: 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 / Podda, Mauro; Di Martino, Marcello; Pata, Francesco; Nigri, Giuseppe; Pisanu, Adolfo; Di Saverio, Salomone; Pellino, Gianluca; Ielpo, Benedetto; Tolla, Ashenafi Negash; Abdelkhalek, Mohamed; Emile, Sameh; Dinagde, Tesfaye Aga; Bouzid, Chafik; Mansour, Ahmed Mohammed Farid Mahmoud; Garzali, Ibrahim Umar; Aregawi, Alazar Berhe; Zaghloul, Tarek M.; Kchaou, Ali; Awad, Selmy S.; Souadka, Amine; Ted, Tedla Gebretsadik; Saumtally, Mohammad Saad; Awad, Selmy S.; Ahmed, Bensaad; Bayileyegn, Nebiyou Simegnew; Nunziante, Marco; Shalaby, Mostafa; Debena, Dawit Gebregiorgis; Zena, Alemayehu Shanko; Adewunmi, Olayinka Lukman; Negasa, Tolera A.; Bourguiba, Mohamed Aboulkacem; Feituri, Nura; Kebede, Kirubel Abebe; Elfeki, Hossam; Anas, Abdelhmed; Awad, Ahmed K.; Ermias, Nebiyou; Hailemariam, Dagnachew H.; Bejiga, Gosa Hundie; Imana, Ruhama Yoseph; Taffese, Abebe; Feleke, Tsega Terefe; Elghadban, Hosam Mohamed; Debela, Bizuneh Sime; Shiferaw, Desta; Tadesse, Robel; Chukwu, Isaac Sunday; Mohammed, Abdullahi Ibrahim; Hassen, Khalid Arebo; Obiagwu, Ndubuisi K.; Tense, Tadesse H.; Taeme, Mulugeta; Biniam, Ewnte; Tesfay, Goytom Knfe; Tegegn, Ayenachew Getachew; Teddy, Tewodros Abule Bilata; Bekana, Bekana L.; Nidaw, Melkamu Kibret; Ali, Mahmoud Ibrahim; Gonfa, Kebebe Bekele; Kiros, Samuel; Belay, Tatek; Yallew, Gebeyaw Mengist; Wassie, Chekol; Ayalew, Alem Mekete; Asfaw, Fitsum Terefe; Aimal, Aimal Khan; Casas, Maria Agustina; Madrid, Fausto A.; Diaz-Elizondo, Jose Antonio; Merlo, Ignacio Guillermo; De Campos, Tercio; Schlottmann, Francisco; Gomes, Carlos Augusto; Hernández, Edgard Efrén Lozada; Moncada-Ortega, Augusto; Ramos-De la Medina, Antonio; Vanerio, Patricio; Diaz-Elizondo, Jose Antonio; Morales, Emilio J.; Stringfield, Sarah Beth; Gallardo, Cristian; Fonseca, Vinicius Cordeiro; Muriel, Maria Emilia; Cantarino, Frederico; Morales, Emilio J.; Fichera, Alessandro; Rodriguez, Agustin E.; Salinas, Roberto Paúl Andrade; Crosbie, Gonzalo Gabriel; Menegozzo, Carlos Augusto Metidieri; Avellaneda, Nicolas; Briones, Cristhian Gonzalo Aspiazu; Varela, Cristopher; Lichliter, Warren E.; Varela, Cristopher L.; Koppel, Darren; Lenz, Jorge Godoy; Pascual, Franco; Sibaja-Matamoros, Dauber A.; Johnson, Benjamin E.; Mercado, Octavio Avila; Tita, Agustín; Mukherjee, Indraneil; Lorenzo, Irving; Rueda, Erick; Rico, Douglas; Terwes, Natasha Loria; Visag-Castillo, Victor; Escalante, Karol S.; Salvador, Alan Francisco Alfaro; Pio, Luca; Rodas, Edgar B.; Aguilar, Juan Carlos Cardozo; Neri, Ignacio; Barzola, Ernesto J.; Barba, Leonardo A.; Zuchini, Andrés Mendoza; Acevedo, Ana Karen Radilla; Gachabayov, Mahir; Gonsaga, Ricardo Alessandro Teixeira; Bonilla, Fernando; Knickerbocker, Chase Barrett; Tsouknidas, Ioannis; Salamea, Juan C.; Travers, Lawrence Albert Salter; Nari, Gustavo Adrian; Pachajoa, Diana Alejandra Pantoja; Valadez, Michel Hernandez; Hale, Lyman Lansing; Perez, Guillermo; Choudhry, Asad; Foreman, Michaael L.; Brito, Ismael; Ciro, Mauricio Pedraza; Newton, Carla Joyce; Souza, Hamilton