Skip to main content
Top
Published in: Langenbeck's Archives of Surgery 8/2014

01-12-2014 | Review Article

The ill surgeon: a review of common work-related health problems amongst UK surgeons

Authors: Ananth Vijendren, Matthew Yung, Jose Sanchez

Published in: Langenbeck's Archives of Surgery | Issue 8/2014

Login to get access

Abstract

Introduction

Health-care workers are subjected to various occupational hazards within the National Health Service (NHS). Surgeons are not excluded from this group due to the nature of work carried out on a daily basis. As a result, we set out to investigate the common work-related health issues a surgeon practising in the UK may encounter.

Method

A literature search conducted on PubMed, EMBASE, MEDLINE® and Health Management Information Consortium (HMIC) revealed 66 literature papers between the years 1990 and 2013. Thirty-seven were excluded from our review process for various reasons.

Results

Surgeons in the UK are likely to be susceptible to stress, sharp injuries, burnout and psychiatric morbidities, substance abuse and musculoskeletal pain. Noise-induced hearing loss has been reported amongst orthopaedic surgeons due to the use of electric and air-powered drills and saws. No reports of skin-related illness, respiratory illness, nosocomial infections or malignancies were found within the published UK literature of our targeted group although they have been noted in other specialties.

Conclusion

These occupational hazards pose a huge risk to the NHS and the personal well-being of its surgeons. As such, the importance of early awareness and education alongside prompt intervention is duly emphasized.
Appendix
Available only for authorised users
Literature
2.
go back to reference Soueid A, Oudit D, Thiagarah S et al (2010) The pain of surgery: pain experienced by surgeons while operating. Int J Surg 8(2):118–120PubMedCrossRef Soueid A, Oudit D, Thiagarah S et al (2010) The pain of surgery: pain experienced by surgeons while operating. Int J Surg 8(2):118–120PubMedCrossRef
5.
go back to reference Edgar M, Mansfield A, Thomson J (2000) Surgeons under stress (II). Update following the college seminar/workshop on pastoral care. Ann R Coll Surg Engl 82(3 Suppl):87–88PubMed Edgar M, Mansfield A, Thomson J (2000) Surgeons under stress (II). Update following the college seminar/workshop on pastoral care. Ann R Coll Surg Engl 82(3 Suppl):87–88PubMed
6.
go back to reference Arora S, Tierney T, Sevdalis N et al (2010) The imperial stress assessment tool (ISAT): a feasible, reliable and valid approach to measuring stress in the operating room. World J Surg 34(8):1756–1763PubMedCrossRef Arora S, Tierney T, Sevdalis N et al (2010) The imperial stress assessment tool (ISAT): a feasible, reliable and valid approach to measuring stress in the operating room. World J Surg 34(8):1756–1763PubMedCrossRef
7.
go back to reference Shaw JM, Brown RF, Dunn SM (2013) A qualitative study of stress and coping responses in doctors breaking bad news. Patient Educ Couns 91(2):243–248PubMedCrossRef Shaw JM, Brown RF, Dunn SM (2013) A qualitative study of stress and coping responses in doctors breaking bad news. Patient Educ Couns 91(2):243–248PubMedCrossRef
8.
go back to reference Brown R, Dunn S, Byrnes K et al (2009) Doctors’ stress responses and poor communication performance in simulated bad-news consultations. Acad Med 84(11):1595–1602PubMedCrossRef Brown R, Dunn S, Byrnes K et al (2009) Doctors’ stress responses and poor communication performance in simulated bad-news consultations. Acad Med 84(11):1595–1602PubMedCrossRef
9.
go back to reference Tatersall AJ, Bennett P, Pugh S (1999) Stress and coping in hospital doctors. Stress Med 15(2):109–113CrossRef Tatersall AJ, Bennett P, Pugh S (1999) Stress and coping in hospital doctors. Stress Med 15(2):109–113CrossRef
10.
go back to reference Adams S, Stojkovic SG, Leveson SH (2010) Needlestick injuries during surgical procedures: a multidisciplinary online study. Occup Med 60(2):139–144CrossRef Adams S, Stojkovic SG, Leveson SH (2010) Needlestick injuries during surgical procedures: a multidisciplinary online study. Occup Med 60(2):139–144CrossRef
12.
go back to reference Au E, Gossage JA, Bailey SR (2008) The reporting of needlestick injuries sustained in theatre by surgeons: are we under-reporting. J Hosp Infect 70(1):66–70PubMedCrossRef Au E, Gossage JA, Bailey SR (2008) The reporting of needlestick injuries sustained in theatre by surgeons: are we under-reporting. J Hosp Infect 70(1):66–70PubMedCrossRef
13.
go back to reference Kennedy R, Kelly S, Gonsalves S (2009) Barriers to the reporting and management of needlestick injuries among surgeons. Ir J Med Sci 178(3):297–299PubMedCrossRef Kennedy R, Kelly S, Gonsalves S (2009) Barriers to the reporting and management of needlestick injuries among surgeons. Ir J Med Sci 178(3):297–299PubMedCrossRef
14.
go back to reference Taylor C, Graham J, Potts HW et al (2002) Changes in mental health of UK consultants since the mid-1990s. Lancet 366(9487):742–744CrossRef Taylor C, Graham J, Potts HW et al (2002) Changes in mental health of UK consultants since the mid-1990s. Lancet 366(9487):742–744CrossRef
