Research summary, original research, 2025

Investigation of musculoskeletal complaints affecting physicians with different exposure times to lead aprons: a cross-sectional study

Hartung C, Görtz H, Heckenkamp J, Nienhaus A. BMC musculoskeletal disorders. 2025

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In plain language

In a German survey of 461 mostly vascular surgeons, back and neck complaints were common. Awkward postures were linked to work or leisure restrictions in every body region, and more than 20 years of apron wear was linked to shoulder restrictions.

At a glance

Type of study
Original research, Cross-sectional survey
Who was studied
Vascular surgeons, Other physicians
Size
n = 461 physicians
Where
Germany
Summary based on
the full text

What it found

  • Musculoskeletal complaints were very common, most often in the lumbar and cervical spine.

    Key figures: lumbar 82%, cervical 78%, thoracic 51%, shoulder/upper arm 54%

  • Between a fifth and nearly half of respondents reported MSC-related restrictions at work or in leisure time.

    Key figures: 21% to 44%

  • Awkward postures for more than two hours a day were associated with restrictions in all four body regions.

    Key figures: cervical odds ratio (OR) = 2.2; 95% confidence interval (CI) = 1.413-3.298; shoulder OR = 1.9; 95% CI = 1.232-3.054

  • Wearing a lead apron for more than 20 years was associated with higher odds of shoulder/upper arm restrictions, but not spine restrictions.

    Key figures: OR = 2.3; 95% CI = 1.036-4.943

  • Performing more than 100 procedures per year was associated with thoracic spine restrictions; apron design showed no association.

    Key figures: OR = 1.6; 95% CI = 1.005-2.670

Limits to keep in mind

Cross-sectional, self-reported online survey with a 17.2% response rate, so selection and recall bias are possible and causation cannot be inferred. There was no separate unexposed comparison group, and 95% of respondents were vascular surgeons in Germany.

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.