Petry; Davis, Daniel G.; Ferreira, Rodrigo Vaz; Keller, Deborah S.; Miguel, Gustavo Machain; Singh-Ranger, Gurpreet; Linares, Neiling Massiel Oviedo; Singares, Eduardo Smith; Valdivieso, Xavier HGarcía; Teran, Alfonso Ivan Sanchez; Vargas, Luis Felipe Cabrera; Valinoti, Agustín; Milne, David M.; Fleming, Andrew Martin; Quiroga-Garza, Alejandro; Espino, Eduardo Morales; Bedros, Nicole Mary; Funk, Geoffrey A.; Neves, Fernanda V. S.; Supit, Tommy; Baba, Arshad Ahmed; Chalkoo, Mushtaq A.; Kucuk, Gultekin Ozan; Sarmiento, Ray Inocencio; Galeev, Shamil I.; Korkoman, Mohammed J.; Yang, Wah; Medappil, Noushif; Athar, Rahmatullah; Subramaniam, Ravichandran; Chia, Chi Fung; Alhazmi, Ahmad; Halder, Subhadip; Rusli, Siti Mayuha; Rashid, Arshad; Gülcü, Barış; Nagarajan, Prasanth; Rida, Khaled; Jamiri, Al-Radjid; Batıkan, Oğuzkağan; Khan, Huma Ahmed; Mitul, Ashrarur Rahman; Efetov, Sergey; Junior, Marcelo A. F. Ribeiro; Gulcu, Baris; Farooqui, Marryam Riaz; Mulpuri, Venu Bhargava; Bagaria, Dinesh; Yusoff, Ahmad Ramzi; Wani, Rauf; Younis, Muhammad Umar; Khobragade, Krunal H.; Marwat, Muhammad Ibrahim; Bains, Lovenish; Kobe, Yoshiro; Koh, Peng Soon; Tantravahi, Umasankar; Mohamad Mohamad, Ikhwan Sani; Abu-Arish, Hamdoon; Yildirim, Ali Cihat; Ibrahim, Aini Fahriza; Tan, Jih Huei; Siagian, Dumaria Ketty; Bhattacharya, Neela; Chiu, Jennifer H. F.; Paramasvaran, Ganendra; Voon, Kelvin; Göktepe, Berk; Lee, Lee Yeong Sing; Gupta, Amit; Rasheed, Faaiz; Al-Shehari, Mohammed; Syed, Syed Muhammad Ali; Bhat, Pawan Singh; Erdoğan, Emre; Roat, Rajesh; Nacion, Aeris Jane D.; Saraiya, Swapnil Mukesh; Afolabi, Akinwale Ibrahim; Chai, Feng Yih; Ghannam, Wagih; Bhattacharya, Kaushik; Nl, Harish; Aloun, Ali; Bhatti, Hamza Waqar; Koneti, Akshadhar J.; Klib, Mohamad; Qureshi, Ahmad Uzair; Syn, Nicholas L.; Wani, Ajaz; Saeidi, Sara; Zeb, Muhammad; Bandaru, Kalyan Vijay Kumar; Di Saverio, Salomone; Menna, Maria Paola; 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.; Migueláñez, Isabel Pascual; 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; Alesina, Pier Francesco; 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; Poto, Gianmario Edoardo; Massaro, Daniele; Nazir, Fozia; Stubbs, Benjamin M.; Tasselli, Francesco Menegon; Muñoz-Cruzado, Virginia Durán; Sabia, Domenico; Vannelli, Alberto; Marsella, Valentina Enrica; Tomada, Elisa Paoluzzi; 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; Idiz, Ufuk Oguz; Francone, Elisa; Colak, Elif; Peters, Paul Adewunmi; Pellino, Gianluca; Ros, Emilio Peña; Aytac, Erman; Vilallonga, Ramon; Serrablo, Alejandro; Muttillo, Edoardo Maria; Di Franco, Gregorio; Vanni, Gianluca; Isik, Arda; Sbacco, Valentina; Tropeano, Francesca Paola; Porcellini, Iride; Butler, Rebecca Jayne; Fernandez, Carmen Cagigas; Papadopoulos, Aristeidis; Salvans, Silvia; Khan, Jan Sher; Bellver, Pedro Palazón; Mc Farlane, Sebastian Jeri; Apostolou, Konstantinos; Tur-Martinez, Jaume; Castellano, Javier Rivera; 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; Klimczak, Tomasz