Background There is a growing recognition that medical staff members are exposed to job and life stressors that increase the risk of burnout. This study aimed to investigate the potential stressors among medical staff members working at a Cancer Center in Beijing and to explore the demographic, occupational, and societal features associated with burnout. Methods This was a cross‐sectional study. The Maslach Burnout Inventory (MBI) survey was distributed to all medical staff members, along with an anonymous questionnaire to collect general information about demographic, occupational, and societal characteristics. The data were analyzed using T test, ANOVA, and multivariable linear regression. Results A total of 1096 of 1208 (91%) medical staff members completed the questionnaires, including 285 (26%) doctors and 572 (52%) nurses. The scores for emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) were 14.51 ± 9.78, 5.78 ± 5.59, and 35.07 ± 10.43, respectively. Domicile, being a nurse, working overtime, and low self‐rated QoL were predictors of EE; Domicile, being a researcher, low self‐rated health, low self‐rated QoL, and bad colleague relationships were predictors of DP; Age, being a doctor or a nurse, low self‐rated health, and low self‐rated interpersonal relationships were predictors of low PA. Conclusion Compared with the other occupations, doctors and nurses are more likely to experience burnout. Additionally, cultivating a better work environment, promoting the health and quality of life of staff, and improving rapport with colleagues may help to prevent burnout.

Chinese early-career oncology professionals experience a high risk of burnout. The early-career professionals with lower agreeableness and higher neuroticism in personality may have a higher risk of burnout. Imbalance between work efforts and work rewards is another significant risk factor of burnout.

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ObjectivesThe aim of the study was to investigate the direct inpatient cost and analyse influencing factors for patients with rectal cancer with low anterior resection in Beijing, China.DesignA retrospective observational study.SettingThe study was conducted at a three-tertiary oncology institution.ParticipantsA total of 448 patients who underwent low anterior resection and were diagnosed with rectal cancer from January 2015 to December 2016 at Peking University Cancer Hospital were retrospectively identified. Demographic, clinical and cost data were determined.ResultsThe median inpatient cost was￥89 064, with a wide range (￥46 711–￥191 329) due to considerable differences in consumables. The material cost accounted for 52.19% and was the highest among all the cost components. Colostomy (OR 4.17; 95% CI 1.79 to 9.71), complications of hypertension (OR 5.30; 95% CI 1.94 to 14.42) and combined with other tumours (OR 2.92; 95% CI 1.12 to 7.60) were risk factors for higher cost, while clinical pathway (OR 0.10; 95% CI 0.03 to 0.35), real-time settlement (OR 0.26; 95% CI 0.10 to 0.68) and combined with cardiovascular disease (OR 0.09; 95% CI 0.02 to 0.52) were protective determinants.ConclusionsThis approach is an effective way to relieve the economic burden of patients with cancer by promoting the clinical pathway, optimising the payment scheme and controlling the complication. Further research focused on the full-cost investigation in different stages of rectal cancer based on a longitudinal design is necessary.