Evidence map›Paper›PMID 39994165›Full record

ArticleActa neurochirurgica2025

A national study of burnout, psychosocial work environment, and moral distress among neurosurgical doctors in Denmark.

Thorbjørn Søren Rønn Jensen, Jakob Hakon, Markus Harboe Olsen, Helga Angela Gulisano, Tina Obbekjær, Frantz Rom Poulsen, Tiit Illimar Mathiesen

Abstract read
In one paragraph

Article in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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.

Thorbjørn Søren Rønn Jensen *Department of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital Rigshospitalet, Inge Lehmanns Vej 6, 2100, Copenhagen, Rigshospitalet, Denmark. tjens07@gmail.com.ORCID 0000-0002-9083-808X
Jakob Hakon *Department of Neurosurgery, Clinical Institute and BRIDGE (Brain Research - Inter Disciplinary Guided Excellence), Odense University Hospital, University of Southern Denmark, DK-5000, Odense, Denmark.
Markus Harboe OlsenDepartment of Neuroanesthesiology, The Neuroscience Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Helga Angela GulisanoDepartment of Neurosurgery, Aalborg University Hospital, Aalborg, Denmark.
Tina ObbekjærDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Frantz Rom PoulsenDepartment of Neurosurgery, Clinical Institute and BRIDGE (Brain Research - Inter Disciplinary Guided Excellence), Odense University Hospital, University of Southern Denmark, DK-5000, Odense, Denmark.
Tiit Illimar MathiesenDepartment of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital Rigshospitalet, Inge Lehmanns Vej 6, 2100, Copenhagen, Rigshospitalet, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout is a condition of mental, emotional, and physical enervation affecting personnel working in human services and has been reported high among neurosurgical doctors. However, previous burnout reports are based on low response rates and measured by the Maslach Burnout inventory, which for several reasons has proven problematic. Burnout has not previously been investigated among neurosurgical doctors in Denmark. With this study we measure the prevalence of burnout among neurosurgical doctors in Denmark with sustainable methodology and a clinically relevant burnout interpretation.

methodsBurnout was measured among neurosurgical doctors in Denmark using the Copenhagen Burnout Inventory (CBI) consisting of three subscales measuring personal burnout, work-related burnout and patient-related burnout. To gain better understanding of factors contributing to burnout, the psychosocial working conditions and moral distress was measured using the Danish Psychosocial Work Environment Questionnaire (DPQ) and a questionnaire of eight items previously used to assess moral distress.

resultsWith 73 responders and a response rate of 90.1%, clinically relevant burnout was reported in 27.4% in personal burnout, 16.5% in work-related burnout and 5.5% in patient-related burnout. Cohort members with children living at home experienced a significant higher degree of burnout regarding work-related burnout and patient-related burnout. Within the DPQ domains of 'Demands at work' and 'Work organization and job content', several moderate to strong correlations were observed between specific sub-dimensions and both personal and work-related burnout. Higher levels of the domain 'Interpersonal relations' was moderately correlated with lower levels of both personal and work-related burnout. In the testing of moral distress, only 2 responders (2.7%) scored as 'somewhat injured'.

conclusionNeurosurgical doctors in Denmark report relatively low prevalence of clinically relevant burnout. However, doctors with children living at home exhibited higher levels of work- and patient-related burnout. Our findings highlight the psychosocial work environment as a significant factor contributing to burnout, while moral distress appears to have a limited impact on the development of burnout in the study population.

Indexed as

Burnout, ProfessionalMoralsNeurosurgeonsPhysiciansWorkplaceAdultDenmarkEthical DilemmasFemaleHumansMaleMiddle AgedPrevalenceSurveys and QuestionnairesWorking ConditionsCopenhagen burnout inventoryDanish psychosocial work environment questionnaireResponse rate

Identifiers

PMID39994165
PMCPMC11850451

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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.