Jerzy; Negoi, Ionut; Serradilla-Martín, Mario; Marinis, Athanasios; Cammarat, Roberto; Bellido-luque, Juan; Manzo, Carlo Alberto; Milana, Flavio; Luglio, Gaetano; Zarnescu, Narcis Octavian; 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; Díaz, Carlos JGómez; Mccawley, Niamh; Luzzi, Andrea Pierre; Abelló, David; Bonito, Alba Correa; Ntomi, Vasileia; Gourgiotis, Stavros; Pazos, Natalia Suárez; Toscano, Marta Jiménez; Zafra, David Ambrona; Beisani, Marc; Oliva, Alba; Guler, Mert; Gómez, Marta Jiménez; Oddis, Lidia; Montcusí, Blanca; Delgado, Ander Timoteo; Lasarte, Mateusz PJęckowski Aingeru Sarriuga; Antonacci, Nicola; Sartori, Alberto; Taylor, John Vincent; de Santos Iglesias, Francisco Juan; Mastronardi, Manuela; Gunay, Emre; Yiu, Andrew; Cano-Valderrama, Oscar; Costantini, Giulia; Digne-Malcolm, Holly Jane; Petropoulou, Thalia; Gómez, Marta Jiménez; 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; Terés, Lara Blanco; Lorente-Poch, Leyre; Di Carlo, Isidoro; Spartalis, Michael; Moro-Valdezate, David; Davey, Matthew G.; Turrado-Rodriguez, Victor; Tryliskyy, Yegor; Calussi, Marco; Farré, Silvia Pérez; Labat, Miriam Cazador; Marafante, Chiara; Takkenberg, Marijn; Brookes, Charlotte Elisabeth; Soares, Antonio S.; Gialamas, Eleftherios; Caputo, Damiano; Corrons, Laia Codina; Antonacci, Nicola; Capitano, Sante; Charalabopoulos, Alexandros; Don, Cristine Brooke Pathirannehalage; Marrano, Enrico; Giuffrida, Maria Carmela; Tomasicchio, Giovanni; Bellato, Vittoria; Stijns, Jasper; Creavin, Ben; Schizas, Dimitrios; Blanco-Antona, Francisco; Kykalos, Stylianos; Tartaglia, Nicola; Pelegrina, Amalia; Barranquero, Alberto G.; Schena, Carlo Alberto; 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; Faro, Carmelo Lo; Rosso, Edoardo; Bandyopadhyay, Samik K.; Queffurus, Michael; Marin, Jacopo Nicolò; Corvasce, Arianna; Chillarge, Gauri; Mohammed, Mohammed Mustafa; Reid, Rebecca; Gherardi, Dario; Naeem, Awais; Pandanaboyana, Sanjay; Tayeh, Salim; Chevallay, Mickael; Sergeant, Gregory; Cuccomarino, Salvatore; Salimian, Nick; Kapsampelis, Panagiotis; Ferretti, Carlotta; Glasbey, James; Harvitkar, Rafique Umer; Iqbal, Muhammad Rafaih; de Oliveira, Gabriel Paiva; 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; Levi Sandri, Giovanni Battista; 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; Leo, Cosimo Alex; di Mola, Fabio F.; Tarallo, Mariarita; Martini, Francesco; Lisi, Giorgio; Khan, Mansoor; Nicolazzi, Marco; Pinotti, Enrico; Morini, Andrea; Esposito, Giuseppe; Buonomo, Oreste Claudio; 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; Baiocchi, Gian Luca; Piras, Carla; Abellán, Antonio Melero; Olivieri, Laura; Materazzo, Marco; Carbone, Ludovico; Dulskas, Audrius; Mulita, Francesk; Corronca, Federico; Cappuccio, Micaela; Tasselli, Francesco Menegon; Smerieri, Elia; Sotiropoulu, Maria; Violante, Tommaso; Moletta, Lucia; Rutegård, Martin; Brillantino, Antonio; Pata, Francesco; Landaluce-Olavarria, Aitor; Ossola, Paolo; Bono, Dario; Rosés, Helena Salvador; Perez-Sanchez, Luis E.; Sabbatini, Sonia; Scotti, Mauro