SynthesisWorld journal of surgery2018
Discrimination, Bullying and Harassment in Surgery: A Systematic Review and Meta-analysis.
Synthesis in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Bullying, Discrimination, Harassment, Sexual Harassment, and the Fear of Retaliation During Surgical Residency Training: A Systematic Review.World journal of surgery · 2022Pooled it
- Self-reported harassment during Japanese surgical residency: secondary analysis of a nationwide survey of newly board-certified surgeons.Surgery today · 2026Article
- Workplace Bullying in Healthcare Organisations: A Scoping Review of the Systematic Reviews and Meta-Analyses on Workplace Bullying of Healthcare Workers.Journal of advanced nursing · 2026Article
- 'Never Going to be a Cut Above [the Rest].' Medical Students' Perceptions of How Their Personal Protected Characteristics Impacted Surgical Learning.Medical science educator · 2025Article
- Fostering an open surgical culture: strategies to eliminate inappropriate behavior in surgical practice.Annals of medicine and surgery (2012) · 2025Article
- Sculpting the good surgeon or excising the bad one: How clinical teachers could perpetuate attrition in surgical residency programmes.Medical education · 2025Article
- Current status and factors associated with sexual harassment among operating room nurses: a multi-center cross-sectional study.BMC nursing · 2024Article
- Striving Through Adversities of Professional Life to Provide Better Care: A Content Analysis of News Articles and Online Blogs on Deteriorating Mental Health of Medicos.Indian journal of psychological medicine · 2024Article
- Māori Medical Student and Physician Exposure to Racism, Discrimination, Harassment, and Bullying.JAMA network open · 2024Article
- Workplace bullying and sexual harassment among general surgery residents in ColombiaBiomedica : revista del Instituto Nacional de Salud · 2023Article
- Bullying, Discrimination, Harassment, Sexual Harassment, and the Fear of Retaliation During Surgical Residency Training: A Systematic Review.World journal of surgery · 2022Article
- Physician wellness in orthopaedic surgery : a multinational survey study.Bone & joint open · 2021Article
- Discrimination in the surgical discipline: an international European evaluation (DISDAIN).BJS open · 2021Article
- A Personal Perspective: Is Bullying Still a Problem in Medicine?Advances in medical education and practice · 2021Article
- Prevalence of intimidation, harassment, and discrimination among resident physicians: a systematic review and meta-analysis.Canadian medical education journal · 2020Review
- Relationships and boundaries: Learning needs and preferences in clerkship medical environments.PloS one · 2020Article
- An Empirical National Assessment of the Learning Environment and Factors Associated With Program Culture.Annals of surgery · 2019Article
- Why Do They Not Want to Be Surgeons? Female Medical Students' Career Intentions in Australia.ANZ journal of surgeryArticle
- Prevalence of gender-based and sexual harassment within orthopedic surgery in Canada.Canadian journal of surgery. Journal canadien de chirurgieArticle
- Perpetrators of Gender-Based and Sexual Harassment in the Field of Orthopaedic Surgery.JB & JS open accessReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2015, the public media in Australia reported a series of life stories of victims who had been subjected to inappropriate behaviors in their surgical careers, bringing the profession into disrepute. Currently, limited data are available in the medical literature on discrimination, bullying and harassment (DBH) in surgery. This significant information gap prompted a systematic review to compile relevant information about DBH in surgical practice and training, in particular, its prevalence and impact.
methodsA literature search was conducted using the MEDLINE, EMBASE and PubMed databases (May 1929-October 2017). Studies identified were appraised with standard selection criteria. Data points were extracted, and meta-analysis was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
resultsEight studies, comprising 5934 participants, were examined. Discrimination occurred in a pooled estimate of 22.4% [95% Confidence Interval (CI) = 14.0-33.9%]. One of the papers reported the prevalence of bullying using two methods including Revised Negative Acts Questionnaire and a definition by Einarsen. Pooled estimate of incidence rate was thus 37.7% (95% CI = 34.0-41.5%) and 40.3% (95% CI = 34.7-46.2%), respectively. In terms of harassment, pooled prevalence was 31.2% (95% CI = 10.0-65.0%).
conclusionsDBH is a significant issue in surgery. The true incidence of these issues may remain underestimated. Actions are being taken by professional bodies to create a positive culture in surgery. The effectiveness of these strategies is yet to be determined. More studies are warranted to investigate the magnitude of these issues given their psychological impact, and more importantly to monitor the effectiveness of current measures.
Indexed as
Identifiers
29971462What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.