Evidence map›Paper›PMID 38012468›Full record

ArticleClinical rheumatology2024

Burnout syndrome among rheumatologists and rheumatology fellows in Arab countries: an ArLAR multinational study.

Rita Naim, Nelly Ziadé, Chafika Haouichat, Fatemah Baron, Sulaiman M Al-Mayouf, Nizar Abdulateef, Basel Masri, Manal El Rakawi, Lina El Kibbi, Manal Al Mashaleh and 2 more

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In one paragraph

Article in Clinical rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 7 countries.

Rita NaimInternal Medicine Department, Saint-Joseph University, Beirut, Lebanon. rita.naim2@net.usj.edu.lb.ORCID http://orcid.org/0009-0001-4011-3865
Nelly ZiadéHotel-Dieu de France Hospital, Alfred Naccache Blvd. Achrafieh, Beirut, Lebanon.ORCID http://orcid.org/0000-0002-4479-7678
Chafika HaouichatRheumatology Department, Djillali Bounaama University Hospital, Douera, Algiers, Algeria.ORCID http://orcid.org/0000-0002-3779-8576
Fatemah BaronUnit of Rheumatology, Internal Medicine Department, Al-Jahra Hospital, Ministry of Health, State of Kuwait, Kuwait City, Kuwait.
Sulaiman M Al-MayoufDivision of Rheumatology, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, College of Medicine, Al Faisal University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0003-0142-6698
Nizar AbdulateefRheumatology Unit, Department of Medicine, College of Medicine, University of Baghdad, Baghdad, Iraq.ORCID http://orcid.org/0000-0003-0659-8130
Basel MasriDepartment of Internal Medicine, Rheumatology Division, Jordan Hospital & Medical Center, Amman, Jordan.ORCID http://orcid.org/0000-0002-4592-1247
Manal El RakawiRheumatology Department, Djillali Bounaama University Hospital, Douera, Algiers, Algeria.ORCID http://orcid.org/0000-0002-8235-4595
Lina El KibbiDivision of Rheumatology, Department of Internal Medicine, Specialized Medical Center, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0003-1710-9996
Manal Al MashalehRheumatology Division of Internal Medicine, King Hussein Medical Center, Royal Medical Services, Jordan Armed Forces, Amman, Jordan.ORCID http://orcid.org/0000-0002-8286-6531
Fatemah AbutibanUnit of Rheumatology, Department of Internal Medicine, Jaber Alahmed Hospital, Ministry of Health, State of Kuwait, Kuwait City, Kuwait.ORCID http://orcid.org/0000-0002-6725-4561
Ihsane HmamouchiFaculty of Medicine , Health Sciences Research Center (CReSS), International University of Rabat (UIR), Rabat, Morocco.ORCID http://orcid.org/0000-0003-4402-5034
Saint Joseph University · LBUniversity of Blida · DZAlfaisal University · SAInternational University of Rabat · MAJahra Hospital · KWJordan Hospital · JOKing Hussein Medical Center · JOMinistry of Health · KWUniversity of Baghdad · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout is frequent among physicians and seems to be underestimated among rheumatologists.

objectiveTo estimate the frequency of burnout in a sample of rheumatologists practising in the Arab countries and determine its associated factors.

methodsThis was a descriptive cross-sectional study conducted by the Arab League of Associations for Rheumatology (ArLAR research group) using an anonymous electronic questionnaire set up on the Google Forms platform. All Arab rheumatologists and rheumatology fellows were invited to participate in the spring of 2022 via ArLAR social media accounts, societies' WhatsApp groups, and mass emails. Burnout was defined by at least one positive domain of the Maslach Burnout Inventory (MBI) (Emotional exhaustion, Depersonalization, and Personal accomplishment). The final score was correlated to socio-demographic factors using a multivariable binary logistic regression.

resultsThe study included 445 rheumatologists and rheumatology fellows with an average age of 45.2 years (SD 11.5); 61.8% were men. The frequency of burnout among rheumatologists was 61.3% and was driven by low personal accomplishment scores (58.1%). Younger age (OR 1.92 (95%CI 1.20-3.08)), dissatisfaction with the specialty (OR 2.036 (95% CI 1.20-3.46)), and low income (OR 2.26 (95% CI 1.01-5.10)) were associated with burnout.

conclusionThe frequency of burnout in a sample of rheumatologists in Arab countries is very high, driven by low personal accomplishment scores and associated with a low income, dissatisfaction with the specialty and younger age. Some associated factors might be modifiable, thus reducing the burden of burnout on rheumatologists and on the healthcare system. Key Points • The frequency of burnout in a sample of Arab rheumatologists was 61.3% according to the MBI. • The score was mainly driven by low personal accomplishment scores (58.1%). • Younger age, dissatisfaction with the specialty, and low income were associated with burnout. • Acting upon modifiable risk factors would help reducing the burden of burnout on rheumatologists and on the healthcare system.

Indexed as

Burnout, ProfessionalPsychological TestsRheumatologySelf ReportArabsBurnout, PsychologicalCross-Sectional StudiesFemaleHumansMaleMiddle AgedRheumatologistsSurveys and QuestionnairesArab countriesBurnoutHealthcareMental healthRheumatology

Identifiers

PMID38012468
OpenAlexW4389070473

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.