: 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.
Global disparities in surgeons' workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study / Mauro, Podda; Marcello, Di Martino; Francesco, Pata; Giuseppe, Nigri; Adolfo, Pisanu; Salomone, Di Saverio; Gianluca, Pellino; Benedetto, Ielpo; Negash Tolla, Ashenafi; Abdelkhalek, Mohamed; Emile, Sameh; Aga Dinagde, Tesfaye; Bouzid, Chafik; Mohammed Farid Mahmoud Mansour, Ahmed; Umar Garzali, Ibrahim; Berhe Aregawi, Alazar; Zaghloul, Tarek M.; Kchaou, Ali; Awad, Selmy S.; Souadka, Amine; Gebretsadik Ted, Tedla; Saad Saumtally, Mohammad; Awad, Selmy S.; Ahmed, Bensaad; Simegnew Bayileyegn, Nebiyou; Nunziante, Marco; Shalaby, Mostafa; Gebregiorgis Debena, Dawit; Shanko Zena, Alemayehu; Lukman Adewunmi, Olayinka; Negasa, Tolera A.; Aboulkacem Bourguiba, Mohamed; Feituri, Nura; Abebe Kebede, Kirubel; Elfeki, Hossam; Anas, Abdelhmed; Awad, Ahmed K.; Ermias, Nebiyou; Hailemariam, Dagnachew H.; Hundie Bejiga, Gosa; Yoseph Imana, Ruhama; Taffese, Abebe; Terefe Feleke, Tsega; Mohamed Elghadban, Hosam; Sime Debela, Bizuneh; Shiferaw, Desta; Tadesse, Robel; Sunday Chukwu, Isaac; Ibrahim Mohammed, Abdullahi; Arebo Hassen, Khalid; Obiagwu, Ndubuisi K.; Tense, Tadesse H.; Taeme, Mulugeta; Biniam, Ewnte; Knfe Tesfay, Goytom; Getachew Tegegn, Ayenachew; Abule Bilata Teddy, Tewodros; Bekana, Bekana L.; Kibret Nidaw, Melkamu; Ibrahim Ali, Mahmoud; Bekele Gonfa, Kebebe; Kiros, Samuel; Belay, Tatek; Mengist Yallew, Gebeyaw; Wassie, Chekol; Mekete Ayalew, Alem; Terefe Asfaw, Fitsum; Khan Aimal, Aimal; Agustina Casas, Maria; Madrid, Fausto A.; Antonio Diaz-Elizondo, Jose; Guillermo Merlo, Ignacio; De Campos, Tercio; Schlottmann, Francisco; Augusto Gomes, Carlos; Efrén Lozada Hernández, Edgard; Moncada-Ortega, Augusto; Ramos-De la Medina, Antonio; Vanerio, Patricio; Antonio Diaz-Elizondo, Jose; Morales, Emilio J.; Beth Stringfield, Sarah; Gallardo, Cristian; Cordeiro Fonseca, Vinicius; Emilia Muriel, Maria; Cantarino, Frederico; Morales, Emilio J.; Fichera, Alessandro; Rodriguez, Agustin E.; Paúl Andrade Salinas, Roberto; Gabriel Crosbie, Gonzalo; Augusto Metidieri Menegozzo, Carlos; Avellaneda, Nicolas; Gonzalo Aspiazu Briones, Cristhian; Varela, Cristopher; Lichliter, Warren E.; Varela, Cristopher L.; Koppel, Darren; Godoy Lenz, Jorge; Pascual, Franco; Sibaja-Matamoros, Dauber A.; Johnson, Benjamin E.; Avila Mercado, Octavio; Tita, Agustín; Mukherjee, Indraneil; Lorenzo, Irving; Rueda, Erick; Rico, Douglas; Loria Terwes, Natasha; Visag-Castillo, Victor; Escalante, Karol S.; Francisco Alfaro Salvador, Alan; Pio, Luca; Rodas, Edgar B.; Carlos Cardozo