Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
- Authors: Podda, Mauro; Di Martino, Marcello; Pata, Francesco; Nigri, Giuseppe; Pisanu, Adolfo; Di Saverio, Salomone; Pellino, Gianluca; Ielpo, Benedetto; Tolla, Ashenafi Negash; Abdelkhalek, Mohamed; Emile, Sameh; Dinagde, Tesfaye Aga; Bouzid, Chafik; Mansour, Ahmed Mohammed Farid Mahmoud; Garzali, Ibrahim Umar; Aregawi, Alazar Berhe; Zaghloul, Tarek M.; Kchaou, Ali; Awad, Selmy S.; Souadka, Amine; Ted, Tedla Gebretsadik; Saumtally, Mohammad Saad; Awad, Selmy S.; Ahmed, Bensaad; Bayileyegn, Nebiyou Simegnew; Nunziante, Marco; Shalaby, Mostafa; Debena, Dawit Gebregiorgis; Zena, Alemayehu Shanko; Adewunmi, Olayinka Lukman; Negasa, Tolera A.; Bourguiba, Mohamed Aboulkacem; Feituri, Nura; Kebede, Kirubel Abebe; Elfeki, Hossam; Anas, Abdelhmed; Awad, Ahmed K.; Ermias, Nebiyou; Hailemariam, Dagnachew H.; Bejiga, Gosa Hundie; Imana, Ruhama Yoseph; Taffese, Abebe; Feleke, Tsega Terefe; Elghadban, Hosam Mohamed; Debela, Bizuneh Sime; Shiferaw, Desta; Tadesse, Robel; Chukwu, Isaac Sunday; Mohammed, Abdullahi Ibrahim; Hassen, Khalid Arebo; Obiagwu, Ndubuisi K.; Tense, Tadesse H.; Taeme, Mulugeta; Biniam, Ewnte; Tesfay, Goytom Knfe; Tegegn, Ayenachew Getachew; Teddy, Tewodros Abule Bilata; Bekana, Bekana L.; Nidaw, Melkamu Kibret; Ali, Mahmoud Ibrahim; Gonfa, Kebebe Bekele; Kiros, Samuel; Belay, Tatek; Yallew, Gebeyaw Mengist; Wassie, Chekol; Ayalew, Alem Mekete; Asfaw, Fitsum Terefe; Aimal, Aimal Khan; Casas, Maria Agustina; Madrid, Fausto A.; Diaz-Elizondo, Jose Antonio; Merlo, Ignacio Guillermo; De Campos, Tercio; Schlottmann, Francisco; Gomes, Carlos Augusto; Hernández, Edgard Efrén Lozada; Moncada-Ortega, Augusto; Ramos-De la Medina, Antonio; Vanerio, Patricio; Diaz-Elizondo, Jose Antonio; Morales, Emilio J.; Stringfield, Sarah Beth; Gallardo, Cristian; Fonseca, Vinicius Cordeiro; Muriel, Maria Emilia; Cantarino, Frederico; Morales, Emilio J.; Fichera, Alessandro; Rodriguez, Agustin E.; Salinas, Roberto Paúl Andrade; Crosbie, Gonzalo Gabriel; Menegozzo, Carlos Augusto Metidieri; Avellaneda, Nicolas; Briones, Cristhian Gonzalo Aspiazu; Varela, Cristopher; Lichliter, Warren E.; Varela, Cristopher L.; Koppel, Darren; Lenz, Jorge Godoy; Pascual, Franco; Sibaja-Matamoros, Dauber A.; Johnson, Benjamin E.; Mercado, Octavio Avila; Tita, AgustÃn; Mukherjee, Indraneil; Lorenzo, Irving; Rueda, Erick; Rico, Douglas; Terwes, Natasha Loria; Visag-Castillo, Victor; Escalante, Karol S.; Salvador, Alan Francisco Alfaro; Pio, Luca; Rodas, Edgar B.; Aguilar, Juan Carlos Cardozo; Neri, Ignacio; Barzola, Ernesto J.; Barba, Leonardo A.; Zuchini, Andrés Mendoza; Acevedo, Ana Karen Radilla; Gachabayov, Mahir; Gonsaga, Ricardo Alessandro Teixeira; Bonilla, Fernando; Knickerbocker, Chase Barrett; Tsouknidas, Ioannis; Salamea, Juan C.; Travers, Lawrence Albert Salter; Nari, Gustavo Adrian; Pachajoa, Diana Alejandra Pantoja; Valadez, Michel Hernandez; Hale, Lyman Lansing; Perez, Guillermo; Choudhry, Asad; Foreman, Michaael L.; Brito, Ismael; Ciro, Mauricio Pedraza; Newton, Carla Joyce; Souza, Hamilton Petry; Davis, Daniel G.; Ferreira, Rodrigo Vaz; Keller, Deborah S.; Miguel, Gustavo Machain; Singh-Ranger, Gurpreet; Linares, Neiling Massiel Oviedo; Singares, Eduardo Smith; Valdivieso, Xavier HGarcÃa; Teran, Alfonso Ivan Sanchez; Vargas, Luis Felipe Cabrera; Valinoti, AgustÃn; Milne, David M.; Fleming, Andrew Martin; Quiroga-Garza, Alejandro; Espino, Eduardo Morales; Bedros, Nicole Mary; Funk, Geoffrey A.; Neves, Fernanda V. S.; Supit, Tommy; Baba, Arshad Ahmed; Chalkoo, Mushtaq A.; Kucuk, Gultekin Ozan; Sarmiento, Ray Inocencio; Galeev, Shamil I.; Korkoman, Mohammed J.; Yang, Wah; Medappil, Noushif; Athar, Rahmatullah; Subramaniam, Ravichandran; Chia, Chi Fung; Alhazmi, Ahmad; Halder, Subhadip; Rusli, Siti Mayuha; Rashid, Arshad; Gülcü, Barış; Nagarajan, Prasanth; Rida, Khaled; Jamiri, Al-Radjid; Batıkan, OÄŸuzkaÄŸan; Khan, Huma Ahmed; Mitul, Ashrarur Rahman; Efetov, Sergey; Junior, Marcelo A. F. Ribeiro; Gulcu, Baris; Far
- Publication year: 2024
- Type: Articolo in rivista
- OA Link: http://hdl.handle.net/10447/635054
Abstract
: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI.