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DOI: 10.1055/s-0040-1719023
Burnout y calidad de vida en traumatólogos chilenos: ¿Estamos realmente bien?
Burnout and Quality of Life in Chilean Orthopaedic Surgeons: Are we doing ok?
Resumen
Introducción No existen reportes sobre el índice de burnout en traumatólogos que ejercen en Chile.
Objetivo Evaluar la presencia de burnout y otros aspectos de calidad de vida en esa población.
Material y Método Estudio transversal analítico. Encuesta diseñada para conocer el auto-reporte de burnout y síntomas depresivos entre otros factores. Se incluyeron variables demográficas, laborales, sociales, hábitos personales y anímicas. La encuesta fue compartida vía online a miembros de la Sociedad Chilena de Ortopedia y Traumatología. Se realizó análisis estadístico para buscar asociación entre variables, utilizando pruebas de Chi-cuadrado, test exacto de Fisher y regresión logística (p < 0,05).
Resultados Encuesta respondida por 136 especialistas. Rango etario modal menor de 40 años (46,3%), 94,1% hombres. Un 53,7% reportó burnout más de una vez al año, 11% anhedonia, 9,6% ánimo depresivo más de la mitad del mes o casi todos los días y 59,6% cansancio diario. Se encontró asociación significativa entre burnout y edad menor de 40 años (p = 0,004), ausencia de hijos (p = 0,007), dieta no saludable (p = 0,001), anhedonia (p = 0,007), temor a demandas (p < 0,001) y cansancio (p < 0,003).
Conclusión Más de la mitad de los traumatólogos encuestados reportaron burnout más de una vez al año y cerca del 10% presentan síntomas depresivos semanalmente. Una edad menor a 40 años, anhedonia, el temor a demandas laborales y el cansancio al final de la jornada, fueron las variables de mayor impacto en la manifestación del burnout. La presencia de hijos y una dieta saludable fueron factores protectores.
Abstract
Introduction There are no reports regarding the burnout index in Orthopaedic Surgeons in Chile.
Objective Assess the presence of burnout and other life quality aspects of this population.
Material and Methods Cross-Sectional analytical study. An originally designed survey was used to identify the self-report on burnout and depressive symptoms, amongst other factors. Demographic, work-related, social, personal habits, and mood-related variables were included. The survey was distributed by email to members of the Chilean Orthopaedic Surgery Society. Statistical analysis was conducted to determine the association between variables through the Chi-square test, Fisher's exact test, and logistic regressions (p < 0.05).
Results The survey was answered by 136 orthopaedic surgeons. The modal age range was less than 40 years (46.3%), and 94.1% were men. Of those surveyed, 53.7% reported a burnout episode more than once per year, 11% anhedonia, 9.6% a depressive mood more than half of the month or almost every day, and 59.6% of chronic fatigue. Statistical analysis showed a significant association between burnout and age under 40 years old (p = 0.004), not having children (p = 0.007), a non-healthy diet (p = 0.001), anhedonia (p = 0.007), fear of lawsuits (p < 0.001) and fatigue (p < 0.003).
Conclusion More than half of the surveyed orthopaedic surgeons reported episodes of burnout more than once per year, and near 10% referred to have experienced weekly depressive symptoms. Age under 40 years, anhedonia, fear of lawsuits, and fatigue were the variables of more significant impact over the self-report of burnout. Having children and a healthy diet resulted in protective factors.
Publication History
Received: 20 July 2020
Accepted: 31 July 2020
Article published online:
24 November 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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Referencias
- 1 van Dijk CN. Are we surgeons finding it all too much? Dealing with the pressures of our profession. J ISAKOS Jt Disord Orthop Sport Med 2018; 3 (03) 125-127 DOI: 10.1136/jisakos-2018-000237.
- 2 World Health Organization. Burn-out an “occupational phenomenon”: International Classification of Diseases. https://www.who.int/mental_health/evidence/burn-out/en/ . Accessed July 7, 2020
- 3 Masluk B. Dificultades Y Comorbilidad En El Diagnóstico De Burnout. El Aspecto Legal De Su Reconocimiento. XVII Congr Virtual Int Psiquiatr. 2016 ;(February):9. https://www.researchgate.net/publication/303885011_DIFICULTADES_Y_COMORBILIDAD_EN_EL_DIAGNOSTICO_DE_BURNOUT_EL_ASPECTO_LEGAL_DE_SU_RECONOCIMIENTO
- 4 Gazelle G, Liebschutz JM, Riess H. Physician burnout: coaching a way out. J Gen Intern Med 2015; 30 (04) 508-513 DOI: 10.1007/s11606-014-3144-y.
