PD08.03. Global Burnout Prevalence and Risk Factors Among Cardiothoracic Surgery Personnel in the Post-COVID Era: A Multicenter MBI-HSS Survey

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ID: 326225
2026
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Abstract
Abstract Topic Esophageal Cancer: Other Background Burnout among esophageal surgery personnel has received limited attention despite the specialty’s demanding nature. The post-COVID era has further intensified occupational stress globally. This study aimed to evaluate the international prevalence, severity, and risk factors of burnout among esophageal surgery personnel using the Maslach Burnout Inventory–Human Services Survey (MBI-HSS). Methods A multicenter, anonymous, cross-sectional online survey was conducted from April 2024 to January 2025 across 59 countries spanning six continents. The MBI-HSS (22 items, 0–6 Likert scale) assessed three burnout dimensions: emotional exhaustion (EE, 9 items, 0–54), depersonalization (DP, 5 items, 0–30), and personal accomplishment (PA, 8 items, 0–48). High burnout was defined as EE>26, DP>12, or PA<32. Respondent location was determined by IP geolocation. Demographic variables included occupation, age, gender, and professional title. Independent-samples t-tests, one-way ANOVA, and Pearson correlations were used for subgroup and inter-dimensional analyses. Results A total of 724 respondents from 59 countries completed the survey (644 surgeons [88.9%] and 80 nurses [11.1%]; 527 from China, 197 international). Nearly half reported high-level burnout: 47.9% had high EE (mean 26.70, SD 15.54), 39.1% had high DP (mean 11.38, SD 9.43), and 48.3% had reduced PA (mean 31.41, SD 10.80). EE and DP were strongly correlated (r=0.872, p<0.001), both negatively correlated with PA (r=−0.355, r=−0.402). International respondents exhibited markedly higher burnout than Chinese counterparts (EE 38.2 vs 22.4; DP 18.9 vs 8.6). Surgeons reported higher EE (27.06 vs 23.77) and DP (11.67 vs 9.01) than nurses. Younger personnel (21–30 yr) experienced the highest burnout (EE 29.0–31.0, DP 12.6–14.3), while those aged 51–60 had markedly lower levels (EE 11.3, DP 1.9, PA 38.8). Conclusion This first large-scale international burnout survey among esophageal surgery personnel reveals that nearly half experience high-level burnout in the post-COVID era. International respondents demonstrate substantially higher burnout than Chinese counterparts. Surgeons and younger professionals are disproportionately affected. These findings underscore the urgent global need for targeted interventions including workload optimization, early-career mentorship, and systematic well-being programs in esophageal surgery departments worldwide.
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Authors Simiao Lu, Yi Zhu, Qiuling Shi, Yongtao Han, Xuefeng Leng
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.134
URL
https://doi.org/10.1093/dote/doag077.134
Keywords Keywords not found

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