Alessandro; Cammarata, Roberto; Ibáñez, Noelia; Materazzo, Marco; Marano, Alessandra; Palmisano, Silvia; Cascales-Sanchez, Pedro; Mosca, Vinicio; Ballester, Cristina; Iordache-Petrescu, Madalina Ionela; 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; Guitart, Marc Pérez; Salido, Andrea Jiménez; 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; Freixa, Celia Caula; Petrakis, Georgios; Folliero, Cristina; De Andrés-Asenjo, Beatriz; Iodice, Alessandra; Jansson, Hannes; González, Tomas Elosua; Ortega, Irene; Castro, Maria J.; Fernicola, Agostino; Aparicio, Antonio Carlos Maya; Ortega, Nuria; Chouliaras, Christos; Tura, Marina Vila; 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; Menéndez, Jaime Iturbe; Bottcher, Sofia Maria Jaume; Ioannidis, Orestis; Borges, Nuno; Sousa, Xavier; Colombari, Renan C.; Tellez, Clara; Capolupo, Gabriella Teresa; Giuliani, Giuseppe; Mastella, Federica; González, Lluis García; Merlini, Ilenia; Ghignone, Federico; de Sa, Tiago Correia; Mangana, Orsalia; Rodriguez-Lopez, Mario; Alvarez-Gallego, Mario; Chowdhury, Ashim; Di Lascio, Pierpaolo; Carneros, Virginia Jiménez; Angrisani, Marco; Conte, Luigi E.; Montiel, Carmen Galiana; Ascari, Francesca; Dajti, Irida; Lapolla, Pierfrancesco; Sperotto, Beatrice; Mazzarella, Gennaro; Capuano, Marianna; Lopez, Maria Martinez; Ferrario, Luca; Bulte, Joris P.; López, María Martínez; Guerci, Claudio; Marra, Angelo Alessandro; Belkacem, Acidi; Pérez, Raquel Escalera; Panyko, Arpád; Dimitrov, Evgeni; Luque, Eduardo J.; Manrique, Mario Montes; Paranyak, Mykola; Manrique, Mario Montes; Kaur, Mandeep; Barugola, Giuliano; Farazi-Chongouki, Christos; Estaire-Gómez, Mercedes; del Olmo, Juan Carlos Martín; Nardo, Bruno; Mutlu, Arda Ulaş; Rubio, Ainhoa Valle; Merlini, David A.; Marchegiani, Francesco; Cereda, Marco Angelo; Vinci, Danilo; Komaei, Iman; Petrucciani, Niccolo; Seyfried, Steffen; Krsicka, Petr; Medas, Fabio; Lesko, Dusan; Murzi, Valentina; Manfredelli, Simone; Siragusa, Leandro; Guerrero, María Alejandra; Iranzo, Marina Alarcón; Cestino, Luca; Pasculli, Alessandro; Smerieri, Nazareno; Benzoni, Ilaria; Festa, Federico; Brillantino, Antonio; Jordão, Daniel Filipe Martins; Licardie, Eugenio; Nicolaescu, Diana C.; Balassone, Valerio; La Vaccara, Vincenzo; Romano, Fabrizio; Adamovich, Dmitry Mikhailovich; 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; Parreño-Manchado, Felipe Carlos; Rachadell, Juan José; Coletta, Diego; Saroglu, Azize; Pattacini, Gianmaria Casoni; Antonelli, Amedeo; Anania, Marco; Litta, Francesco; Lafranceschina, Stefano; Bottari, Andrea; Pavlovic, Mladen; Rojas-Bonet, Noel; Tampaki, Ekaterini Christina; Kosir, Jurij A.; Anelli, Ferdinando M.; de las Casas, Sara Gortázar; Kucukarslan, Rabia; Pierobon, Elisa Sefora; Milanesi, Maria; Drogouti, Maria; Sotiropoulou, Maria; Di Marco, Federica; Bannone, Elisa; Sliwinski, Svenja Christin; Yildiz, Ishak; Pellicciaro, Marco; Celotti, Andrea; Malerba, Michele; Marino, Fabio; Bourmpouteli, Eirini; Bianco, Giuseppe; Charitaki, Evgenia; Pascale, Marco Maria; 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; Cero, Mariagiulia