Aguilar, Juan; Neri, Ignacio; Barzola, Ernesto J.; Barba, Leonardo A.; Mendoza Zuchini, Andrés; Karen Radilla Acevedo, Ana; Gachabayov, Mahir; Alessandro Teixeira Gonsaga, Ricardo; Bonilla, Fernando; Barrett Knickerbocker, Chase; Tsouknidas, Ioannis; Salamea, Juan C.; Albert Salter Travers, Lawrence; Adrian Nari, Gustavo; Alejandra Pantoja Pachajoa, Diana; Hernandez Valadez, Michel; Lansing Hale, Lyman; Perez, Guillermo; Choudhry, Asad; Foreman, Michaael L.; Brito, Ismael; Pedraza Ciro, Mauricio; Joyce Newton, Carla; Petry Souza, Hamilton; Davis, Daniel G.; Vaz Ferreira, Rodrigo; Keller, Deborah S.; V, Gustavo Machain Miguel; Singh-Ranger, Gurpreet; Massiel Oviedo Linares, Neiling; Smith Singares, Eduardo; HGarcía Valdivieso, Xavier; Ivan Sanchez Teran, Alfonso; Felipe Cabrera Vargas, Luis; Valinoti, Agustín; Milne, David M.; Martin Fleming, Andrew; Quiroga-Garza, Alejandro; Morales Espino, Eduardo; Mary Bedros, Nicole; Funk, Geoffrey A.; Neves, Fernanda V. S.; Supit, Tommy; Ahmed Baba, Arshad; Chalkoo, Mushtaq A.; Ozan Kucuk, Gultekin; Inocencio Sarmiento, Ray; Galeev, Shamil I.; Korkoman, Mohammed J.; Yang, Wah; Medappil, Noushif; Athar, Rahmatullah; Subramaniam, Ravichandran; Fung Chia, Chi; Alhazmi, Ahmad; Halder, Subhadip; Mayuha Rusli, Siti; Rashid, Arshad; Gülcü, Barış; Nagarajan, Prasanth; Rida, Khaled; Jamiri, Al-Radjid; Batıkan, Oğuzkağan; Ahmed Khan, Huma; Rahman Mitul, Ashrarur; Efetov, Sergey; Ribeiro Junior, Marcelo A. F.; Gulcu, Baris; Riaz Farooqui, Marryam; Bhargava Mulpuri, Venu; Bagaria, Dinesh; Ramzi Yusoff, Ahmad; Wani, Rauf; Umar Younis, Muhammad; Khobragade, Krunal H.; Ibrahim Marwat, Muhammad; Bains, Lovenish; Kobe, Yoshiro; Soon Koh, Peng; Tantravahi, Umasankar; Sani Mohamad Mohamad, Ikhwan; Abu-Arish, Hamdoon; Cihat Yildirim, Ali; Fahriza Ibrahim, Aini; Huei Tan, Jih; Ketty Siagian, Dumaria; Bhattacharya, Neela; Chiu, Jennifer H. F.; Paramasvaran, Ganendra; Voon, Kelvin; Göktepe, Berk; Yeong Sing Lee, Lee; Gupta, Amit; Rasheed, Faaiz; Al-Shehari, Mohammed; Muhammad Ali Syed, Syed; Singh Bhat, Pawan; Erdoğan, Emre; Roat, Rajesh; Nacion, Aeris Jane D.; Mukesh Saraiya, Swapnil; Ibrahim Afolabi, Akinwale; Yih Chai, Feng; Ghannam, Wagih; Bhattacharya, Kaushik; Nl, Harish; Aloun, Ali; Waqar Bhatti, Hamza; Koneti, Akshadhar J.; Klib, Mohamad; Uzair Qureshi, Ahmad; Syn, Nicholas L.; Wani, Ajaz; Saeidi, Sara; Zeb, Muhammad; Vijay Kumar Bandaru, Kalyan; Di Saverio, Salomone; Paola Menna, Maria; Morales-Conde, Salvador; Gessa, Emanuela; Sánchez-Cabús, Santiago; Spartalis, Eleftherios; Antropoli, Carmine; Manigrasso, Michele; Sica, Giuseppe