Trial reportSleep2019
Effects on resident work hours, sleep duration, and work experience in a randomized order safety trial evaluating resident-physician schedules (ROSTERS).
Trial report in Sleep, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02134847 (Multi-center Clinical Trial of Limiting Resident Work Hours on ICU Patient Safety), which is not on this map. Cited by 24 papers, 3 of them syntheses 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.
Multi-center Clinical Trial of Limiting Resident Work Hours on ICU Patient Safety
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The impact of shortening shifts of physicians during their residency on patients and physicians : A systematic review and meta-analysis.Israel journal of health policy research · 2025Pooled it
- Adapting shift work schedules for sleep quality, sleep duration, and sleepiness in shift workers.The Cochrane database of systematic reviews · 2023Pooled it
- Insomnia-A Systematic Review and Comparison of Medical Resident's Average Off-Call Sleep Times.International journal of environmental research and public health · 2023Pooled it
- Trial
- Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts.The New England journal of medicine · 2020Trial
- Required components of a sleep-wake online daily diary for accurate and efficient human research.Npj biological timing and sleep · 2026Article
- Accreditation Council for Graduate Medical Education Work Hour Requirements: A Review of Recent Evidence.Journal of graduate medical education · 2025Article
- Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Objective alertness, rather than sleep duration, is associated with burnout and depression: A national survey of Japanese physicians.Journal of sleep research · 2025Article
- Work-life conflict and its health effects on Moroccan gastroenterologists: a cross-sectional study.Therapeutic advances in gastroenterology · 2025Article
- Sleep, chronotype, social jetlag, and mental health in resident physicians: a cross-sectional study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- The increasing authorship trend in neuroscience: A scientometric analysis across 11 countries.IBRO neuroscience reports · 2024Article
- Sleep, Well-Being, and Cognition in Medical Interns on a Float or Overnight Call Schedule.JAMA network open · 2024Observational
- Predicting neurobehavioral performance of resident physicians in a Randomized Order Safety Trial Evaluating Resident-Physician Schedules (ROSTERS).Sleep health · 2024Article
- Knowledge, attitude, and practice toward sleep hygiene and cardiovascular health: a cross-sectional survey among healthcare workers.Frontiers in public health · 2024Article
- The Effects of Shift Work on the Immune System: A Narrative Review.Sleep science (Sao Paulo, Brazil) · 2023Review
- Resting and Recharging: A Narrative Review of Strategies to Improve Sleep During Residency Training.Journal of graduate medical education · 2022Review
- Factors associated with habitual sleep duration in US adults with hypertension: a cross-sectional study of the 2015-2018 National Health and Nutrition Examination Survey.BMC public health · 2022Article
- Objective Assessment of Sleep Patterns among Night-Shift Workers: A Scoping Review.International journal of environmental research and public health · 2021Article
- Measuring sleep regularity: theoretical properties and practical usage of existing metrics.Sleep · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
23 authors.
Funding
Abstract
STUDY
objectivesWe compared resident physician work hours and sleep in a multicenter clustered-randomized crossover clinical trial that randomized resident physicians to an Extended Duration Work Roster (EDWR) with extended-duration (≥24 hr) shifts or a Rapidly Cycling Work Roster (RCWR), in which scheduled shift lengths were limited to 16 or fewer consecutive hours.
methodsThree hundred two resident physicians were enrolled and completed 370 1 month pediatric intensive care unit rotations in six US academic medical centers. Sleep was objectively estimated with wrist-worn actigraphs. Work hours and subjective sleep data were collected via daily electronic diary.
resultsResident physicians worked fewer total hours per week during the RCWR compared with the EDWR (61.9 ± 4.8 versus 68.4 ± 7.4, respectively; p < 0.0001). During the RCWR, 73% of work hours occurred within shifts of ≤16 consecutive hours. In contrast, during the EDWR, 38% of work hours occurred on shifts of ≤16 consecutive hours. Resident physicians obtained significantly more sleep per week on the RCWR (52.9 ± 6.0 hr) compared with the EDWR (49.1 ± 5.8 hr, p < 0.0001). The percentage of 24 hr intervals with less than 4 hr of actigraphically measured sleep was 9% on the RCWR and 25% on the EDWR (p < 0.0001).
conclusionsRCWRs were effective in reducing weekly work hours and the occurrence of >16 consecutive hour shifts, and improving sleep duration of resident physicians. Although inclusion of the six operational healthcare sites increases the generalizability of these findings, there was heterogeneity in schedule implementation. Additional research is needed to optimize scheduling practices allowing for sufficient sleep prior to all work shifts.Clinical Trial: Multicenter Clinical Trial of Limiting Resident Work Hours on ICU Patient Safety (ROSTERS), https://clinicaltrials.gov/ct2/show/NCT02134847.
Indexed as
Identifiers
What 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.