Ong John, Swift Carla, Bath Michael, Ong Sharon, Lim Wanyen, Al-Naeeb Yasseen, Shankar Arun, Dan Yock Young
Department of Engineering, University of Cambridge, Cambridge, UK.
Department of Medicine, National University of Singapore, Singapore, Singapore.
J Gastroenterol Hepatol. 2021 Sep;36(9):2338-2348. doi: 10.1111/jgh.15488. Epub 2021 Mar 29.
Burnout is an important occupational hazard, and the scale of the problem within gastroenterology remains poorly understood. The primary objective of this study was to understand the prevalence of burnout in gastroenterology and ascertain if there was a common prevalence within the field. The secondary objective was to identify factors and job-related stressors that commonly contribute to burnout in gastroenterologists.
Systematic searches were conducted in PubMed, Scopus, Cochrane, and PsycINFO by two reviewers independently for articles published to 1 September 2020. The primary outcome measure was the reported prevalence of burnout in gastroenterologists. The secondary outcome measures were (i) the prevalence of non-somatic burnout symptoms (emotional exhaustion, depersonalization, and low personal accomplishment) and (ii) the frequency of risk factors and stressors reported in studies. Data were presented, and limited meta-analyses discussed.
Data were extracted from 11 studies. 54.5% (6/11) of these studies reported the prevalence of burnout in gastroenterologists; this ranged from 18.3% to 64.4%. Similar to burnout prevalence, burnout symptoms showed geographical variation and were common in gastroenterologists (up to 63.9%). Factors associated with work volume, age, and female gender were the three most frequently reported risk factors for increased levels of stress and burnout in 72.7% (8/11), 54.5% (6/11), and 45.5% (5/11) of studies, respectively. Significant methodological and clinical heterogeneity was observed.
Burnout and its non-somatic symptoms are common in gastroenterologists, but the syndrome is understudied within the field. Further research and good quality data are needed to help address the problem.
职业倦怠是一种重要的职业危害，而胃肠病学领域内该问题的规模仍知之甚少。本研究的主要目的是了解胃肠病学领域职业倦怠的患病率，并确定该领域内是否存在普遍的患病率。次要目的是确定通常导致胃肠病学家职业倦怠的因素和与工作相关的压力源。
两名评审员独立在PubMed、Scopus、Cochrane和PsycINFO中进行系统检索，以查找截至2020年9月1日发表的文章。主要结局指标是报告的胃肠病学家职业倦怠患病率。次要结局指标为：（i）非躯体性职业倦怠症状（情感耗竭、去人格化和个人成就感低落）的患病率；（ii）研究中报告的危险因素和压力源的频率。呈现数据并讨论了有限的荟萃分析。
从11项研究中提取了数据。其中54.5%（6/11）的研究报告了胃肠病学家职业倦怠的患病率，范围为18.3%至64.4%。与职业倦怠患病率相似，职业倦怠症状也存在地域差异，在胃肠病学家中很常见（高达63.9%）。与工作量、年龄和女性性别相关的因素分别是72.7%（8/11）、54.5%（6/11）和45.5%（5/11）研究中报告的压力和职业倦怠水平升高的三个最常见危险因素。观察到显著的方法学和临床异质性。
职业倦怠及其非躯体性症状在胃肠病学家中很常见，但该领域对该综合征的研究不足。需要进一步的研究和高质量的数据来帮助解决这一问题。
