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Artículo Tomo 71, Número. 1, Ene/Feb 2018

Archivos Españoles de Urología

Fatigue syndrome: Stress, Burnout and depression in Urology.

Authors: Moisés Rodríguez-Socarrás, Juan Luis Vasquez, Pieter Uvin, Pernille Skjold-Kingo y Juan Gómez Rivas.

Arch. Esp. Urol. 2018; 71 (1): 46-54

Vol. 71, Number. 1, Jan/Feb 2018

OBJECTIVE: To determine the factors related to stress, Burnout and depression in urology, as well as consequences in residents and urologists, in addition to the possible applicable strategies to diminish and treat them.

ACQUISITION OF THE EVIDENCE: Depression, stress and Burnout syndrome has become a problem in urology specialty. These topics have gained interest in international congresses and urological associations. Efforts are being made to find related factors as well as possible strategies and applicable support programs.

SYNTHESIS OF EVIDENCE: Burnout frequency is higher among health professionals than general population, 40-76% in students and residents, its incidence has skyrocketed in recent years, in addition Urology is one of the specialties with highest incidence and severity. Its increase has been related to work overload, documentation, administrative/bureaucratic workload, hostile work environment; its consequences include poor work performance, medical errors, depression, substance abuse, disruption in family and couple relationships and suicidal ideation. Strategies for prevention including resilience training, lifestyle balance, teamwork, and support programs.

CONCLUSION: Stress, burnout and depression are problems in urology, early detection, promoting individual techniques in resilience, lifestyle and teamwork are fundamental now and for the future of the specialty. Developing and implementing support programs should be seriously considered by health systems and urological associations.

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