- 5 Shanafelt TD, Balch CM, Bechamps GJ. , et al. Burnout and career satisfaction among American surgeons. Ann Surg 2009; 250 (03) 463-471 DOI: 10.1097/SLA.0b013e3181ac4dfd.
- 6 Dyrbye LN, Shanafelt TD, Balch CM, Satele D, Sloan J, Freischlag J. Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg 2011; 146 (02) 211-217 DOI: 10.1001/archsurg.2010.310.
- 7 Dimou FM, Eckelbarger D, Riall TS. Surgeon burnout: A systematic review. J Am Coll Surg 2016; 222 (06) 1230-1239 DOI: 10.1016/j.jamcollsurg.2016.03.022.
- 8 Shanafelt TD, Balch CM, Dyrbye L. , et al. Special report: suicidal ideation among American surgeons. Arch Surg 2011; 146 (01) 54-62 DOI: 10.1001/archsurg.2010.292.
- 9 van der Heijden F, Dillingh G, Bakker A, Prins J. Suicidal thoughts among medical residents with burnout. Arch Suicide Res 2008; 12 (04) 344-346 DOI: 10.1080/13811110802325349.
- 10 Dyrbye LN, Thomas MR, Massie FS. , et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med 2008; 149 (05) 334-341 DOI: 10.7326/0003-4819-149-5-200809020-00008.
- 11 Salud D de E e I de. Egresos Hospitalarios. http://www.deis.cl/bases-de-datos-egresos-hospitalarios/ . Published 2018
- 12 Likert R. A Technique for the Measurement of Attitudes. Arch Phychology 1932; DOI: 10.4135/9781412961288.n454.
- 13 Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav 1981; 2 (02) 99-113 DOI: 10.1002/job.4030020205.
- 14 Astudillo MP, Losada MH, Schneeberger HP, Coronado F, Curitol SS. Prevalencia de Síndrome de Burnout en un Centro de Cirugía Académico-Asistencial Público en Chile. Rev Chil Cir 2018; 70 (02) 117-126 DOI: 10.4067/s0718-40262018000200117.
- 15 Campbell Jr DA, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery 2001; 130 (04) 696-702, discussion 702–705 DOI: 10.1067/msy.2001.116676.
- 16 FOMO. It's your life you're missing out on – ScienceDaily. https://www.sciencedaily.com/releases/2016/03/160330135623.htm . Accessed July 7, 2020
- 17 Ministerio de Salud de Chile. Guía Clínica Depresión en personas de 15 años y más. Ser Guías cínicas Minsal 2013 https://www.minsal.cl/portal/url/item/7222754637c08646e04001011f014e64.pdf
- 18 Shanafelt TD, Gorringe G, Menaker R. , et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc 2015; 90 (04) 432-440 DOI: 10.1016/j.mayocp.2015.01.012.
- 19 Bianchi R, Schonfeld IS, Laurent E. Burnout-depression overlap: a review. Clin Psychol Rev 2015; 36: 28-41 DOI: 10.1016/j.cpr.2015.01.004.
- 20 Asai M, Morita T, Akechi T. , et al. Burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients: a cross-sectional nationwide survey in Japan. Psychooncology 2007; 16 (05) 421-428 DOI: 10.1002/pon.1066.
- 21 Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors Related to Physician Burnout and Its Consequences: A Review. Behav Sci (Basel) 2018; 8 (11) 98 DOI: 10.3390/bs8110098.
- 22 Balch CM, Shanafelt TD, Sloan J, Satele DV, Kuerer HM. Burnout and career satisfaction among surgical oncologists compared with other surgical specialties. Ann Surg Oncol 2011; 18 (01) 16-25 DOI: 10.1245/s10434-010-1369-5.