15.
go back to reference Upton D, Mason V, Doran B et al (2012) The experience of burnout across different surgical specialties in the United Kingdom: a cross-sectional survey. Surgery 151(4):493–501PubMedCrossRef Upton D, Mason V, Doran B et al (2012) The experience of burnout across different surgical specialties in the United Kingdom: a cross-sectional survey. Surgery 151(4):493–501PubMedCrossRef
16.
go back to reference Taylor C, Graham J, Potts H et al (2007) Impact of hospital consultants’ poor mental health on patient care. Br J Psychiatry 190:268–269PubMedCrossRef Taylor C, Graham J, Potts H et al (2007) Impact of hospital consultants’ poor mental health on patient care. Br J Psychiatry 190:268–269PubMedCrossRef
17.
go back to reference Dinan TG (2001) How hospital consultants cope with stress at work: implications for their mental health. Stress Health 17(2):85–89CrossRef Dinan TG (2001) How hospital consultants cope with stress at work: implications for their mental health. Stress Health 17(2):85–89CrossRef
18.
go back to reference Sharma A, Sharp DM, Walker LG et al (2008) Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psycho-Oncology 17(6):570576CrossRef Sharma A, Sharp DM, Walker LG et al (2008) Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psycho-Oncology 17(6):570576CrossRef
19.
go back to reference Sharma A, Sharp DM, Walker LG et al (2008) Stress and burnout among colorectal surgeons and colorectal nurse specialists working in the National Health Service. Color Dis 10(4):397–406CrossRef Sharma A, Sharp DM, Walker LG et al (2008) Stress and burnout among colorectal surgeons and colorectal nurse specialists working in the National Health Service. Color Dis 10(4):397–406CrossRef
20.
go back to reference Babar-Craig H, Banfield G, Knight J (2003) Prevalence of back and neck pain amongst ENT consultants: national survey. J Laryngol Otol 117(12):979–982PubMedCrossRef Babar-Craig H, Banfield G, Knight J (2003) Prevalence of back and neck pain amongst ENT consultants: national survey. J Laryngol Otol 117(12):979–982PubMedCrossRef
21.
go back to reference Chaterjee A, Ryan WG, Rosen ES (1994) Back pain in ophthalmologist. Eye 8(4):473–474CrossRef Chaterjee A, Ryan WG, Rosen ES (1994) Back pain in ophthalmologist. Eye 8(4):473–474CrossRef
22.
go back to reference Willett KM (1991) Noise-induced hearing loss in orthopaedic staff. J Bone Joint Surg 71(1):113–115 Willett KM (1991) Noise-induced hearing loss in orthopaedic staff. J Bone Joint Surg 71(1):113–115
23.
go back to reference Siverdeen Z, Ali A, Lakdawala AS et al (2008) Exposure to noise in orthopaedic theatres—do we need protection? Int J Clin Pract 62(11):1720PubMedCrossRef Siverdeen Z, Ali A, Lakdawala AS et al (2008) Exposure to noise in orthopaedic theatres—do we need protection? Int J Clin Pract 62(11):1720PubMedCrossRef
25.
26.
go back to reference Ramirez AJ, Graham J, Richards MA et al (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 347(9003):724–728PubMedCrossRef Ramirez AJ, Graham J, Richards MA et al (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 347(9003):724–728PubMedCrossRef
28.
go back to reference Handfield-Jones SE (1998) Latex allergy in health-care workers in an English district general hospital. Br J Dermatol 138(2):273–276PubMedCrossRef Handfield-Jones SE (1998) Latex allergy in health-care workers in an English district general hospital. Br J Dermatol 138(2):273–276PubMedCrossRef
29.
go back to reference Smedley J, Williams S, Peel P et al (2012) Management of occupational dermatitis in healthcare workers: a systematic review. Occup Environ Med 69(4):276–279PubMedCrossRef Smedley J, Williams S, Peel P et al (2012) Management of occupational dermatitis in healthcare workers: a systematic review. Occup Environ Med 69(4):276–279PubMedCrossRef
30.
go back to reference Paul L, Wilkinson M (2009) The changing nature of occupational hand dermatoses in healthcare workers: a comparison of patch testing and skin prick testing results in 1999 and 2007. Br J Dermatol 161(81):0007–0963 Paul L, Wilkinson M (2009) The changing nature of occupational hand dermatoses in healthcare workers: a comparison of patch testing and skin prick testing results in 1999 and 2007. Br J Dermatol 161(81):0007–0963
31.
go back to reference Flyvholm MA, Bach B, Rose M, Jepsen KF (2007) Self-reported hand eczema in a hospital population. Contact Dermatitis 57:110–115PubMedCrossRef Flyvholm MA, Bach B, Rose M, Jepsen KF (2007) Self-reported hand eczema in a hospital population. Contact Dermatitis 57:110–115PubMedCrossRef
Metadata
Title
The ill surgeon: a review of common work-related health problems amongst UK surgeons
Authors
Ananth Vijendren
Matthew Yung
Jose Sanchez
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
Langenbeck's Archives of Surgery / Issue 8/2014
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-014-1233-3

Other articles of this Issue 8/2014

Langenbeck's Archives of Surgery 8/2014 Go to the issue