S.; Ercolani, Giorgio; Chitul, Andrei; Bacchiocchi, Giulia; Azevedo, José; Karamarkovic, Aleksandar; Bonavina, Luigi; Piozzi, Guglielmo N.; Pascual Migueláñez, Isabel; Merlini, David; Major, Piotr; Grimaldi, Luciano; Calu, Valentin; Karamarkovic, Aleksandar; Curro, Giuseppe; Cotsoglou, Christian; Baldini, Edoardo; Delis, Spiros; Kovacevic, Bojan; Masetti, Michele; Selvaggi, Francesco; Scabini, Stefano; Reiti, Andrian; Zullo, Alessia; Giuliani, Antonio; Francesco Alesina, Pier; Massey, Lisa H.; Slesser, Alistair A. P.; Neary, Peter M.; Sahnan, Kapil; Tan, Jessica J.; Colucci, Gianluca; Brady, Richard R. W.; Mihailescu, Andrei; Adamina, Michel; Gerogiannis, Ioannis; van Ramshorst, Gabrielle; Paradiso, Giulia; Edoardo Poto, Gianmario; Massaro, Daniele; Nazir, Fozia; Stubbs, Benjamin M.; Menegon Tasselli, Francesco; Durán Muñoz-Cruzado, Virginia; Sabia, Domenico; Vannelli, Alberto; Enrica Marsella, Valentina; Paoluzzi Tomada, Elisa; Giambusso, Mauro; Davies, Justin; Karamarkovic, Aleksandar; Uzzau, Alessandro; Balla, Andrea; Scaringi, Stefano; Nazir, Fozia; Lancellotti, Francesco; Douka, Eleftheria; Argenio, Giulio; Scaringi, Stefano; Cassese, Gianluca; Ammendola, Michele; Morelli, Luca; Francone, Elisa; Bala, Miklosh; Thambi, Prem; Iacobone, Maurizio; Campisi, Andrea; Tejedor, Patricia; Spoletini, Gabriele; Mascherini, Matteo; Belia, Francesco; Sahnan, Kapil; Uzzau, Alessandro; Oguz Idiz, Ufuk; Francone, Elisa; Colak, Elif; Adewunmi Peters, Paul; Pellino, Gianluca; Peña Ros, Emilio; Aytac, Erman; Vilallonga, Ramon; Serrablo, Alejandro; Maria Muttillo, Edoardo; Di Franco, Gregorio; Vanni, Gianluca; Isik, Arda; Sbacco, Valentina; Paola Tropeano, Francesca; Porcellini, Iride; Jayne Butler, Rebecca; Cagigas Fernandez, Carmen; Papadopoulos, Aristeidis; Salvans, Silvia; Sher Khan, Jan; Palazón Bellver, Pedro; Jeri Mc Farlane, Sebastian; Apostolou, Konstantinos; Tur-Martinez, Jaume; Rivera Castellano, Javier; Santoliquido, Matteo; Tallon-Aguilar, Luis; Celentano, Valerio; Aliyev, Vusal; Mihailescu, Andrei; al-Najami, Issam; Grama, Florin A.; Tur-Martinez, Jaume; Masior, Łukasz; Ciesielski, Wojciech J.; Luberto, Antonio; Sparavigna, Marco; Jerzy Klimczak, Tomasz; Negoi, Ionut; Serradilla-Martín, Mario; Marinis, Athanasios; Cammarat, Roberto; Bellido-luque, Juan; Alberto Manzo, Carlo; Milana, Flavio; Luglio, Gaetano; Octavian Zarnescu, Narcis; Martínez, Isidro; Olmi, Stefano; Costea, Radu V.; Cerdán-Santacruz, Carlos; Gica, Nicolae; Rompianesi, Gianluca; Gallo, Gaetano; Ridolfi, Cristina; Sahid, Saidah; Cc, Tommaso; López-Soler, Guillermo; JGómez Díaz, Carlos; Mccawley, Niamh; Pierre Luzzi, Andrea; Abelló, David; Correa