Evidence map›Paper›PMID 39367498›Full record

ReviewEuropean journal of medical research2024

Beyond the operating room: addressing the "second-victim" phenomenon in surgical practice.

Wireko Andrew Awuah, Nicholas Aderinto, Arjun Ahluwalia, Jeisun Poornaselvan, Joecelyn Kirani Tan, Hareesha Rishab Bharadwaj, Patrick Ashinze, Anushka G Pujari, Vivek Sanker, Toufik Abdul-Rahman and 2 more

Abstract readReview
In one paragraph

Review in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Current practices in caesarean section training: A cross-sectional study comparing high- and low-middle-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  8. Defensive medicine in dermatological practice - Dermatopathology as a mirror of structural challenges.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Work-Life Balance in Pediatric Orthopaedics: The Role of the Leaders.Journal of the Pediatric Orthopaedic Society of North America · 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

12 authors.

Wireko Andrew AwuahFaculty of Medicine, Sumy State University, Sumy, 40000, Ukraine. andyvans36@yahoo.com.
Nicholas AderintoInternal Medicine Department, LAUTECH Teaching Hospital, Ogbomoso, Nigeria.
Arjun AhluwaliaSchool of Medicine, Queen's University Belfast, Belfast, UK.
Jeisun PoornaselvanSchool of Medicine, University College Dublin, Dublin, Ireland.ORCID http://orcid.org/0009-0009-8664-0183
Joecelyn Kirani TanFaculty of Medicine, University of St Andrews, St Andrews, Scotland, UK.ORCID http://orcid.org/0009-0005-3648-6553
Hareesha Rishab BharadwajFaculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-7979-2834
Patrick AshinzeFaculty of Clinical Sciences, University of Ilorin, Ilorin, Nigeria.
Anushka G PujariRoyal College of Surgeons in Ireland, Dublin, Ireland.ORCID http://orcid.org/0000-0002-8613-3239
Vivek SankerDepartment of Neurosurgery, Trivandrum Medical College, Thiruvananthapuram, India.ORCID http://orcid.org/0000-0003-0615-8397
Toufik Abdul-RahmanFaculty of Medicine, Sumy State University, Sumy, 40000, Ukraine.
Oday AtallahDepartment of Neurosurgery, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Arda IsikUniversity Department of General Surgery, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Complications are plausible events during surgical operations. Surgical complications profoundly impact surgeons, often called "second victims" of adverse events. These complications trigger a range of emotional and psychological responses, including guilt, anxiety, heightened empathy, and the looming threat of burnout. Moreover, the toll extends to physical health, with chronic stress and sleep disturbances taking their toll. Surgeons' social lives are not immune to the fallout, and their career satisfaction may wane, pushing some towards defensive medicine practices. While mentorship, counselling, and peer support are crucial support mechanisms, they encounter barriers such as time constraints and the fear of negative perceptions. This paper suggests practical recommendations, including comprehensive wellness programmes, a streamlined badge card system for easy access to resources, and mindfulness training to mitigate stress and burnout. Recognising and proactively addressing these multifaceted impacts is imperative for cultivating a resilient medical community capable of providing optimal patient care.

Indexed as

Burnout, ProfessionalHumansOperating RoomsSurgeonsSecond victimSurgeon’s well-beingSurgical complications

Identifiers

PMID39367498
PMCPMC11452961

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.