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Biomed Res Int. 2017;2017:8648925. doi: 10.1155/2017/8648925. Epub 2017 Nov 28.

Incidence and Factors Associated with Burnout in Anesthesiology: A Systematic Review.

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Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Via Tricomi 5, 90127 Palermo, Italy.
Department of Anaesthesia and Intensive Care, Policlinico Universitario G. Martino, University of Messina, Messina, Italy.
Department of Biopathology, Medical and Forensic Biotechnologies (DIBIMEF), Section of Anesthesiology, Analgesia, Emergency and Intensive Care, Policlinico "P. Giaccone", University of Palermo, Via del Vespro 129, 90100 Palermo, Italy.
School of Anaesthesia and Intensive Care, University of Catania, Catania, Italy.
Critical Care Research Group, Prince Charles Hospital, The University of Queensland, Brisbane, QLD, Australia.
Department of Anaesthesiology and Intensive Care, Philipps University, Marburg, Germany.
Cardiothoracic Anaesthesia and Intensive Care, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, University of Manchester and Manchester Academic Health Science Centre, Manchester, UK.



Burnout syndrome has reached epidemic levels among physicians (reported around 50%). Anesthesiology is among the most stressful medical disciplines but there is paucity of literature as compared with others. Analysis of burnout is essential because it is associated with safety and quality of care. We summarize evidence on burnout in anesthesiology.


We conducted a systematic review (MEDLINE up to 30.06.2017). We included studies reporting burnout in anesthesiology with no restriction on role or screening test used.


Fifteen surveys/studies described burnout in anesthesiology, including different workers profiles (nurses, residents, consultants, and directors). All studies used the Maslach Burnout Inventory test but with significant differences for risk stratification. Burnout prevalence greatly varied across studies (10%-41% high risk, up to 59% at least moderate risk). Factors most consistently associated with burnout were strained working pattern, working as younger consultant, and having children. There was no consistent relationship between burnout and hospital characteristics, gender, or marital status.


Burnout prevalence among anesthesiologists is relatively high across career stages, and some risk factors are reported frequently. However, the small number of studies as well as the large differences in their methodology and in reporting approach warrants further research in this field.

[Indexed for MEDLINE]
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