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Systematic review and meta-analysis of occupational health impairments in 23,816 global operating room personnelHigh rates of pain and burnout found in operating room staff globally

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Key Takeaway
Note high prevalence of musculoskeletal and mental health impairments in operating room personnel globally.

This systematic review and meta-analysis assessed the prevalence of occupational health impairments within a global population of 23,816 operating room personnel. The study examined a wide range of conditions including musculoskeletal injuries, job burnout, and various occupational exposures. No specific intervention or comparator was defined in this observational synthesis.

The analysis reported an overall prevalence of musculoskeletal injuries at 56.52% with a 95% CI (47.64, 65.03%). Specific pain conditions showed high prevalence, with lumbar pain at 76.13%, shoulder and neck pain at 63.14%, and knee pain at 58.91%. Mental health outcomes were also prevalent, including depression at 59.14% with a 95% CI (54.24, 68.78%) and job burnout at 52.38% with a 95% CI (42.86, 65.15%).

Other measured outcomes included emotional exhaustion at 46.24%, blood and body fluid exposure at 45.05%, surgical smoke exposure at 69.71%, anxiety at 36.31%, and sharp object or needle stick injuries at 16.07% and 25.51% respectively. The authors suggest that healthcare management should prioritize the physical and mental health of operating room personnel, optimize workflows, and strengthen occupational protection measures.

This systematic review and meta-analysis looked at the health of operating room personnel around the world. The study included 23,816 participants from various global settings to understand how common occupational health problems are in this workforce.

The researchers found that musculoskeletal injuries were very common, affecting more than half of the workers. Specific pain issues were widespread, with lumbar pain reported in over three-quarters of participants. Shoulder and neck pain affected about 63 percent, while knee pain was seen in nearly 59 percent of the group.

Mental health and safety exposures were also significant. Job burnout was present in over 52 percent of workers, and emotional exhaustion affected 46 percent. Many staff reported exposure to surgical smoke, blood, and body fluids, with sharp object injuries occurring in roughly 16 to 26 percent of cases. Depression and anxiety were also frequently reported.

The main takeaway for healthcare management is to prioritize the physical and mental well-being of these staff members. Optimizing workflows and strengthening occupational protection measures are essential steps to address these widespread health challenges.

What this means for you:
High rates of pain, burnout, and safety hazards affect most operating room staff globally.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
ObjectiveTo assess the global prevalence of occupational health impairments among operating room personnel (Operating Room Occupational Health Cluster) and provide evidence for targeted health interventions.MethodsWe conducted computerized searches of PubMed, Embase, Web of Science, CINAHL, and the Cochrane Library for cross-sectional and cohort studies on occupational injuries among operating room personnel, spanning from database inception to January 1, 2026. Two researchers independently screened studies, extracted data, and assessed quality. Meta-analysis was performed using RevMan 5.4, with logit-transformed raw rates pooled using fixed- or random-effects models based on heterogeneity.ResultsForty studies with 23,816 participants were included. Meta-analysis revealed: (1) Musculoskeletal injuries: Overall prevalence was 56.52% [95% CI (47.64, 65.03%)], with lumbar pain (76.13%), shoulder/neck pain (63.14%), and knee pain (58.91%) most common. (2) Job Burnout: Prevalence was 52.38% [95% CI (42.86, 65.15%)], with emotional exhaustion at 46.24%. (3) Occupational Exposure: Blood and body fluid exposure occurred at 45.05%, surgical smoke exposure at 69.71%, and sharp object/needle stick injuries at 16.07 and 25.51%, respectively. (4) Mental Health: Depression prevalence was 59.14% [95% CI (54.24, 68.78%)], and anxiety at 36.31%. Descriptive analysis indicated high levels of fatigue among operating room personnel.ConclusionThe prevalence of Operating Room Occupational is high, with musculoskeletal pain, depression, and occupational exposure being particularly severe. Healthcare management should prioritize the physical and mental health of operating room personnel, optimize workflows, and strengthen occupational protection measures.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420251275100, CRD420251275100.
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