Subjective workload; Ureteroscopy; Urology
    • Publication Date:
      Date Created: 20240305 Date Completed: 20240816 Latest Revision: 20240816
    • Publication Date:
      20240818
    • Accession Number:
      10.1016/j.amjsurg.2024.02.034
    • Accession Number:
      38443269