Research summary, systematic review or meta-analysis, 2020

Anti-X Apron Wearing and Musculoskeletal Problems Among Healthcare Workers: A Systematic Scoping Review

Monaco MGL, Carta A, Tamhid T, Porru S. International Journal of Environmental Research and Public Health. 2020

Read the original paper

In plain language

Across 12 cross-sectional studies of interventional physicians, nurses and technologists, apron wearing was consistently linked to discomfort and fatigue, but evidence that aprons cause musculoskeletal disorders was inconsistent and largely self-reported.

At a glance

Type of study
Systematic review or meta-analysis, Systematic review
Who was studied
Interventional cardiologists, Interventional radiologists, Electrophysiologists, Gastroenterologists, Urologists, Nurses, Radiologic technologists, Mixed lab staff
Size
n = 12 studies
Summary based on
the full text

What it found

  • Twelve cross-sectional studies were included; five primarily studied apron use and musculoskeletal disorders (MSDs), and a higher prevalence of disorders was not always associated with apron use.

    Key figures: 12 studies; 5 primary

  • All included studies reported discomfort, fatigue or awkward movement among workers wearing aprons, even though the link to MSDs was not consistent.

  • In a Mayo study, exposure to fluoroscopic procedures requiring lead aprons was associated with a 67% higher prevalence of musculoskeletal pain.

    Key figures: 67% increase

  • In a 2004 survey, spinal problems rose with years of interventional practice.

    Key figures: 26% (<5 years) vs 60% (>21 years)

  • No studies evaluated MSD rates by apron design or assessed fitness for work in workers with existing MSDs.

Limits to keep in mind

Only 12 cross-sectional studies of medium quality, mostly self-reported non-validated questionnaires with few control groups and heterogeneous samples (4 to over 1000 participants). Older studies may involve heavier aprons no longer in use.

How this summary was made

ORSIF prepared this summary with AI assistance from the full text of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.