Evidence map›Paper›PMID 32326734›Full record

SynthesisAnnals of the Royal College of Surgeons of England2020

Factors associated with burnout syndrome in surgeons: a systematic review.

R Galaiya, J Kinross, T Arulampalam

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 pooled it
30.2field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Article
  8. The burden of unwanted e-mails in academic surgery: a cross-sectional study.International journal of surgery (London, England) · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Work-Life Balance in Pediatric Orthopaedics: The Role of the Leaders.Journal of the Pediatric Orthopaedic Society of North America · 2025
    Article
  14. Article
  15. Effects of burnout syndrome on pregnancy and the postpartum period.Revista da Associacao Medica Brasileira (1992) · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. The Patients are Thriving: Further Evidence of Improved Outcomes for Women Surgeons.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

R GalaiyaBarnet, Enfield and Haringey Mental Health NHS Trust.
J KinrossDepartment of Surgery and Cancer, Imperial College London, UK.
T ArulampalamSchool of Medicine, Anglia Ruskin University, Chelmsford.
Anglia Ruskin University · GBBarnet Enfield and Haringey Mental Health Trust · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo date, studies have shown a high prevalence of burnout in surgeons. Various factors have been found to be associated with burnout, and it has significant consequences personally and systemically. Junior doctors are increasingly placing their own health and wellbeing as the most important factor in their decisions about training. Finding ways to reduce and prevent burnout is imperative to promote surgical specialties as attractive training pathways.

methodsThe MEDLINE, PsychInfo and EMBASE databases were searched using the subject headings related to surgery and burnout. All full text articles that reported data related to burnout were eligible for inclusion. Articles which did not use the Maslach Burnout Inventory or included non-surgical groups were excluded; 62 articles fulfilled the criteria for inclusion.

findingsYounger age and female sex tended to be associated with higher levels of burnout. Those further in training had lower levels of burnout, while residents suffered more than their seniors. Burnout is associated with a lower personal quality of life, depression and alcohol misuse. Academic work and emotional intelligence may be protective of burnout. Certain personality types are less likely to be burnt out. Mentorship may reduce levels of burnout.

conclusionsWorkload and work environment are areas that could be looked at to reduce job demands that lead to burnout. Intervening in certain psychological factors such as emotional intelligence, resilience and mindfulness may help to reduce burnout. Promoting physical and mental health is important in alleviating burnout, and these factors likely have a complex interplay.

Indexed as

Burnout, ProfessionalEmotional IntelligenceHumansPrevalenceQuality of LifeResilience, PsychologicalRisk FactorsSurgeonsWorkloadWorkplaceBurnout, professionalBurnout, psychologicalSurgeons

Identifiers

PMID32326734
PMCPMC7388944
OpenAlexW3019047812

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.