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Cirugía Española (English Edition) Prevalence of burnout dimensions among general surgeons. A systematic review and...
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Vol. 103. Issue 10.
(October 2025)
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Vol. 103. Issue 10.
(October 2025)
Systematic review
Prevalence of burnout dimensions among general surgeons. A systematic review and meta-analysis
Prevalencia de las dimensiones del síndrome de burnout en cirujanos generales. Una revisión sistemática y meta-análisis
Miguel Gili-Minera,
Corresponding author
mgiliminer@gmail.com

Corresponding author.
, Lucas Ginerb, Enrique Gili-Ortizc, Dolores Franco-Fernándezb, Juan Luís Cabanillas-Morunod, Gonzalo Germán-Castellanic, Luís Béjar-Pradod
a Former Director of the Grupo de Epidemiología Clínica, Universidad de Sevilla, Spain
b Departmento de Psiquiatría, Universidad de Sevilla, Spain
c Servicio de Anestesiología, Hospital Can Misses, Eivissa (Islas Baleares), Spain
d Departamento de Medicina Preventiva y Salud Pública, Universidad de Sevilla, Spain
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Table 1. Characteristics of the selected studies included in the meta-analysis.
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Table 2. Univariate random effects meta-regression of variables potentially associated with the prevalence of burnout subscales.
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Table 3. Results of linear regression tests for funnel plot asymmetry.
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Abstract

Our aim was to summarize global prevalence rates of the burnout subscales emotional exhaustion (EE) and depersonalization (DP) among general surgeons, as well as potential contributing factors. A systematic literature search was performed to identify studies reporting EE and DP prevalence and associated potential stressors. Heterogeneity was assessed by I2 statistic and tau2 statistic. We also performed subgroup analysis, meta-regression analysis and funnel plot asymmetry tests. A total of 21 cross-sectional studies were included in this meta-analysis, totaling 3325 subjects. Analysis of EE and DP indicated burnout in 43% and 41% of general surgeons, respectively. The moderators used in the meta-regression analysis did not account for significant heterogeneity. The Egger and Peters tests did not detect publication bias due to small studies. The prevalences of EE and DP in general surgeons are very high, and further studies are needed to clarify the discrepancies observed in certain results.

Keywords:
Burnout
Emotional exhaustion
Depersonalization
General surgeons
Surgery
Meta-analysis
Resumen

Se resumen, mediante meta-análisis, las tasas de prevalencia de las subescalas Agotamiento Emocional (EE) y Despersonalización (DP) entre los cirujanos generales y factores relacionados. Se realizó una búsqueda sistemática para identificar estudios de prevalencia de EE y DP entre cirujanos generales. La heterogeneidad se evaluó mediante los estadísticos I2 y tau2. También realizamos análisis de subgrupos, análisis de meta-regresión y tests de asimetría de funnel-plots. Se incluyeron 21 estudios transversales, con un total de 3.325 sujetos. El análisis de las subescalas EE y DP indicó burnout en el 43% y el 41% de los cirujanos generales, respectivamente. Los moderadores utilizados en el análisis de meta-regresión no influyeron significativamente en la heterogeneidad. Los tests de Egger y Peters no detectaron sesgo de publicación atribuibles a estudios pequeños. La prevalencia de EE y DP es muy alta y se necesitan más estudios para aclarar las discrepancias observadas en ciertos resultados.

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