Division of Vascular Surgery, Department of Surgery, University of Colorado School of Medicine, University of Colorado, Aurora, Colo.
Section of Vascular Surgery, Department of Surgery, The University of Michigan, Ann Arbor, Mich.
J Vasc Surg. 2021 Apr;73(4):1414-1421. doi: 10.1016/j.jvs.2020.07.097. Epub 2020 Sep 3.
Work-related pain and disability have been reported in the literature among surgeons. This national survey was designed to identify the prevalence and severity of these symptoms in vascular surgeons.
A survey was emailed to the 2910 members of the Society for Vascular Surgery. Physical pain was evaluated based on body part, and type of vascular procedure performed using the Borg 0 to 10 pain scale. Wellness questions were also queried.
A total of 775 of Society for Vascular Surgery members responded, with a 26.6% response rate. Retirees were excluded from the study (n = 39). Among those actively working (n = 736), surgeons have been practicing surgery, on average, for 17.2 ± 11.6 years, with a mean age of 51.4 ± 10.9 years, and 83.6% are male. After a full day of open surgery, the majority of the responding vascular surgeons are in a moderately strong amount of pain (mean score, 4.4 ± 2.3). After a full day of endovascular procedures, most vascular surgeons are in a moderately strong amount of pain (mean score, 3.9 ± 2.4). Pain after open surgery is greatest in the neck, and after endovascular surgery pain is highest in the lower back. Surgeons performing endovenous procedures demonstrated the lowest pain scores (2.0 ± 2.0). In total, 36.9% (242/655, 81 missing responses) have sought medical care for work-related pain, with 8.3% (61/736) taking time away from the operating room. Of those, 26.2% (193/736) report pain severe enough that it interferes with sleep. Seventy-two (10%) required surgery or other significant medical procedures. Of the 39 retirees, 26% ended their careers owing to physical disabilities from work-related pain. Out of the entire cohort, 52.7% (334/633,103 missing responses) feel that physical discomfort will affect the longevity of their careers. Additionally, we found that high work-related physical discomfort is significantly associated with burnout (burnout vs no burnout; P < .0001).
Our study shows that the majority of practicing vascular surgeons responding to the survey are in pain after a day of operating. Addressing work-related pain serves to improve the lives and careers of vascular surgeons and enhance surgical longevity.
文献中报道外科医生存在与工作相关的疼痛和残疾。本项全国性调查旨在确定血管外科医生中这些症状的患病率和严重程度。
向血管外科学会的 2910 名成员发送电子邮件调查。使用 Borg 0 到 10 疼痛量表根据身体部位和进行的血管手术类型评估身体疼痛。还询问了与健康相关的问题。
共有 2910 名学会成员中的 775 名做出了回应，回应率为 26.6%。退休人员（n=39）被排除在研究之外。在那些仍在工作的（n=736）外科医生中，平均从业时间为 17.2±11.6 年，平均年龄为 51.4±10.9 岁，83.6%为男性。在进行一整天的开放式手术后，大多数接受调查的血管外科医生都处于中度至重度疼痛（平均评分 4.4±2.3）。在进行一整天的血管内手术后，大多数血管外科医生都处于中度至重度疼痛（平均评分 3.9±2.4）。开放式手术后颈部疼痛最剧烈，血管内手术后腰部疼痛最剧烈。进行静脉内手术的外科医生疼痛评分最低（2.0±2.0）。总的来说，36.9%（242/655，81 个缺失回复）因工作相关疼痛寻求过医疗护理，其中 8.3%（61/736）因疼痛而离开手术室。其中，26.2%（193/736）报告疼痛严重到影响睡眠。72 人（10%）需要手术或其他重大医疗程序。在 39 名退休人员中，26%因工作相关疼痛导致身体残疾而结束职业生涯。在整个队列中，52.7%（334/633，103 个缺失回复）认为身体不适会影响他们职业生涯的长度。此外，我们发现，高工作相关的身体不适与倦怠显著相关（倦怠与无倦怠；P<0.0001）。
我们的研究表明，对调查做出回应的大多数执业血管外科医生在手术后一天都会感到疼痛。解决与工作相关的疼痛问题有助于改善血管外科医生的生活和职业，并延长外科医生的职业生涯。
