Person: Guiloff, Rodrigo
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Guiloff
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Rodrigo
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Rodrigo Guiloff Krauss
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Publication Over 50% of self-reported burnout among Latin American orthopaedic surgeons: A cross-sectional survey on prevalence and risk factors(2023) Vaisman, Alex; Guiloff, Rodrigo; Contreras, MartĆn; Casas, Juan; Calvo, Rafael; Figueroa, DavidObjective: 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 ā< ā0.05). Results: The survey's response rate was 20 ā% (n ā= ā358) out of the 1779 invitations that were sent. The most representative age range was 41-60 years (50 ā%) and 94 ā% were men. Of those surveyed, 50 ā% reported a burnout episode more than once per year, 60 ā% depersonalization when treating patients at least yearly, 13 ā% anhedonia, 11 ā% a depressive mood more than half of the month or almost every day, and 61 ā% weariness at the end of a working day. Burnout was statistically associated with age under 40 years old (p ā= ā0.012), fewer years as a specialist (p ā= ā0.037), fear of lawsuits (p ā< ā0.001), a non-healthy diet (p ā= ā0.003), non-doing recreational activities (p ā= ā0.004), depersonalization when treating their patients (p ā< ā0.001), weariness (p ā< ā0.001), anhedonia (p ā< ā0.001), depressive mood (p ā< ā0.001), and career dissatisfaction (p ā< ā0.001). The logistic regression demonstrated that fear of lawsuits (p ā< ā0.001), weariness at the end of a workday (p ā= ā0.016), and anhedonia (p ā= ā0.019) were those variables with stronger direct associations with self-reported burnout. A healthy diet was the strongest protective variable (p ā< ā0.001). Conclusion: Over 50 ā% 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 ā% 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 factorPublication 4 Domain Sports PROM en espaƱol: adaptaciĆ³n transcultural en la poblaciĆ³n chilena y anĆ”lisis de confiabilidad(2024) Figueroa, David; Guiloff, Rodrigo; Figueroa, Francisco; Stocker, Esteban; Rocha, SergioAntecedentes y objetivo: Las medidas de resultado reportadas por el paciente (PROM) son herramientas de interĆ©s creciente en la poblaciĆ³n deportiva. El propĆ³sito de este estudio fue realizar la adaptaciĆ³n transcultural y anĆ”lisis de confiabilidad del 4-Domain Sports Patient-Reported Outcome Measure (4DSP) al espaƱol. MĆ©todos: Se ejecutĆ³ un protocolo de adaptaciĆ³n transcultural en seis etapas para obtener la versiĆ³n en espaƱol del 4DSP (S-4DSP). Posteriormente, se aplicĆ³ el cuestionario a una poblaciĆ³n de 108 deportistas posoperados de reconstrucciĆ³n de ligamento cruzado anterior (RLCA). Se aplicĆ³ nuevamente el cuestionario luego de 30 dĆas. Se evaluĆ³ la aceptabilidad, efecto piso y techo, consistencia interna (alfa de Cronbach) y reproducibilidad (correlaciĆ³n intraclase). Resultados: La S-4DSP fue respondida completamente por 108 participantes (edad media 34 Ā± 10,75, 26% mujeres) alcanzando una aceptabilidad de 100%. No se detectĆ³ efecto piso. El anĆ”lisis estadĆstico entregĆ³ un alfa de Cronbach global para el cuestionario de 0,65, y desagregado por dominios de 0,88, 0,72, 0,27, 0,68 para el primer, segundo, tercer y cuarto dominio, respectivamente. El estudio de correlaciĆ³n intraclase alcanzĆ³ un mĆ”ximo de 0,94 y un mĆnimo de 0,48 en la primera y quinta preguntas, respectivamente. ConclusiĆ³n:El S-4DSP es una herramienta confiable y Ćŗtil para evaluar deportistas de habla hispana posterior a una RLCA. Abstract Background: Patient-Reported Outcome Measures (PROMs) are tools of increasing interest in the sports population. The purpose of this study was to perform the cross-cultural adaptation and reliability analysis of the 4 Domain Sports Patient-Reported Outcome Measure (4 DSP) into Spanish. Methods: A six-stage cross-cultural adaptation protocol was executed to obtain the Spanish version of the 4 DSP (S-4DSP). Subsequently, the questionnaire was administered to a population of 108 postoperative athletes with ACL (Anterior Cruciate Ligament) injuries. The questionnaire was administered again after 30 days. Acceptability, floor and ceiling effects, internal consistency (Cronbach's alpha), and reproducibility (Intraclass Correlation) were evaluated. Results: The S-4DSP was fully completed by 108 participants (mean age 34 Ā± 10.75, 26% women), achieving 100% acceptability. No floor effect was detected. The statistical analysis yielded a global Cronbach's alpha for the questionnaire of 0.65, and domain-specific alphas of 0.88, 0.72, 0.27, and 0.68 for the first, second, third, and fourth domains, respectively. The Intraclass Correlation test reached a maximum of 0.94 and a minimum of 0.48 for the first and fifth questions, respectively. Conclusions: The S-4DSP is a reliable and useful tool for evaluating Spanish-speaking athletes after ACL reconstruction.Publication Specific considerations in female patients with patellar instability: current concepts(Figueroa F, Guiloff R, Bolton S, Figueroa D, Tapasvi S, Stocker E. Specific considerations in female patients with patellar instability: current concepts. J ISAKOS. 2024 Jun;9(3):457-463. doi: 10.1016/j.jisako.2024.03.014, 2024) Figueroa, Francisco; Guiloff, Rodrigo; Bolton, Sarah; Figueroa, David; Tapasvi, Sachin; Stocker, EstebanPrior literature suggests that patellofemoral instability (PFI) is significantly more prevalent in women than in men. This higher prevalence is commonly attributed to anatomical differences between sexes, particularly with patellofemoral alignment. These differences encompass a higher rate of trochlear dysplasia (TD), patella alta, an increased Q angle, and soft tissue imbalances. In recent years, worse outcomes have been reported in female patients after patellofemoral stabilization surgery using medial patellofemoral ligament reconstruction (MPFLr) alone or in combination with a tibial tubercle osteotomy (TTO), for this reason an "Ć la carte" plan (addressing the individuals anatomical risk factors) could be more appropriate for female patients.