Evidence map›Paper›PMID 31352036›Full record

ReviewChest2019

The Impact of Sleep and Circadian Disorders on Physician Burnout.

Nancy H Stewart, Vineet M Arora

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Chest, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05619081 (Recovery Napping Protocol for Anesthesiologist Performance), which is not on this map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
27.4field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05619081 nacompletednot on this mapstarted 2022, after this paper: background citation

Recovery Napping Protocol for Anesthesiologist Performance

TypeinterventionalSponsorClaude Bernard UniversityRan2022 to 2023Enrolled44ConditionsSleep Deprivation, Critical Incident, Sleep, AnesthesiaArmsPOWERNAP
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 207 citations in OpenAlex.

  1. Pooled it
  2. When doctors falter: Resilience in modern obstetrics and gynecology, a narrative review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  3. Bright Light Therapy for Psychiatry Residents: A Pilot Study of Feasibility and Perceived Impact on Wellbeing.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Hidden Workload of Academic Emergency Physicians: Extra-Clinical Duties and Their Impact on Fatigue and Recovery.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review

52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Nancy H StewartDivision of Pulmonary, Critical Care, and Sleep, University of Kansas Medical Center, Kansas City, KS.
Vineet M AroraDivision of General Internal Medicine, University of Chicago, Chicago, IL. Electronic address: varora@medicine.bsd.uchicago.edu.
University of Chicago · USUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nearly 50% of physicians report symptoms of clinical burnout. Occupational factors and personal health play substantial roles in physician burnout. The role of sleep in physician burnout is not well understood. Burnout is at epidemic levels in health care, with research suggesting nearly one in two physicians experience clinical burnout as defined according to the Maslach Burnout Index. Sleep deprivation, burnout, and clinician health are intricately intertwined. The relation between sleep deprivation and burnout is not only suggested in hypothetical models but also confirmed in observational studies of workers of all types. Models describing the relation between burnout and sleep suggest as potential causative mechanisms of sleep disturbances the following: (1) a chronic depletion of energy stores; or (2) activation of the hypothalamic-pituitary-adrenal axis and increasing levels of bodily stress. Sleep deprivation and burnout are widespread in health-care workers, affecting not only nurses but also medical students, physicians-in-training, and practicing physicians. Although sleep deprivation is associated with clinical burnout, direct studies showing that sleep extension can improve burnout recovery are lacking. Early detection and early intervention to improve both sleep deprivation and burnout are warranted in health-care professionals. Interventions should be directed not only at individuals but also at the entire health system. This review highlights the latest developments and emerging concepts concerning the role of sleep and circadian disorders in physician burnout.

Indexed as

Circadian RhythmBurnout, ProfessionalHumansPhysiciansSleepSleep DeprivationSurveys and Questionnairesburnoutphysician healthsleep deprivationsleep medicine

Identifiers

PMID31352036
PMCPMC6859241
OpenAlexW2963011520

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.