Evidence map›Paper›PMID 38563052›Full record

SynthesisAnnals of the Royal College of Surgeons of England2025

A systematic review of the prevalence of burnout in orthopaedic surgeons.

K Chahal, K Matwala

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
11.0field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Artificial Intelligence Scribes in Orthopaedic Surgery: A Narrative Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. On theAnnals of the Royal College of Surgeons of England · 2026
    Article
  9. Review
  10. Burnout among Orthopedic Residents.Journal of orthopaedic case reports · 2025
    Article
  11. Article
  12. New Perspectives on Burnout and on Assessing the Reputation of Orthopedic Surgeons.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025
    Article
  13. Development of a Brief, Positively Framed Care Team Experience Measure.Clinical orthopaedics and related research · 2025
    Article
  14. Article
  15. "It's no use going back to yesterday".Annals of the Royal College of Surgeons of England · 2025
    Article
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

2 authors.

K ChahalMid and South Essex NHS Foundation Trust, UK.
K MatwalaMid and South Essex NHS Foundation Trust, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProfessional burnout is a syndrome of emotional exhaustion, depersonalisation and low sense of personal achievement related to the workplace. Orthopaedic surgeons train and practise in highly demanding environments. Understanding up-to-date trends in burnout, particularly following the COVID-19 pandemic, is vital. For this reason, we carried out a systematic review on this topic.

methodsA scoping literature review of two databases was conducted. Two authors independently screened articles and conflicts were resolved by panel discussion. Articles pertaining to orthopaedic surgeons that used validated scales and were peer reviewed research were included. Non-English or abstract-only results were excluded.

resultsA total of 664 papers were identified in the literature search and 34 were included in the qualitative review. Among 8,471 orthopaedic surgeons, the mean burnout prevalence was 48.9%. The wide range in rate of burnout between the studies (15-90.4%) reflected the variety in setting, subspecialty and surgeon grade. Common protective factors comprised dedicated mentorship, surgeon seniority, sufficient exercise and family support. Substance abuse, malpractice claims, financial stress and onerous on-call responsibilities were risk factors. Burnout prevalence during the COVID-19 pandemic was not noticeably different; there were a number of pandemic-associated risk and protective factors.

conclusionsNearly one in two orthopaedic surgeons are burnt out. There is a paucity of data on the short and long-term impact of COVID-19 on burnout. Burnout has deep organisational, personal and clinical implications. Targeted organisational interventions are required to prevent burnout from irrevocably damaging the future of orthopaedic surgery.

Indexed as

Burnout, ProfessionalCOVID-19Orthopedic SurgeonsHumansPandemicsPrevalenceRisk FactorsSARS-CoV-2burnoutCOVID-19orthopaedic surgeonsprofessionalsystematic review

Identifiers

PMID38563052
PMCPMC11658881
OpenAlexW4393438058

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.