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Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

Title:	Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
Authors:	Podda, Mauro; Di Martino, Marcello; Pata, Francesco; Nigri, Giuseppe; Pisanu, Adolfo; Di Saverio, Salomone; Pellino, Gianluca; Ielpo, Benedetto; null, null; 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; 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; Morales, Emilio J.; Stringfield, Sarah Beth; Gallardo, Cristian; Fonseca, Vinicius Cordeiro; Muriel, Maria Emilia; Cantarino, Frederico; 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; 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; 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; Uzzau, Alessandro; Balla, Andrea; Scaringi, Stefano; Lancellotti, Francesco; Douka, Eleftheria; Argenio, Giulio; Cassese, Gianluca; Ammendola, Michele; Morelli, Luca; Francone, Elisa; Bala, Miklosh; Thambi, Prem; Iacobone, Maurizio; Campisi, Andrea; Tejedor, Patricia; Spoletini, Gabriele; Mascherini, Matteo; Belia, Francesco; Idiz, Ufuk Oguz; Colak, Elif; Peters, Paul Adewunmi; 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; al-Najami, Issam; Grama, Florin A.; 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; 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; 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; 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.; 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; Sciaudone, Guido; Fuschillo, Giacomo; Schiltz, Boris; Low, Juin; Bointas, Georgios; Cozza, Valerio; Delaune, Vaihere; 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; 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; Smerieri, Elia; Sotiropoulu, Maria; Violante, Tommaso; Moletta, Lucia; Rutegård, Martin; Brillantino, Antonio; Landaluce-Olavarria, Aitor; Ossola, Paolo; Bono, Dario; Rosés, Helena Salvador; Perez-Sanchez, Luis E.; Sabbatini, Sonia; Scotti, Mauro Alessandro; Cammarata, Roberto; Ibáñez, Noelia; Marano, Alessandra; Palmisano, Silvia; Cascales-Sanchez, Pedro; Mosca, Vinicio; Ballester, Cristina; Iordache-Petrescu, Madalina Ionela; Pozza, Gioia; Akay, Omer; Bollino, Ruggero; 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; 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; 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; Siragusa, Leandro; Guerrero, María Alejandra; Iranzo, Marina Alarcón; Cestino, Luca; Pasculli, Alessandro; Smerieri, Nazareno; Benzoni, Ilaria; Festa, Federico; Jordão, Daniel Filipe Martins; Licardie, Eugenio; Nicolaescu, Diana C.; Balassone, Valerio; La Vaccara, Vincenzo; Romano, Fabrizio; Adamovich, Dmitry Mikhailovich; Papatheodorou, Panayiotis; 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; 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; Saliu, Fatmir; Bondurri, Andrea; Cardinali, Luca; Laracca, Giovanni Guglielmo; Martín-Pérez, Beatriz; Felsenreich, Daniel M.; Cunha, Miguel; Zerbo, Domenico; Clementi, Marco; Delogu, Daniele; Iossa, Angelo; Bavikatte, Akshay Prasannakumar; Saracoglu, Can; Pecorelli, Nicolò; Tufo, Andrea; Biloslavo, Alan; Lianos, Georgios D.; Carannante, Filippo; Costanzo, Antonio; Montuori, Mauro; Cigognini, Maria; Silvestro, Roberto; Atici, Semra Demirli; Milito, Pamela; Ferronetti, Antonio; Güngör, Mert; Di Venere, Beatrice; Puccioni, Caterina; 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; Manto, Ottavia; Kara, Yasin; Tatar, Cihad; Cioffi, Stefano Piero Bernardo; Mambrilla, Sara; Bianchi, Valentina; Scopelliti, Michele; Agresta, Ferdinando; Nava, Andrea Kazemi; 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; Cannavo, Maurizio; López-López, Victor; Avella, Pasquale; Peloso, Andrea; Bellanova, Giovanni; Candilio, Giuseppe; Perotti, Bruno; Granata, Roberta; Florio, Gaetano; Ioia, Giovanna; Iannone, Immacolata; 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; 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; Anestiadou, Elissavet; Mendes, Beatriz ISilva; Verdi, Daunia; Dorovinis, Panagiotis; Cacciaguerra, Andrea Benedetti; 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; Fleres, Francesco; Campus, Federica; Cillara, Nicola; Moggia, Elisabetta; Ciarleglio, Francesco A.; 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; Tandoi, Francesco; Piccoli, Micaela; Gall, Malina ECaraiman; 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.
Contributors:	Podda, M; Di Martino, M; Pata, F; Nigri, G; Pisanu, A; Di Saverio, S; Pellino, G; Ielpo, B; Null, N; Tolla, A; Abdelkhalek, M; Emile, S; Dinagde, T; Bouzid, C; Mansour, A; Garzali, I; Aregawi, A; Zaghloul, T; Kchaou, A; Awad, S; Souadka, A; Ted, T; Saumtally, M; Ahmed, B; Bayileyegn, N; Nunziante, M; Shalaby, M; Debena, D; Zena, A; Adewunmi, O; Negasa, T; Bourguiba, M; Feituri, N; Kebede, K; Elfeki, H; Anas, A; Awad, A; Ermias, N; Hailemariam, D; Bejiga, G; Imana, R; Taffese, A; Feleke, T; Elghadban, H; Debela, B; Shiferaw, D; Tadesse, R; Chukwu, I; Mohammed, A; Hassen, K; Obiagwu, N; Tense, T; Taeme, M; Biniam, E; Tesfay, G; Tegegn, A; Teddy, T; Bekana, B; Nidaw, M; Ali, M; Gonfa, K; Kiros, S; Belay, T; Yallew, G; Wassie, C; Ayalew, A; Asfaw, F; Aimal, A; Casas, M; Madrid, F; Diaz-Elizondo, J; Merlo, I; De Campos, T; Schlottmann, F; Gomes, C; Hernández, E; Moncada-Ortega, A; Ramos-De la Medina, A; Vanerio, P; Morales, E; Stringfield, S; Gallardo, C; Fonseca, V; Muriel, M; Cantarino, F; Fichera, A; Rodriguez, A; Salinas, R; Crosbie, G; Menegozzo, C; Avellaneda, N; Briones, C; Varela, C; Lichliter, W; Koppel, D; Lenz, J
Publisher Information:	Springer Milano; IT
Publication Year:	2024
Collection:	Università degli Studi di Milano-Bicocca: BOA (Bicocca Open Archive)
Subject Terms:	Global research; Human Development Index; On-call; Surgeon’s well-being; Surgeon’s workload
Description:	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 (R) 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.
Document Type:	article in journal/newspaper
File Description:	STAMPA
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/38684574; info:eu-repo/semantics/altIdentifier/wos/WOS:001229937200002; volume:76; issue:5; firstpage:1615; lastpage:1633; numberofpages:19; journal:UPDATES IN SURGERY; https://hdl.handle.net/10281/513342
DOI:	10.1007/s13304-024-01859-7
Availability:	https://hdl.handle.net/10281/513342; https://doi.org/10.1007/s13304-024-01859-7
Rights:	info:eu-repo/semantics/openAccess ; license:Creative Commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number:	edsbas.BFE69F63
Database:	BASE