Evidence map›Paper›PMID 34406924›Full record

ReviewCanadian Urological Association journal = Journal de l'Association des urologues du Canada2021

Burnout in Canadian urology: Cohort analysis from the 2018 Canadian Urological Association census.

Ernest P Chan, Leandra S Stringer, Adam Forster, William D Meeks, Raymond Fang, Julie Franc-Guimond, Alp Sener

Abstract readReview
In one paragraph

Review in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Assessing the urologist workforce in British Columbia Wait times, workload, and burnout in 2022.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  2. The ascent of females in Canadian urology: Times they are a-changin'.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  3. Retiring trends The role of artificial intelligence in mitigating the urologist shortage in Canada.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Review
  4. Kidney stone disease Practice patterns among urologists in Canada.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  5. Article
  6. The value of peer support in curbing moral injury: A resident's perspective.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  7. Article
  8. Review
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

7 authors.

Ernest P ChanDepartment of Surgery, Division of Urology, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Leandra S StringerDepartment of Surgery, Division of Urology, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Adam ForsterDepartment of Surgery, Division of Urology, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
William D MeeksData Management and Statistical Analysis, American Urological Association, Linthicum, Maryland, United States.
Raymond FangData Management and Statistical Analysis, American Urological Association, Linthicum, Maryland, United States.
Julie Franc-GuimondDepartment of Surgery, Division of Pediatric Urology, University of Montreal, QC, Canada.
Alp SenerDepartment of Surgery, Division of Urology, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhysician burnout is associated with medical error, patient dissatisfaction, and poorer physician health. Urologists have reported high levels of burnout and poor work-life integration compared with other physicians. Burnout rates among Canadian urologists has not been previously investigated. We aimed to establish the prevalence of Canadian urologist burnout and associated factors.

methodsIn the 2018 Canadian Urological Association census, the Maslach Burnout Inventory questions were assigned to all respondents. Responses from 105 practicing urologists were weighted by region and age group to represent 609 urologists in Canada. Burnout was defined as scoring high on the scales of emotional exhaustion or depersonalization. Demographic and practice variables were assessed to establish factors associated with burnout. Comparisons were made to the results of the 2016 American Urological Association census.

resultsOverall, 31.8% of respondents met the criteria for burnout. There was no effect of subspecialty practice or practice setting on burnout. On univariate analysis, rates of burnout were highest among urologists under financial strain (50.8%), female urologists (45.3%), and early-to-mid-career urologists (37.7-41.8%). Factors associated with demanding practices and poor work-life integration were predictive of burnout. A total of 12.2% of urologists reported seeking burnout resources and 54.0% wished there were better resources available.

conclusionsUrologist burnout in Canada is lower than reported in other countries, but contributing factors are similar. Urologists who report demanding clinical practices (particularly in early-to-mid career), poor work-life integration, financial strain, and female gender may benefit from directed intervention for prevention and management of burnout. Burnout resources for Canadian urologists require further development.

Identifiers

PMID34406924
PMCPMC8418235

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.