Bonito, Alba; Ntomi, Vasileia; Gourgiotis, Stavros; Suárez Pazos, Natalia; Jiménez Toscano, Marta; Ambrona Zafra, David; Beisani, Marc; Oliva, Alba; Guler, Mert; Jiménez Gómez, Marta; Oddis, Lidia; Montcusí, Blanca; Timoteo Delgado, Ander; PJęckowski Aingeru Sarriugarte Lasarte, Mateusz; Antonacci, Nicola; Sartori, Alberto; Vincent Taylor, John; Juan de Santos Iglesias, Francisco; Mastronardi, Manuela; Gunay, Emre; Yiu, Andrew; Cano-Valderrama, Oscar; Costantini, Giulia; Jane Digne-Malcolm, Holly; Petropoulou, Thalia; Jiménez Gómez, Marta; Horesh, Nir; Kelly, Michael E.; Ahmed, Nauman; Wyroslak-Najs, Justyna; Naik, Prashant; Vigorita, Vincenzo; Michael, Michael; Castro, Ernest; Paspala, Anna; D’Ambrosio, Marco; Pangeni, Anang; Dziakova, Jana; Milana, Flavio; Blanco Terés, Lara; Lorente-Poch, Leyre; Di Carlo, Isidoro; Spartalis, Michael; Moro-Valdezate, David; Davey, Matthew G.; Turrado-Rodriguez, Victor; Tryliskyy, Yegor; Calussi, Marco; Pérez Farré, Silvia; Cazador Labat, Miriam; Marafante, Chiara; Takkenberg, Marijn; Elisabeth Brookes, Charlotte; Soares, Antonio S.; Gialamas, Eleftherios; Caputo, Damiano; Codina Corrons, Laia; Antonacci, Nicola; Capitano, Sante; Charalabopoulos, Alexandros; Brooke Pathirannehalage Don, Cristine; Marrano, Enrico; Carmela Giuffrida, Maria; Tomasicchio, Giovanni; Bellato, Vittoria; Stijns, Jasper; Creavin, Ben; Schizas, Dimitrios; Blanco-Antona, Francisco; Kykalos, Stylianos; Tartaglia, Nicola; Pelegrina, Amalia; Barranquero, Alberto G.; Alberto Schena, Carlo; Cremona, Simone; Baili, Efstratia; Cianci, Pasquale; Di Bella, Annamaria; Forcignanò, Edoardo; Fabbrizio, Tiziana; Salvetti, Francesco; Inama, Marco; Campagnaro, Tommaso; Deerenberg, Eva B.; Reccia, Isabella; Rocca, Aldo; Fazio, Federico; Tampakis, Athanasios; Tepelenis, Kostas; Di Meo, Giovanna; Konstantoudakis, Georgios; Manatakis, Dimitrios K.; Charalabopoulos, Alexandros; Mineccia, Michela; Delvecchio, Antonella; Lo Faro, Carmelo; Rosso, Edoardo; Bandyopadhyay, Samik K.; Queffurus, Michael; Nicolò Marin, Jacopo; Corvasce, Arianna; Chillarge, Gauri; Mustafa Mohammed, Mohammed; Reid, Rebecca; Gherardi, Dario; Naeem, Awais; Pandanaboyana, Sanjay; Tayeh, Salim; Chevallay, Mickael; Sergeant, Gregory; Cuccomarino, Salvatore; Salimian, Nick; Kapsampelis, Panagiotis; Ferretti, Carlotta; Glasbey, James; Umer Harvitkar, Rafique; Rafaih Iqbal, Muhammad; Paiva de Oliveira, Gabriel; Pérez-Bertólez, Sonia; Bergna, Alessandro; Brisinda, Giuseppe; Rottoli, Matteo; Roscio, Francesco; Pedrazzani, Corrado; Meyer, Jeremy; Marino, Marco V.; Brasset, Camille; Daniel, Clerc; Devriendt, Stefanie; Soldini, Gabriele; Pennisi, Damiano; Richards, Chris