Incidence and factors associated with burnout in radiologists: A systematic review

Rationale and objectives: Burnout among physicians has a prevalence rate exceeding 50%. The radiology department is not immune to the burnout epidemic. Understanding and addressing burnout among radiologists has been a subject of recent interest. Thus, our study aims to systematically review studies...

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Main Authors: Nader A. Fawzy, Muhammad Junaid Tahir, Abdullah Saeed, Mohammad J. Ghosheh, Tamara Alsheikh, Ali Ahmed, Ka Yiu Lee, Zohaib Yousaf
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:European Journal of Radiology Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352047723000564
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author Nader A. Fawzy
Muhammad Junaid Tahir
Abdullah Saeed
Mohammad J. Ghosheh
Tamara Alsheikh
Ali Ahmed
Ka Yiu Lee
Zohaib Yousaf
author_facet Nader A. Fawzy
Muhammad Junaid Tahir
Abdullah Saeed
Mohammad J. Ghosheh
Tamara Alsheikh
Ali Ahmed
Ka Yiu Lee
Zohaib Yousaf
author_sort Nader A. Fawzy
collection DOAJ
description Rationale and objectives: Burnout among physicians has a prevalence rate exceeding 50%. The radiology department is not immune to the burnout epidemic. Understanding and addressing burnout among radiologists has been a subject of recent interest. Thus, our study aims to systematically review studies reporting the prevalence of burnout in physicians in the radiology department while providing an overview of the factors associated with burnout among radiologists. Materials and methods: The search was conducted from inception until November 13th, 2022, in PubMed, Embase, Education Resources Information Center, PsycINFO, and psycArticles. Studies reporting the prevalence of burnout or any subdimensions among radiology physicians, including residents, fellows, consultants, and attendings, were included. Data on study characteristics and estimates of burnout syndrome or any of its subdimensions were collected and summarized. Results: After screening 6379 studies, 23 studies from seven countries were eligible. The number of participants ranged from 26 to 460 (median, 162; interquartile range, 91–264). In all, 18 studies (78.3%) employed a form of the Maslach Burnout Inventory. In comparison, four studies (17.4%) used the Stanford Professional Fulfillment Index, and one study (4.3%) used a single-item measure derived from the Zero Burnout Program survey. Overall burnout prevalence estimates were reported by 14 studies (60.9%) and varied from 33% to 88%. High burnout prevalence estimates were reported by only five studies (21.7%) and ranged from 5% to 62%. Emotional exhaustion and depersonalization prevalence estimates were reported by 16 studies (69.6%) and ranged from 11%−100% and 4%−97%, respectively. Furthermore, 15 studies (65.2%) reported low personal accomplishment prevalence, ranging from 14.7% to 84%. There were at least seven definitions for overall burnout and high burnout among the included studies, and there was high heterogeneity among the cutoff scores used for the burnout subdimensions. Conclusion: Burnout in radiology is increasing globally, with prevalence estimates reaching 88% and 62% for overall and high burnout, respectively. A myriad of factors has been identified as contributing to the increased prevalence. Our data demonstrated significant variability in burnout prevalence estimates among radiologists and major disparities in burnout criteria, instrument tools, and study quality.
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spelling doaj.art-4c79c23832794d2a9513ea690d7fb0fe2023-12-09T06:06:43ZengElsevierEuropean Journal of Radiology Open2352-04772023-12-0111100530Incidence and factors associated with burnout in radiologists: A systematic reviewNader A. Fawzy0Muhammad Junaid Tahir1Abdullah Saeed2Mohammad J. Ghosheh3Tamara Alsheikh4Ali Ahmed5Ka Yiu Lee6Zohaib Yousaf7College of Medicine, Alfaisal University, Riyadh 11533, Saudi ArabiaPakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore 54000, PakistanPakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore 54000, PakistanCollege of Medicine, Alfaisal University, Riyadh 11533, Saudi ArabiaCollege of Medicine, Alfaisal University, Riyadh 11533, Saudi ArabiaSchool of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Subang Jaya, Selangor, MalaysiaSwedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, Sweden; Corresponding author.Tower Health, Reading, PA, USARationale and objectives: Burnout among physicians has a prevalence rate exceeding 50%. The radiology department is not immune to the burnout epidemic. Understanding and addressing burnout among radiologists has been a subject of recent interest. Thus, our study aims to systematically review studies reporting the prevalence of burnout in physicians in the radiology department while providing an overview of the factors associated with burnout among radiologists. Materials and methods: The search was conducted from inception until November 13th, 2022, in PubMed, Embase, Education Resources Information Center, PsycINFO, and psycArticles. Studies reporting the prevalence of burnout or any subdimensions among radiology physicians, including residents, fellows, consultants, and attendings, were included. Data on study characteristics and estimates of burnout syndrome or any of its subdimensions were collected and summarized. Results: After screening 6379 studies, 23 studies from seven countries were eligible. The number of participants ranged from 26 to 460 (median, 162; interquartile range, 91–264). In all, 18 studies (78.3%) employed a form of the Maslach Burnout Inventory. In comparison, four studies (17.4%) used the Stanford Professional Fulfillment Index, and one study (4.3%) used a single-item measure derived from the Zero Burnout Program survey. Overall burnout prevalence estimates were reported by 14 studies (60.9%) and varied from 33% to 88%. High burnout prevalence estimates were reported by only five studies (21.7%) and ranged from 5% to 62%. Emotional exhaustion and depersonalization prevalence estimates were reported by 16 studies (69.6%) and ranged from 11%−100% and 4%−97%, respectively. Furthermore, 15 studies (65.2%) reported low personal accomplishment prevalence, ranging from 14.7% to 84%. There were at least seven definitions for overall burnout and high burnout among the included studies, and there was high heterogeneity among the cutoff scores used for the burnout subdimensions. Conclusion: Burnout in radiology is increasing globally, with prevalence estimates reaching 88% and 62% for overall and high burnout, respectively. A myriad of factors has been identified as contributing to the increased prevalence. Our data demonstrated significant variability in burnout prevalence estimates among radiologists and major disparities in burnout criteria, instrument tools, and study quality.http://www.sciencedirect.com/science/article/pii/S2352047723000564BurnoutRadiologyStressWorkloadPrevalence
spellingShingle Nader A. Fawzy
Muhammad Junaid Tahir
Abdullah Saeed
Mohammad J. Ghosheh
Tamara Alsheikh
Ali Ahmed
Ka Yiu Lee
Zohaib Yousaf
Incidence and factors associated with burnout in radiologists: A systematic review
European Journal of Radiology Open
Burnout
Radiology
Stress
Workload
Prevalence
title Incidence and factors associated with burnout in radiologists: A systematic review
title_full Incidence and factors associated with burnout in radiologists: A systematic review
title_fullStr Incidence and factors associated with burnout in radiologists: A systematic review
title_full_unstemmed Incidence and factors associated with burnout in radiologists: A systematic review
title_short Incidence and factors associated with burnout in radiologists: A systematic review
title_sort incidence and factors associated with burnout in radiologists a systematic review
topic Burnout
Radiology
Stress
Workload
Prevalence
url http://www.sciencedirect.com/science/article/pii/S2352047723000564
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