ReviewCureus2025
Electronic Health Record Burnout in Surgery and Strategies to Improve Burnout: A Narrative Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Physician burnout is a prevalent occupational syndrome characterized by emotional exhaustion, depersonalization, and diminished professional efficacy. Use of electronic health records (EHRs; also termed EMRs) has been associated with provider burnout in multiple settings. This review characterizes the most frequently reported EHR‑related contributors to burnout among U.S. surgeons across the following four domains: documentation burden, time demands (including after‑hours work), electronic messaging/in‑basket load, and usability. We searched PubMed for English-language, U.S. articles published from January 2004 to April 2024. Two reviewers independently screened and domain‑coded with consensus resolution. We report domain frequencies as n (%) with 95% confidence intervals (CIs) (Wilson) and summarize study‑level magnitudes where available (e.g., hours/day in EHR, after‑hours share, message volume, odds ratios). Of the 207 screened records, 25 were included across general, vascular, orthopedics, otolaryngology, surgical oncology, and the surgical intensive care unit. Domain frequencies: documentation, 15/25 = 60.0% (95% CI = 40.7-76.6); time demands, 17/25 = 68.0% (95% CI = 48.4-82.8); electronic messaging, 8/25 = 32.0% (95% CI = 17.2-51.6); and usability, 4/25 = 16.0% (95% CI = 6.4-34.7). None of the included studies explicitly assessed medicolegal contributors. Examples of magnitudes included EHR hours/day and remote/after‑hours EHR use, message volumes and timing, and fatigue/efficiency markers. In U.S. surgical literature, EHR‑related burnout is most frequently reported in association with documentation burden and time demands, with additional contributions from electronic messaging and usability. Practical mitigation includes surgeon‑facing efficiency tactics (templates, dictation, team inbox protocols) alongside system‑level usability improvements and policy reforms. Further prospective and interventional evaluations are needed.
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Registered trials
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.