B.; Fiore, Felicia; Bocchino, Antonio; Au, Stephanie; Hernandez-Garcia, Miguel; Frontali, Alice; Grossi, Ugo; Lolis, Evangelos; Miotto, Marco; Di Filippo, Giacomo; Seretis, Charalampos; Barberis, Andrea; De Luca, Raffaele; Battista Levi Sandri, Giovanni; Reitano, Elisa; Mattioli, Marco; Efetov, Sergey; Sciaudone, Guido; Fuschillo, Giacomo; Schiltz, Boris; Low, Juin; Bointas, Georgios; Cozza, Valerio; Delaune, Vaihere; D’Ambrosio, Marco; Vescio, Francesca; Curcio, Silvia; Sevik, Husnu; Santocchi, Pietro; Stecca, Tommaso; Balaphas, Alexandre; Chessa, Antonella; Alex Leo, Cosimo; di Mola, Fabio F.; Tarallo, Mariarita; Martini, Francesco; Lisi, Giorgio; Khan, Mansoor; Nicolazzi, Marco; Pinotti, Enrico; Morini, Andrea; Esposito, Giuseppe; Claudio Buonomo, Oreste; Corallino, Diletta; Aytac, Erman; Demir, Anıl; Roesel, Raffaello; De Lucia, Chiara; Maruccia, Michele; Tekin, Oguzhan; Pavone, Giovanna; Gupta, Ashish; Pradelle, Irene; Chrysikos, Michael; Farrukh, Maira; Luca Baiocchi, Gian; Piras, Carla; Melero Abellán, Antonio; Olivieri, Laura; Materazzo, Marco; Carbone, Ludovico; Dulskas, Audrius; Mulita, Francesk; Corronca, Federico; Cappuccio, Micaela; Menegon Tasselli, Francesco; Smerieri, Elia; Sotiropoulu, Maria; Violante, Tommaso; Moletta, Lucia; Rutegård, Martin; Brillantino, Antonio; Pata, Francesco; Landaluce-Olavarria, Aitor; Ossola, Paolo; Bono, Dario; Salvador Rosés, Helena; Perez-Sanchez, Luis E.; Sabbatini, Sonia; Alessandro Scotti, Mauro; Cammarata, Roberto; Ibáñez, Noelia; Materazzo, Marco; Marano, Alessandra; Palmisano, Silvia; Cascales-Sanchez, Pedro; Mosca, Vinicio; Ballester, Cristina; Ionela Iordache-Petrescu, Madalina; Pozza, Gioia; Akay, Omer; Bollino, Ruggero; Vanni, Gianluca; Toti, Johannes M. A.; Mascianà, Gianluca; Pach, Radoslaw; Sensi, Bruno; Natalia, Savvala N.; Coppola, Alessandro; Altinel, Yuksel; Brucchi, Francesco; Pérez Guitart, Marc; Jiménez Salido, Andrea; Tamini, Nicolò; Garoufalia, Zoe; Mifsut, Patricia; Wilkins, Alex; Navarro-Sánchez, Antonio; Cestaro, Giovanni; Conti, Luigi; Carvas, João M. B.; Gazia, Carlo; Alonso, Patricia; Spiezio, Giovanni; Ielpo, Benedetto; Maggi, Giulia; Juloski, Jovan; Braccio, Bartolomeo; Pañella, Clara; Caula Freixa, Celia; Petrakis, Georgios; Folliero, Cristina; De Andrés-Asenjo, Beatriz; Iodice, Alessandra; Jansson, Hannes; Elosua González, Tomas; Ortega, Irene; Castro, Maria J.; Fernicola, Agostino; Carlos Maya Aparicio, Antonio; Ortega, Nuria; Chouliaras, Christos; Vila Tura, Marina; Sidiropoulou, Zacharoula; Gonzalez, Ana; Augustin, Goran; Segura-Sampedro, Juan