Over 50% of self-reported burnout among Latin American orthopaedic surgeons : A cross-sectional survey on prevalence and risk factors

Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved..

OBJECTIVE: Assess the prevalence of self-reported burnout and identify risk and protective factors based on demographic and life quality aspects, among Latin American orthopaedic surgeons.

METHODS: This study employed a cross-sectional analytical design. An original design survey was developed using multiple-choice and Likert-scale questions to gather self-reported burnout, demographic, work-related, social, personal, and mood-related data. The survey was electronically distributed to the Chilean Orthopaedic Surgery Society and the Latin American Society of Arthroscopy, Knee Surgery, and Sports Medicine members. Statistical analysis included Chi-square and Fisher's exact tests to determine associations between self-reported burnout and other variables. Subsequently, a multivariate logistic regression was carried out to identify key risk and protective factors (p ​< ​0.05).

RESULTS: The survey's response rate was 20 ​% (n ​= ​358) out of the 1779 invitations that were sent. The most representative age range was 41-60 years (50 ​%) and 94 ​% were men. Of those surveyed, 50 ​% reported a burnout episode more than once per year, 60 ​% depersonalization when treating patients at least yearly, 13 ​% anhedonia, 11 ​% a depressive mood more than half of the month or almost every day, and 61 ​% weariness at the end of a working day. Burnout was statistically associated with age under 40 years old (p ​= ​0.012), fewer years as a specialist (p ​= ​0.037), fear of lawsuits (p ​< ​0.001), a non-healthy diet (p ​= ​0.003), non-doing recreational activities (p ​= ​0.004), depersonalization when treating their patients (p ​< ​0.001), weariness (p ​< ​0.001), anhedonia (p ​< ​0.001), depressive mood (p ​< ​0.001), and career dissatisfaction (p ​< ​0.001). The logistic regression demonstrated that fear of lawsuits (p ​< ​0.001), weariness at the end of a workday (p ​= ​0.016), and anhedonia (p ​= ​0.019) were those variables with stronger direct associations with self-reported burnout. A healthy diet was the strongest protective variable (p ​< ​0.001).

CONCLUSION: Over 50 ​% of the Latin American orthopaedic surgeons who participated in the survey reported experiencing burnout episodes more than once a year, along with depersonalization when treating their patients at least once a year. Additionally, nearly 10 ​% of respondents experienced weekly depressive symptoms. Among the noteworthy risk factors for self-reported burnout were fear of lawsuits, weariness at the end of the workday, and anhedonia. Conversely, maintaining a healthy diet emerged as the most potent protective factor.

LEVEL OF EVIDENCE: Level III.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Journal of ISAKOS : joint disorders & orthopaedic sports medicine - 9(2024), 2 vom: 12. Apr., Seite 128-134

Sprache:

Englisch

Beteiligte Personen:

Vaisman, Alex [VerfasserIn]
Guiloff, Rodrigo [VerfasserIn]
Contreras, Martín [VerfasserIn]
Casas-Cordero, Juan Pablo [VerfasserIn]
Calvo, Rafael [VerfasserIn]
Figueroa, David [VerfasserIn]

Links:

Volltext

Themen:

Burnout
Journal Article
Latin America
Orthopaedic surgeons
Orthopaedic surgery
Protective factors
Risk factors

Anmerkungen:

Date Completed 15.04.2024

Date Revised 15.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jisako.2023.11.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365271659