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

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dc.contributor.authorVaisman, Alex
dc.contributor.authorGuiloff, Rodrigo
dc.contributor.authorContreras, Martín
dc.contributor.authorCasas, Juan
dc.contributor.authorCalvo, Rafael
dc.contributor.authorFigueroa, David
dc.date.accessioned2024-06-04T20:53:54Z
dc.date.available2024-06-04T20:53:54Z
dc.date.issued2023
dc.description.abstractObjective: 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
dc.description.versionAceptada
dc.identifier.citationVaisman A, Guiloff R, Contreras M, Casas-Cordero JP, Calvo R, Figueroa D. Over 50% of self-reported burnout among Latin American orthopaedic surgeons: A cross-sectional survey on prevalence and risk factors. J ISAKOS. 2024 Apr;9(2):128-134. doi: 10.1016/j.jisako.2023.11.008
dc.identifier.doihttps://doi.org/10.1016/j.jisako.2023.11.008
dc.identifier.urihttps://hdl.handle.net/11447/9031
dc.language.isoen
dc.subjectBurnout
dc.subjectLatin America
dc.subjectOrthopaedic surgeons
dc.subjectOrthopaedic surgery
dc.subjectProtective factors
dc.subjectRisk factors
dc.titleOver 50% of self-reported burnout among Latin American orthopaedic surgeons: A cross-sectional survey on prevalence and risk factors
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceJournal of ISAKOS
dspace.entity.typePublication
relation.isAuthorOfPublication4ca5e43e-08cd-4ed9-91b2-9415a2b7e03a
relation.isAuthorOfPublication.latestForDiscovery4ca5e43e-08cd-4ed9-91b2-9415a2b7e03a

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