J.; Cuk, Vladica; Piccolo, Gaetano; Ingallinella, Sara; Ortenzi, Monica; Uggeri, Fabio; Carrabetta, Salvatore; Tolonen, Matti; Formisano, Giampaolo; Manfredelli, Simone; Perra, Teresa; Esposito, Francesco; Perrone, Gennaro; Zacharis, Georgios; Iturbe Menéndez, Jaime; Maria Jaume Bottcher, Sofia; Ioannidis, Orestis; Borges, Nuno; Sousa, Xavier; Colombari, Renan C.; Tellez, Clara; Teresa Capolupo, Gabriella; Giuliani, Giuseppe; Mastella, Federica; García González, Lluis; Merlini, Ilenia; Ghignone, Federico; Correia de Sa, Tiago; Mangana, Orsalia; Rodriguez-Lopez, Mario; Alvarez-Gallego, Mario; Chowdhury, Ashim; Di Lascio, Pierpaolo; Jiménez Carneros, Virginia; Angrisani, Marco; Conte, Luigi E.; Galiana Montiel, Carmen; Ascari, Francesca; Dajti, Irida; Lapolla, Pierfrancesco; Sperotto, Beatrice; Mazzarella, Gennaro; Capuano, Marianna; Martinez Lopez, Maria; Ferrario, Luca; Bulte, Joris P.; Martínez López, María; Guerci, Claudio; Alessandro Marra, Angelo; Belkacem, Acidi; Escalera Pérez, Raquel; Panyko, Arpád; Dimitrov, Evgeni; Luque, Eduardo J.; Montes Manrique, Mario; Paranyak, Mykola; Montes Manrique, Mario; Kaur, Mandeep; Barugola, Giuliano; Farazi-Chongouki, Christos; Estaire-Gómez, Mercedes; Carlos Martín del Olmo, Juan; Nardo, Bruno; Ulaş Mutlu, Arda; Valle Rubio, Ainhoa; Merlini, David A.; Marchegiani, Francesco; Angelo Cereda, Marco; Vinci, Danilo; Komaei, Iman; Petrucciani, Niccolo; Seyfried, Steffen; Krsicka, Petr; Medas, Fabio; Lesko, Dusan; Murzi, Valentina; Manfredelli, Simone; Siragusa, Leandro; Alejandra Guerrero, María; Alarcón Iranzo, Marina; Cestino, Luca; Pasculli, Alessandro; Smerieri, Nazareno; Benzoni, Ilaria; Festa, Federico; Brillantino, Antonio; Filipe Martins Jordão, Daniel; Licardie, Eugenio; Nicolaescu, Diana C.; Balassone, Valerio; La Vaccara, Vincenzo; Romano, Fabrizio; Mikhailovich Adamovich, Dmitry; Papatheodorou, Panayiotis; Nigri, Giuseppe; Maroni, Norvana; Colás-Ruiz, Enrique; Melberga, Liene; Chimenti, Federica; Ferrari, Davide; Arcudi, Claudio; Police, Andrea; De Simone, Belinda; Sánchez-Guillén, Luis; Carlos Parreño-Manchado, Felipe; José Rachadell, Juan; Coletta, Diego; Saroglu, Azize; Casoni Pattacini, Gianmaria; Antonelli, Amedeo; Anania, Marco; Litta, Francesco; Lafranceschina, Stefano; Bottari, Andrea; Pavlovic, Mladen; Rojas-Bonet, Noel; Christina Tampaki, Ekaterini; Kosir, Jurij A.; Anelli, Ferdinando M.; Gortázar de las Casas, Sara; Kucukarslan, Rabia; Sefora Pierobon, Elisa; Milanesi, Maria; Drogouti, Maria; Sotiropoulou, Maria; Di Marco, Federica; Bannone, Elisa; Christin Sliwinski, Svenja; Yildiz, Ishak; Pellicciaro, Marco; Celotti, Andrea; Malerba, Michele; Marino, Fabio; Bourmpouteli, Eirini; Bianco, Giuseppe; Charitaki, Evgenia; Maria