IF 10.7 1区医学

Anaesthesia Pub Date : 2026-09-04 DOI: 10.1111/anae.70359

Gemma Dignam, Brandon Lee, Eugene Tuyishime, Jessie Cunningham, Alessandro Vittori, Matthew Dylan Bould

{"title":"Prevalence of burnout among practising anaesthesia providers: a systematic review","authors":"Gemma Dignam, Brandon Lee, Eugene Tuyishime, Jessie Cunningham, Alessandro Vittori, Matthew Dylan Bould","doi":"10.1111/anae.70359","DOIUrl":"https://doi.org/10.1111/anae.70359","url":null,"abstract":"Summary Introduction Burnout is characterised by emotional exhaustion, depersonalisation and reduced personal accomplishment. Anaesthesia providers are at particular risk of experiencing burnout, with implications for workforce well‐being and patient safety. We aimed to quantify the prevalence of burnout among practising anaesthesia providers and critically appraise the methodological quality of the underlying evidence. Methods Databases were searched for English‐language studies reporting prevalence of burnout in anaesthesia providers. Definitions of burnout, measurement tools used and prevalence estimates were narratively synthesised. Results We included 50 studies, encompassing 35,599 fully qualified anaesthesia providers (31,500 physicians and 4099 non‐physicians); 43 (86%) studies used the Maslach Burnout Inventory. Overall median (IQR [range]) prevalence of burnout was 42 (21–59 [9–99])%. Burnout dichotomisation varied substantially, with 15 distinct and reproducible Maslach Burnout Inventory‐based criteria identified. Re‐analysis of five datasets showed prevalence estimates for the same population ranged from 3.1% to 69.9%, depending on the criteria applied. Most studies used non‐random sampling and were judged to be at unclear or high‐risk of bias across many domains. Discussion Prevalence estimates of burnout vary widely due to inconsistent measurement and interpretation. Standardised reporting of subscale scores and use of validated binary classification tools would improve comparability. Robust sampling strategies are needed to inform targeted interventions.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"5 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148884042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-reported outcomes, postoperative pain and pain relief after day-case surgery (POPPY): acute pain and recovery during the first 7 days. 患者报告的结果、术后疼痛和术后疼痛缓解（POPPY）：前7天的急性疼痛和恢复。

IF 7.4 1区医学

Anaesthesia Pub Date : 2026-09-02 DOI: 10.1111/anae.70360

Matthew Everson, Martha Belete, Adam Brayne, Harriet Daykin, William M Hare, Anna Ratcliffe, Lexy Sorrell, Mark Rockett

{"title":"Patient-reported outcomes, postoperative pain and pain relief after day-case surgery (POPPY): acute pain and recovery during the first 7 days.","authors":"Matthew Everson, Martha Belete, Adam Brayne, Harriet Daykin, William M Hare, Anna Ratcliffe, Lexy Sorrell, Mark Rockett","doi":"10.1111/anae.70360","DOIUrl":"https://doi.org/10.1111/anae.70360","url":null,"abstract":"Introduction: The majority of surgical cases in the UK occur in a day-case setting. Published short-term follow-up studies after day-case surgery are lacking and patterns of recovery including pain and patient reported outcome measures, are largely unknown.Methods: Data from the Patient-reported Outcomes, Postoperative Pain and pain relief after daY case surgery (POPPY) study, a national, prospective, observational study exploring outcomes following day-case surgery in the UK, were used to explore acute recovery over the first 7 postoperative days. Baseline data were captured on the day of surgery alongside pain severity, functional scores and quality of recovery-15 scores on postoperative days 1, 3 and 7. A poor pain outcome was defined as a pain severity score of > 4/10 and a poor functional outcome was defined as any functional impairment due to pain on days 1, 3 and 7.Results: Of the 7839 patients initially recruited, 7331 responded on day 7. Pain severity scores decreased over the first postoperative week and yet pain impaired function in 1279/4854 (26.3%) patients at day 7. In the first 7 days, 1458/4348 (33.5%) of patients had a poor pain outcome. Associated variables included: treatment for anxiety or depression; baseline chronic pain; frailty; greater surgical magnitude; and type of surgery (head and neck surgery). Increasing age was associated with reduced probability of poor pain outcomes. Poor functional outcomes were associated with: surgical magnitude; type of surgery (orthopaedic surgery); chronic pain; and frailty. Opioid naivety was associated with a reduced odds ratio of both poor pain and functional outcomes.Discussion: These findings suggest that by postoperative day 7, recovery from day-case surgery is incomplete for many patients. We identified characteristics associated with poor pain and functional outcomes that could be used to improve peri-operative pathways, in particular highlighting patients who may benefit from enhanced preparation and closer follow up.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":" ","pages":""},"PeriodicalIF":7.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148878841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Routine flumazenil administration: an overlooked confounder in the non‐inferiority comparison of remimazolam and propofol? 氟马西尼常规给药：雷马唑仑和异丙酚非劣效性比较中被忽视的混杂因素？

IF 10.7 1区医学

Anaesthesia Pub Date : 2026-09-01 DOI: 10.1111/anae.70327

Huan Deng, Yue Peng

引用次数: 0

Prefilled insulin syringes for peri-operative care: a reply. 预充式胰岛素注射器在围手术期护理中的应用。

IF 7.4 1区医学

Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-06-03 DOI: 10.1111/anae.70260

Nicholas A Levy, Kariem El-Boghdadly, Ketan Dhatariya