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Organo Oficial de la Sociedad Mexicana de Urología

2018, Number 2

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Rev Mex Urol 2018; 78 (2)

Levels of stress and burnout in Mexican urologists. How are we doing?

Preciado-Estrella DA, Herrera-Muñoz JA, Gómez-Sánchez J, Cortés-Raygoza P, Ortega-González M, Calvo-Vázquez I

Language: Spanish
References: 16
Page: 98-104
PDF size: 423.08 Kb.


ABSTRACT

Objective: To compare the medium-term results between open pyeloplasty and laparoscopic pyeloplasty in patients with primary or secondary ureteropelvic junction obstruction.
Materials and Methods: A descriptive, observational, longitudinal, retrospective study was conducted on adult patients that underwent open pyeloplasty or laparoscopic pyeloplasty due to ureteropelvic junction obstruction, within the time frame of January 2007 and March 2017. The variables of surgical success (complete symptom cessation and kidney function improvement) and postoperative complications determined through the Clavien-Dindo classification were analyzed. The qualitative variables were compared using the χ2 test and the independent variables with abnormal distribution were compared using the Mann-Whitney U test. Statistical significance was set at a p ‹0.05.
Results: Forty patients were registered. Their mean age was 39 years and they had a mean follow-up of 38 months (1-180). The patients that underwent the laparoscopic approach had a shorter hospital stay (3.6 ± 1.4 days vs 6.9 ± 2.1 days; p = 0.001). The laparoscopic pyeloplasty success rate was 92% in patients with no prior treatment and 100% in previously treated patients. Low-grade complications (Clavien-Dindo I and II) presented in 40% of the open surgery patients and in 44% of the patients in the laparoscopic group.
Conclusions: Laparoscopic pyeloplasty and open pyeloplasty had similar success rates and outcomes and can be considered safe therapeutic options for the treatment of ureteropelvic junction obstruction.


REFERENCES

  1. Freudenberger JH. Staff burn-Out. J Soc Issues 1974;30(1):159-165.

  2. Wright TA, Cropanzano R. Emotional exhaustion as a predictor of job performance and voluntary turnover. J Appl Psychol 1998;83(3):486-93.

  3. Cull AM. Studying stress in care givers: art or science? Br J Cancer 1991;64(6):981-4.

  4. Shanafelt T, Hasan O, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general U.S. working population between 2011 and 2014. Mayo Clin Proc 2015;90(12):1600-1613.

  5. Maslach C, Jackson SE. Maslach Burnout Inventory Manual. 2nd ed. Palo Alto: Consulting Psychologists Press, 1986.

  6. García-Izquierdo M, Velandrino A. EPB: Una escala para la evaluación del burnout profesional de las organizaciones. Anales Psicol 1992;8(1-2):131-138.

  7. McEwen BS, Gianaros PJ. Central role of the brain in stress and adaptation: links to socioeconomic status, health, and disease. Ann N Y Acad Sci 2010;1186:190-222.

  8. Böhle A, Baumgärtel M, Götz ML, Müller EH, Jocham D. Burn-out of urologists in the county of Schleswig-Holstein, Germany: a comparison of hospital and private practice urologists. J Urol 2001;165(4):1158-2001.

  9. North CA, McKenna HP, Fang R, et al. Burnout in urology: results from the AUA Census. J Urol 2017;197(4S).

  10. Roumiguie M, Gamé X, Bernhard JC, Bigot P, et al. Les urologues en formation ont-ils un síndrome d’épuisement professionnel? Évaluation par le Maslach Burn-out Inventory (MBI). Progrès Urologie 2011;21:636-641.

  11. O’Kelly, Manecksha RP, Quinlan DM, Reid A, et al. Rates of self-reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative crosssectional study. BJUI Int 2015;117(2):363-72.

  12. North A. Review Article: Physician Burnout in urology. Urol Pract 2017;4(2):155-161.

  13. Romani M, Ashkar K. Burnout among physicians. Libyan Journal of Medicine 2014;9: https://doi.org/10.3402/ljm. v9.23556.

  14. Jason Au, Elizondo AR, Roth RD. Surgeon Burnout among American Pediatric Urologists. Urol Pract 2017;4(3):264- 268.

  15. Lupien S. The history of the Science of Stress: From Hans Selye to the discovery of anti-inflammatory medication. Sante Ment Que 2015;40(2):275-86.

  16. Troppmann KM, Palis BE, Goodnight JE, Ho HS, Troppmann C. Career and lifestyle satisfaction among surgeons: what really matters? The National Lifestyles in Surgery Today Survey. J Am Coll Surg 2009;209(2):160-169.




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