Pascale, Marco; Ioannidis, Argyrios; Maraska, Fatlum; Petagna, Lorenzo; Turri, Giulia; Vailas, Michail; Romanzi, Andrea; Pouwels, Sjaak; Rosa, Fausto; Clocchiatti, Lucrezia; Rosa, Fausto; Andreuccetti, Jacopo; Machairas, Nikolaos; Frountzas, Maximos; Lasithiotakis, Konstantinos; Barone, Mirko; Christodoulou, Prokopis; Potkonjak, Dario; Aiolfi, Alberto; de Vries, Hilbert S.; Napetti, Sara; Castaldi, Antonio; Botelho, Pedro; Marziali, Irene; Uccelli, Matteo; Pisano, Michele; Veroux, Massimiliano; Locci, Eleonora; Romano, Angela; Dal Cero, Mariagiulia; Maria Cicerchia, Pierfranco; Baldi, Caterina; Shari Russo, Iris; Maria Tenconi, Silvia; Malerba, Michele; Saliu, Fatmir; Bondurri, Andrea; Cardinali, Luca; Guglielmo Laracca, Giovanni; Martín-Pérez, Beatriz; Alessandro Scotti, Mauro; Felsenreich, Daniel M.; Cunha, Miguel; Zerbo, Domenico; Clementi, Marco; Delogu, Daniele; Iossa, Angelo; Prasannakumar Bavikatte, Akshay; Saracoglu, Can; Di Marco, Federica; Pecorelli, Nicolò; Tufo, Andrea; Lo Faro, Carmelo; Biloslavo, Alan; Lianos, Georgios D.; Carannante, Filippo; Costanzo, Antonio; Montuori, Mauro; Cigognini, Maria; Silvestro, Roberto; Demirli Atici, Semra; Milito, Pamela; Ferronetti, Antonio; Güngör, Mert; Chessa, Antonella; Di Venere, Beatrice; Puccioni, Caterina; Calussi, Marco; De Nobili, Giovanni; Selvaggi, Lucio; Farolfi, Tommaso; Aeschbacher, Pauline; Olivier, James B.; Frazzetta, Giuseppe; Andriola, Valeria; Giordano, Alessio; De Luca, Alessandro; Ferrara, Francesco; Casagranda, Biagio; Sammartano, Fabrizio; Alessandro Russo, Alfio; Rossi, Stefano; Pacilli, Mario; Synekidou, Eirini; Tutino, Roberta; Ceresoli, Marco; De Rosa, Michele; Di Santo Albini, Andrea G.; Vincenzi, Paolo; Vellei, Samantha; Benzoni, Enrico; Aracelly Arroyo Murillo, Gabriela; Izzo, Giuliano; Scotto, Bruno; Caruso, Riccardo; Colombo, Francesco; D’Acapito, Fabrizio; Lostoridis, Eftychios; Saladino, Edoardo; Poillucci, Gaetano; Moeckli, Beat; Veroux, Massimiliano; Manto, Ottavia; Kara, Yasin; Tatar, Cihad; Piero Bernardo Cioffi, Stefano; Mambrilla, Sara; Bianchi, Valentina; Mambrilla, Sara; Scopelliti, Michele; Agresta, Ferdinando; Andriola, Valeria; Kazemi Nava, Andrea; Di Martino, Marcello; Franchi, Eloisa; Fransvea, Pietro; Prieto, Mikel; Picardi, Biagio; Rizzuto, Antonia; Panaccio, Paolo; Gussago, Stefano; Marra, Ester; Addeo, Pietro; Fernández Fernández, June; Gulmez, Mehmet; Pisaniello, Donatella; Paola