Shiha Mohamed G, Manza Francesca, Ong John, Rodríguez-Lago Iago, Müller Martina, Sidhu Reena
Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Department of Gastroenterology, University Hospitals of Leicester, Leicester, UK.
United European Gastroenterol J. 2025 Sep;13(7):1318-1327. doi: 10.1002/ueg2.70045. Epub 2025 Jun 17.
Burnout is an increasingly recognised phenomenon that negatively affects physicians' well-being, patient safety and the sustainability of healthcare systems. In this systematic review and meta-analysis, we aimed to estimate the global prevalence of burnout in gastroenterology and endoscopy.
We searched Medline, Embase, Scopus and PsycINFO up to November 2024 for studies reporting the prevalence of burnout in gastroenterology and endoscopy. The primary outcome was the prevalence of burnout among gastroenterologists and endoscopists. Secondary outcomes included the prevalence of emotional exhaustion, depersonalisation, low sense of personal accomplishment and gender-related differences in burnout. We used random-effects models to calculate the pooled prevalence and odds ratios (OR) with their 95% confidence intervals (CI).
A total of 22 studies comprising 8124 participants were included. The pooled prevalence of burnout was 45% (95% CI, 37%-54%), with significant variability observed across different geographical regions, assessment tools and definitions of burnout. The pooled prevalence of emotional exhaustion was 31% (95% CI, 22%-40%), depersonalisation was 23% (95% CI, 16%-31%), and low sense of personal accomplishment was 25% (95% CI, 10%-40%). Female gastroenterologists were more likely to experience burnout than males (OR 1.53; 95% CI, 1.16-2.01; p < 0.001).
Almost half of gastroenterologists and endoscopists experience burnout, with females being disproportionately affected. These findings highlight the need for urgent action to address burnout and its contributing factors, including gender disparities.
职业倦怠是一种日益受到认可的现象，它会对医生的幸福感、患者安全以及医疗系统的可持续性产生负面影响。在这项系统评价和荟萃分析中，我们旨在估计胃肠病学和内镜检查领域职业倦怠的全球患病率。
我们检索了截至2024年11月的Medline、Embase、Scopus和PsycINFO数据库，以查找报告胃肠病学和内镜检查领域职业倦怠患病率的研究。主要结局是胃肠病学家和内镜医师中职业倦怠的患病率。次要结局包括情感耗竭、去个性化、个人成就感低落的患病率以及职业倦怠中的性别差异。我们使用随机效应模型计算合并患病率和比值比（OR）及其95%置信区间（CI）。
共纳入22项研究，包括8124名参与者。职业倦怠的合并患病率为45%（95%CI，37%-54%），在不同地理区域、评估工具和职业倦怠定义之间观察到显著差异。情感耗竭的合并患病率为31%（95%CI，22%-40%），去个性化为23%（95%CI，16%-31%），个人成就感低落为25%（95%CI，10%-40%）。女性胃肠病学家比男性更容易出现职业倦怠（OR 1.53；95%CI，1.16-2.01；p<0.001）。
几乎一半的胃肠病学家和内镜医师经历职业倦怠，女性受到的影响尤为严重。这些发现凸显了迫切需要采取行动解决职业倦怠及其影响因素，包括性别差异。
