2026-04-17T14:42:56Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/120512025-10-24T10:32:41Zcom_2072_378070com_2072_378040col_2072_378092

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study Nigri, Giuseppe Pisanu, Adolfo Podda, Mauro Di Martino, Marcello Pata, Francesco Di Saverio, Salomone Pellino, Gianluca Institut Català de la Salut [Podda M] Department of Surgical Science, Emergency Surgery Unit, Policlinico Universitario “D. Casula”, Azienda OspedalieroUniversitaria di Cagliari, University of Cagliari, Cagliari, Monserrato, Italy. [Di Martino M] Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy. [Pata F, Pisanu A] Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy. [Nigri G] Department of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy. [Di Saverio S] Department of Surgery, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy. [Pellino G] Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy Vall d'Hebron Barcelona Hospital Campus Qüestionaris Cirurgians Cirurgia Descans Rendiment HEALTH CARE::Health Services Administration::Organization and Administration::Personnel Management::Personnel Staffing and Scheduling::Workload ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires NAMED GROUPS::Persons::Occupational Groups::Health Personnel::Physicians::Surgeons DISCIPLINES AND OCCUPATIONS::Health Occupations::Medicine::Specialties, Surgical::General Surgery ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Human Activities::Leisure Activities::Relaxation::Rest ATENCIÓN DE SALUD::administración de los servicios de salud::organización y administración::gestión de personal::admisión y programación del personal::carga de trabajo TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios DENOMINACIONES DE GRUPOS::personas::grupos profesionales::personal sanitario::médicos::cirujanos DISCIPLINAS Y OCUPACIONES::profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía general ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::actividades humanas::actividades de ocio::relajación::reposo Global research; Surgeon’s well-being; Surgeon’s workload Investigación global; Bienestar del cirujano; Carga de trabajo del cirujano Recerca global; Benestar del cirurgià; Càrrega de treball del cirurgià 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. 2024-10-11T10:02:48Z 2024-10-11T10:02:48Z 2024-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Podda M, Di Martino M, Pata F, Nigri G, Pisanu A, Di Saverio S, et al. Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study. Updates Surg. 2024 Sep;76:1615–33. 2038-3312 https://hdl.handle.net/11351/12051 10.1007/s13304-024-01859-7 38684574 001229937200002 http://hdl.handle.net/11351/12051 eng Updates in Surgery;76 https://doi.org/10.1007/s13304-024-01859-7 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf Springer Nature Scientia