- 23 Goldstein RY, Weiss JM. The Canary in the Coal Mine: Wellness Among Pediatric Orthopedic Surgeons. Orthop Clin North Am 2019; 50 (03) 327-330 DOI: 10.1016/j.ocl.2019.03.009.
- 24 Fundación de Asistencia Legal de Colegio Médico. Cuenta Pública 2017. https://www.falmed.cl/Portals/0/files/181119cuenta_publica2017.pdf . Accessed July 7, 2020
- 25 Balch CM, Oreskovich MR, Dyrbye LN. , et al. Personal consequences of malpractice lawsuits on American surgeons. J Am Coll Surg 2011; 213 (05) 657-667 DOI: 10.1016/j.jamcollsurg.2011.08.005.
- 26 Chambers CC, Ihnow SB, Monroe EJ, Suleiman LI. Women in Orthopaedic Surgery: Population Trends in Trainees and Practicing Surgeons. J Bone Joint Surg Am 2018; 100 (17) e116 DOI: 10.2106/JBJS.17.01291.
- 27 Poon S, Kiridly D, Mutawakkil M. , et al. Current Trends in Sex, Race, and Ethnic Diversity in Orthopaedic Surgery Residency. J Am Acad Orthop Surg 2019; 27 (16) e725-e733 DOI: 10.5435/JAAOS-D-18-00131.
- 28 Archer LR, Keever RR, Gordon RA, Archer RP. The relationship between residents' characteristics, their stress experiences, and their psychosocial adjustment at one medical school. Acad Med 1991; 66 (05) 301-303 DOI: 10.1097/00001888-199105000-00018.
- 29 McCue JD. The distress of internship. Causes and prevention. N Engl J Med 1985; 312 (07) 449-452 DOI: 10.1056/NEJM198502143120725.
- 30 Lin YL, Chen CH, Chu WM. , et al. Modifiable risk factors related to burnout levels in the medical workplace in Taiwan: cross-sectional study. BMJ Open 2019; 9 (11) e032779 DOI: 10.1136/bmjopen-2019-032779.
- 31 Stewart NH, Arora VM. The Impact of Sleep and Circadian Disorders on Physician Burnout. Chest 2019; 156 (05) 1022-1030 DOI: 10.1016/j.chest.2019.07.008.
- 32 Shanafelt TD, Oreskovich MR, Dyrbye LN. , et al. Avoiding burnout: the personal health habits and wellness practices of US surgeons. Ann Surg 2012; 255 (04) 625-633 DOI: 10.1097/SLA.0b013e31824b2fa0.
- 33 Sargent MC, Sotile W, Sotile MO, Rubash H, Barrack RL. Stress and coping among orthopaedic surgery residents and faculty. J Bone Joint Surg Am 2004; 86 (07) 1579-1586 DOI: 10.2106/00004623-200407000-00032.
- 34 Hamidi MS, Boggild MK, Cheung AM. Running on empty: a review of nutrition and physicians' well-being. Postgrad Med J 2016; 92 (1090): 478-481 DOI: 10.1136/postgradmedj-2016-134131.
- 35 Brtnikova M, Crane LA, Allison MA, Hurley LP, Beaty BL, Kempe A. A method for achieving high response rates in national surveys of U.S. primary care physicians. PLoS One 2018; 13 (08) e0202755 DOI: 10.1371/journal.pone.0202755.
- 36 Hardigan PC, Popovici I, Carvajal MJ. Response rate, response time, and economic costs of survey research: A randomized trial of practicing pharmacists. Res Social Adm Pharm 2016; 12 (01) 141-148 DOI: 10.1016/j.sapharm.2015.07.003.
- 37 Bitran M, Zúñiga D, Pedrals N. , et al. Burnout en la formación de profesionales de la salud en Chile: Factores de protección y riesgo, y propuestas de abordaje desde la perspectiva de los educadores. Rev Med Chil 2019; 147 (04) 510-517 DOI: 10.4067/s0034-98872019000400510.
- 38 Díaz Piga LA, Arab Verdugo JP, Nuñez Palma C. , et al. Burnout en médicos residentes de especialidades y subespecialidades: estudio de prevalencia y variables asociadas en un centro universitario. ARS MEDICA Rev Ciencias Médicas 2017; 42 (02) 27-33 DOI: 10.11565/arsmed.v42i2.541.