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    Prevalence of oncologists in distress: systematic review and meta-analysis

    Medisauskaite, Asta and Kamau, Caroline (2017) Prevalence of oncologists in distress: systematic review and meta-analysis. Psycho-Oncology 26 (11), pp. 1732-1740. ISSN 1099-1611.

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    Abstract

    Objective: High mortality from cancer and rising patient numbers can trigger distress among oncologists because of a heavy and emotionally demanding workload. This systematic review and meta-analysis assesses the prevalence of high levels of distress among oncologists. Methods: The PRISMA protocol is registered at the PROSPERO international prospective register (Ref. 2015:CRD42015016325). We categorized data items according to the following distress factors: burnout, psychiatric morbidity, stress, depression, disrupted sleep, stress-induced physical symptoms, and substance use. We meta-analysed the prevalence of burnout and psychiatric morbidity using random effects models with MetaXL software. Results: The meta-analyses showed that 32% of 4876 oncologists had high burnout (±CI 28% to 36%) and 27% of 2384 had high psychiatric morbidity (±CI 23% to 32%). Studies also showed that 42 to 69% feel stressed at work, > 12% of oncologists screen positive for depression, many oncologists suffer from sleep deprivation, up to 30% drink alcohol in a problematic way, up to 20% of junior oncologists use hypnotic drugs and some frequently experience stress-induced complaints such as ulcers, gastric problems, headaches and arrhythmia. Conclusions: Occupational distress reduces career satisfaction, affects patient care and increases the chances of oncologists switching to another area of medicine therefore future research should explore appropriate interventions. Keywords: stress, burnout, psychiatric morbidity, sleep, meta-analysis, oncology, cancer.

    Metadata

    Item Type: Article
    Additional Information: This is the peer reviewed version of the article, which has been published in final form at the link above. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
    Keyword(s) / Subject(s): stress, burnout, psychiatric morbidity, sleep, meta-analysis, oncology, cancer, systematic review, prevalence, medicine, cancer staff, cancer patients, work stress, job stress, occupational health, grief, palliative, patient care, patient death, critically ill patients, cancer patients, staff burnout, alcohol use, drug use, substance abuse, depression, anxiety, staff mental health, medical doctors, cancer doctors, oncology doctors, physicians, attendings, residents, house officers, medical oncologists, clinical oncologists.
    School: Birkbeck Schools and Departments > School of Business, Economics & Informatics > Organizational Psychology
    Depositing User: Caroline Kamau
    Date Deposited: 01 Feb 2017 17:54
    Last Modified: 31 Jul 2019 04:39
    URI: http://eprints.bbk.ac.uk/id/eprint/18016

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