Dal; Cicerchia, Pierfranco Maria; Baldi, Caterina; Russo, Iris Shari; Tenconi, Silvia Maria; Malerba, Michele; Saliu, Fatmir; Bondurri, Andrea; Cardinali, Luca; Laracca, Giovanni Guglielmo; Martín-Pérez, Beatriz; Scotti, Mauro Alessandro; Felsenreich, Daniel M.; Cunha, Miguel; Zerbo, Domenico; Clementi, Marco; Delogu, Daniele; Iossa, Angelo; Bavikatte, Akshay Prasannakumar; Saracoglu, Can; Di Marco, Federica; Pecorelli, Nicolò; Tufo, Andrea; Faro, Carmelo Lo; Biloslavo, Alan; Lianos, Georgios D.; Carannante, Filippo; Costanzo, Antonio; Montuori, Mauro; Cigognini, Maria; Silvestro, Roberto; Atici, Semra Demirli; 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; Russo, Alfio Alessandro; Rossi, Stefano; Pacilli, Mario; Synekidou, Eirini; Tutino, Roberta; Ceresoli, Marco; De Rosa, Michele; Di Santo Albini, Andrea G.; Vincenzi, Paolo; Vellei, Samantha; Benzoni, Enrico; Murillo, Gabriela Aracelly Arroyo; 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; Cioffi, Stefano Piero Bernardo; Mambrilla, Sara; Bianchi, Valentina; Mambrilla, Sara; Scopelliti, Michele; Agresta, Ferdinando; Andriola, Valeria; Nava, Andrea Kazemi; 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; Menna, Maria Paola; 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; Romano, Francesco Maria; Del Monte, Simone Rossi; Sasia, Diego; Fortuna, Laura; Giuffrida, Mario; Litvin, Andrey; Cannistra, Marco; De Padua, Cristina; Sánchez, Tatiana Gómez; Ingallinella, Sara; Paniagua-Garcia-Señorans, Marta; Guevara, Jenny; Perfecto, Arkaitz; Alconchel, Felipe; Campanelli, Michela; Keci, Laura; Cricrì, Michele; Kampouroglou, Georgios; Bagaglini, Giulia; Farrarons, Sara Sentí; Greco, Antonio; Walędziak, Maciej; Carvas, João M.; Serrano-Navidad, Monica; Van Doorn, Berend; Schiavo, Ciro; Fabbri, Nicolò; Wani, Ishfaq Ahmad; Mondi, Isabella; Castaldi, Antonio; Anestiadou, Elissavet; Mendes, Beatriz ISilva; Verdi, Daunia; Dorovinis, Panagiotis; Vinci, Danilo; Cacciaguerra, Andrea Benedetti; Di Marco, Federica; Caldeira, Beatriz; Canonico, Giuseppe; Dardanov, Dragomir; D’Ugo, Stefano; Francis, Fayez Maged; Meneghini, Simona; Pesce, Antonio; Puglisi, Silvana Bernadetta; 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; Pham, Thuy Vy; Gervasi, Maria Clelia; Pilia, Tiziana; Palomba, Giuseppe; Picchetto, Andrea; Spampinato, Marcello Giuseppe; Cannistra, Marco; Vailas, Michail; Tandoi, Francesco; Piccoli, Micaela; Gall, Malina ECaraiman; Yiu, Andrew; Dulskas, Audrius; Santos, Bárbara Ribeiro; Agastra, Ervis; Koëter, Tijmen; Samadov, Elgun; Marsanic, Patrizia; Serena, De Fatico Gilda; Uzunoglu, Mustafa Yener; Zanus, Giacomo; Braholli, Eriol; Giovine, Gennaro; Galiffa, Giampaolo; Lauricella, Sara; Lukmonov, Saidrakhim; Leventoglu, Sezai; Chooklin, Serge; Dudi-Venkata, Nagendra N.; Gauci, Chahaya M.; Null, Null. - 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
Perra, TeresaMembro del Collaboration Group
;Porcu, AlbertoMembro del Collaboration Group
;
2024-01-01
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
