Workload and quality of life of surgeons. Results and implications of a large-scale survey by the German Society of Surgery

Bohrer, Thomas; Koller, Michael; Schlitt, Hans J.; Bauer, Hartwig

doi:10.1007/s00423-011-0791-x

Cited by 35 publications

(31 citation statements)

References 15 publications

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“…In a study investigating on-call workload among Finnish anesthetists, a total of 68% felt stressed [14]. Certain specialists such as surgeons are more stressed than others [9,15]. In our study, the effect of specialization was not analyzed.…”

Section: Discussionmentioning

confidence: 99%

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Sovová¹,

Nakládalová²,

Kaletová³

et al. 2014

International Journal of Occupational Medicine and Environmental Health

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Objectives: Health care workers constitute a high-risk occupational category owing to the character of their work that includes high-risk environment, shift work and mental as well as physical stress. In occupational medicine, caring for their health condition should be a priority and include measures aimed at preventing cardiovascular diseases. The study aimed at determining the prevalence of cardiovascular disease (CVD) risk factors in employees of a large hospital and assessing their effect on the incidence of cardiovascular events. Materials and Methods: The group comprised 3124 employees with a mean age of 36.1 years (SD = 11.4), out of whom 562 were males (mean age of 37.1 years, range: 18-72; SD = 12.26) and 2562 were females (mean age of 35.9 years, range: 18-68; SD = 11.24). At their initial examination, the employees filled in a questionnaire on basic CVD risk factors (according to valid recommendations). This was supplemented with objective data to determine the risk of CVD using valid charts. From this group, a subset of persons at a high or intermediate risk was selected, comprising 247 individuals with a mean age of 54.1 years (SD = 5.73). After 5-9 years (mean 7.24±1.38 years), they either underwent another examination or their health status was ascertained by phone or in a computer database. The end point was the incidence of cardiovascular events (sudden death, acute myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, cardiac failure, stroke or transient ischemic attack). Results: The end point was noted in a total of 15 males (6.07%) and 6 females (2.42%), being statistically significantly present in managers (males p < 0.00007, females p < 0.00001), male physicians/surgeons (p < 0.025), tertiary-educated males (p < 0.0095), female smokers (p < 0.015), male ex-smokers (p < 0.007), overweight or obese males (p < 0.02) and those with the waist-to-hip ratio above 1.0 (p < 0.005). Conclusions: Cardiovascular events are most likely to occur in obese male physicians/surgeons holding managerial positions and in female managers.

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Section: Discussionmentioning

confidence: 99%

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Sovová¹,

Nakládalová²,

Kaletová³

et al. 2014

International Journal of Occupational Medicine and Environmental Health

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“…Dashed lines highlight the double-standard device on how surgeons generally tend to estimate well-known objects, larger cohorts have to be studied. Such a design could be realised during big surgical meetings [27]. Second, conclusions concerning the clinical part of the study can only be drawn in terms of transected liver surfaces but not in terms of resected or remaining liver volume which is more relevant in postoperative course after major hepatic resection.…”

Section: Study Limitationsmentioning

confidence: 99%

Estimate or calculate? How surgeons rate volumes and surfaces

Schuld

Kollmar

Seidel

et al. 2012

Langenbecks Arch Surg

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We found a large bias in estimating the dimension of both commonly used objects and the surface area of liver parenchyma transection. Obviously, estimating errors are more influenced by the individual subject who estimates than by the object itself. In clinical routine, surgeons should rely more on simple measuring devices than on their own sense of proportion. Education in how to estimate more correctly human liver resection surfaces can be achieved by ex vivo studies using porcine livers.

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“…In contrast, for a young researcher considering clinical trials as a pathway to academic advancement, the task seems almost impossible [11]. A good multicenter, randomized clinical trial normally requires 2 or more years of planning, 2 to 6 years of implementation, and then 1 to 2 years of analysis before publication [12][13][14].…”

Section: Why Is This So?mentioning

confidence: 99%

Scientific evaluation of modern clinical research: we need a new currency!

Büchler

Weitz

2011

Langenbecks Arch Surg

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Workload and quality of life of surgeons. Results and implications of a large-scale survey by the German Society of Surgery

Abstract: Improving the working conditions for surgeons requires a concerted action of all relevant parties, including hospital administrators, insurance companies, and the German Society of Surgery. The present study clearly identified measures that should be taken.

Cited by 35 publications

References 15 publications

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Estimate or calculate? How surgeons rate volumes and surfaces

Scientific evaluation of modern clinical research: we need a new currency!

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