Evidence map›Paper›PMID 40281106›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis.

Ryan M McAdams, Renate Savich, Patrick J McNamara, Lily Lou, Jens C Eickhoff, Satyan Lakshminrusimha

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The 24-hour in-house call: a relic in the modern workforce.Journal of perinatology : official journal of the California Perinatal Association · 2026
    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

6 authors.

Ryan M McAdamsDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. mcadams@pediatrics.wisc.edu.ORCID http://orcid.org/0000-0002-9579-1698
Renate SavichDepartment of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.ORCID http://orcid.org/0000-0002-3920-2422
Patrick J McNamaraDepartment of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IA, USA.ORCID http://orcid.org/0000-0001-7648-8872
Lily LouDepartment of Pediatrics, University of Illinois Chicago, Chicago, IL, USA.
Jens C EickhoffDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Satyan LakshminrusimhaDepartment of Pediatrics, University of California Davis Children's Hospital, Sacramento, CA, USA.ORCID http://orcid.org/0000-0001-6098-2155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effects of shift durations on sleep, fatigue, and wellness among U.S. neonatologists in diverse settings.

methodsA cross-sectional survey of U.S. neonatologists yielded 810 responses from 4400 recipients. Statistical analyses included ANOVA, logistic regression, and cluster analysis.

resultsYounger neonatologists (<35 years) reported the highest fatigue levels, with females more affected than males (p = 0.0185). Male neonatologists were less likely than females (OR 0.55, p = 0.0013), and those in university settings more likely than non-university settings (OR 1.43, p = 0.0389), to report adverse effects of shifts >16 h. Cluster analysis identified three fatigue patterns, with the most severe among younger neonatologists working shifts >16 h.

conclusionLong shifts (>16 h) negatively affect neonatologists' wellness, particularly younger and female clinicians. With most neonatal-perinatal medicine fellows being female, policies addressing shift duration are needed.

Indexed as

FatigueNeonatologistsShift Work ScheduleSleepWork Schedule ToleranceAdultCluster AnalysisCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedSurveys and QuestionnairesTime FactorsUnited States

Identifiers

PMID40281106
PMCPMC12222019

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.