Menna, Maria; Cannavo, Maurizio; López-López, Victor; Avella, Pasquale; Peloso, Andrea; Oddis, Lidia; Bellanova, Giovanni; Candilio, Giuseppe; Perotti, Bruno; Granata, Roberta; Florio, Gaetano; Roesel, Raffaello; Ioia, Giovanna; Iannone, Immacolata; Lisi, Giorgio; Ammerata, Giorgio; Zambon, Martina; Maria Romano, Francesco; Rossi Del Monte, Simone; Sasia, Diego; Fortuna, Laura; Giuffrida, Mario; Litvin, Andrey; Cannistra, Marco; De Padua, Cristina; Gómez Sánchez, Tatiana; Ingallinella, Sara; Paniagua-Garcia-Señorans, Marta; Guevara, Jenny; Perfecto, Arkaitz; Alconchel, Felipe; Campanelli, Michela; Keci, Laura; Cricrì, Michele; Kampouroglou, Georgios; Bagaglini, Giulia; Sentí Farrarons, Sara; Greco, Antonio; Walędziak, Maciej; Carvas, João M.; Serrano-Navidad, Monica; Van Doorn, Berend; Schiavo, Ciro; Fabbri, Nicolò; Ahmad Wani, Ishfaq; Mondi, Isabella; Castaldi, Antonio; Anestiadou, Elissavet; ISilva Mendes, Beatriz; Verdi, Daunia; Dorovinis, Panagiotis; Vinci, Danilo; Benedetti Cacciaguerra, Andrea; Di Marco, Federica; Caldeira, Beatriz; Canonico, Giuseppe; Dardanov, Dragomir; D’Ugo, Stefano; Maged Francis, Fayez; Meneghini, Simona; Pesce, Antonio; Bernadetta Puglisi, Silvana; Bellini, MARIA IRENE; Pisano, Marcello; Giordano, Marco; Capuano, Marianna; Fleres, Francesco; Campus, Federica; Cillara, Nicola; Moggia, Elisabetta; Ciarleglio, Francesco A.; Podda, Mauro; Calini, Giacomo; Gravante, Gianpiero; De Carlis, Riccardo; Altomare, Michele; Martines, Gennaro; Miggino, Marco; Marano, Luigi; Stocco, Alberto; Porcu, Alberto; Vy Pham, Thuy; Clelia Gervasi, Maria; Pilia, Tiziana; Palomba, Giuseppe; Picchetto, Andrea; Giuseppe Spampinato, Marcello; Cannistra, Marco; Vailas, Michail; Tandoi, Francesco; Piccoli, Micaela; ECaraiman Gall, Malina; Yiu, Andrew; Dulskas, Audrius; Ribeiro Santos, Bárbara; Agastra, Ervis; Koëter, Tijmen; Samadov, Elgun; Marsanic, Patrizia; Fatico Gilda Serena, De; Yener Uzunoglu, Mustafa; Zanus, Giacomo; Braholli, Eriol; Giovine, Gennaro; Galiffa, Giampaolo; Lauricella, Sara; Lukmonov, Saidrakhim; Leventoglu, Sezai; Chooklin, Serge; Dudi-Venkata &, Nagendra N.; Gauci, Chahaya M.. - In: UPDATES IN SURGERY. - ISSN 2038-3312. - (2024). [10.1007/s13304-024-01859-7]
Global disparities in surgeons' workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
Gaetano Gallo;Gaetano Poillucci;Maria Irene BelliniMembro del Collaboration Group
;
2024
Abstract
: 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.File | Dimensione | Formato | |
---|---|---|---|
Podda_global-disparities_2014.pdf
accesso aperto
Tipologia:
Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza:
Creative commons
Dimensione
1.63 MB
Formato
Adobe PDF
|
1.63 MB | Adobe PDF |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.