Burnout Among Neurosurgeons and Residents in Neurosurgery: A Systematic Review and Meta-Analysis of the Literature
Open accessAbstract
Background Burnout syndrome (BS) is a common condition among medical professionals. It is composed of 3 different subdimensions: emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). In the last years, interest in BS in the neurosurgical community has increased. Here we investigated burnout among neurosurgeons and residents in neurosurgery. Methods A systematic review with meta-analysis was performed following PRISMA guidelines. A search of bibliographic databases was conducted from study inception to February 2020. A total of 16,377 studies were found. Six articles were included in our final analysis. Their references were checked for additional studies, but none were found. Results From the initial 16,377 studies identified, only 6 met our inclusion criteria. These studies included a total of 3310 physicians. The general prevalence of BS was 48%. The prevalence in neurosurgeons was 51.1%, higher than that recorded in neurosurgical residents (45.4%). Regarding subdimensions, personal accomplishment seemed to be the most influential factor for burnout development among neurosurgeons (42.57%) and residents (51.56%) alike. Conclusions Neurosurgery is a rewarding career choice, but numerous challenges and stressors can lead to lower levels of satisfaction and dangerously increased levels of burnout. We hope that our results will generate discussion, raise awareness, stimulate further studies, and lead to programs designed to mitigate excessive stress and burnout in neurosurgeons.
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Published prevalence rates of neurosurgeon burnout are 36.5-67% in US residents, 49% in French residents, 42.32% in Chinese residents, and 40% in Latin American residents.
“The prevalence rate of neurosurgeon burnout in published studies are 36.5-67% in US residents [8, 9, 14], 49% in French residents [4], 42.32% in Chinese residents [10] and 40% in Latin American residents [11].”
From A National Cross-Sectional Study on the Prevalence of Burnout in Filipino Neurosurgery Residents (2024) · cites this paper as [9]
Results, Table 1 reports burnout rates of 36.5% and 67.1% in two US resident studies, supporting the cited range approximately. But it also reports 33% in a third US resident study, below the stated lower bound. The French, Chinese, and Latin American figures have separate citations in the citing sentence and are not attributed to this source. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe study's findings are within the prevalence range reported in published studies.
“Our findings are within the prevalence range in published studies [4, 9, 10, 13].”
From A National Cross-Sectional Study on the Prevalence of Burnout in Filipino Neurosurgery Residents (2024) · cites this paper as [9]
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- Authors
- Zaed, I., Jaaiddane, Y., Chibbaro, S., & Tinterri, B.
- Affiliations
- Humanitas University (IT)
- Hôpitaux Universitaires de Strasbourg (FR)
- Corresponding author
- Zaed, Ismail
- Venue
- World Neurosurgery
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 143
- Pages
- e529-e534
- ISSN
- 1878-8750 (ISSN-L)
- PMC
- PMC7413160
- OpenAlex
- W3048020362
- Cited by
- 91
- References
- 35
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 18 · 2023: 10 · 2022: 15 · 2021: 17 · 2020: 4
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- World Neurosurgery (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Use Siena air (University of Siena) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- burnout, neurosurgeons, neurosurgery residents, emotional exhaustion, depersonalization, personal accomplishment, burnout prevalence, occupational stress, physician well-being
- MeSH terms
- Neurosurgeons, Burnout, Professional, Humans, Internship and Residency, Job Satisfaction, Neurosurgery
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