Evidence map›Paper›PMID 41499327›Full record

SynthesisThe British journal of surgery2025

Second victim syndrome in surgeons: systematic review and meta-analysis of the impact of adverse events on surgeons.

James Bryan, Adele Ketley, Kate Cavanagh, Carly Bisset, Susan Moug, Lynda Wyld, Jenna Morgan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The British journal of surgery, 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. 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

7 authors.

James BryanSchool of Medicine and Population Health, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, UK.ORCID 0000-0002-7979-6501
Adele KetleySchool of Medicine and Population Health, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, UK.
Kate CavanaghSchool of Psychology, University of Sussex, Brighton, UK.ORCID 0000-0002-9863-1462
Carly BissetSchool of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.
Susan MougSchool of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.
Lynda WyldSchool of Medicine and Population Health, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, UK.ORCID 0000-0002-4046-5940
Jenna MorganSchool of Medicine and Population Health, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, UK.ORCID 0000-0002-5337-5581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecond victim syndrome (SVS) is characterized by negative psychological and psychosomatic effects on a healthcare provider after an adverse care event. The aim of this systematic review and meta-analysis was to characterize the symptoms of SVS experienced by surgeons and factors affecting their impact, as well as understand common coping strategies that surgeons employ to deal with them.

methodsA systematic review of five electronic databases was conducted without restrictions on publication date or language in January 2025. Second victim syndrome, surgeon, and adverse event and their synonyms were used as search terms. Records were screened, quality assessed, and data extracted by two independent researchers. Both qualitative and quantitative studies were included and narratively synthesized. A meta-analysis was performed using a random effects model to calculate the overall prevalence rates of symptoms and coping methods.

resultsA total of 36 papers were included in the analysis from 6629 retrieved records. Anxiety (56.3% (95% c.i. 45.8% to 66.3%)), guilt (53.8% (95% c.i. 41.3% to 65.8%)), sadness (48.3% (95% c.i. 34.6% to 62.3%)), and sleep disturbance (50.5% (95% c.i. 38.4% to 62.5%)) were the most commonly reported symptoms. Talking to either colleagues (72.5% (95% c.i. 65.6% to 78.4%)) or family/friends (52.0% (95% c.i. 40.6% to 63.2%)) were the most commonly employed coping strategies. The sex and level of experience of the surgeon and the severity of the event were identified as potential predictors of deleterious impact.

conclusionSVS significantly impacts surgeons' global well-being, leading to burnout and attrition. Effective interventions require a multifaceted approach, including peer support, resilience training, and institutional changes that normalize emotional responses, encourage disclosure, and address barriers to seeking help. Targeted support for at-risk groups may also be necessary.

Indexed as

Medical ErrorsSurgeonsAdaptation, PsychologicalHumansSyndrome

Identifiers

PMID41499327
PMCPMC12777971

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.