Mp48-20 mental workloads of surgeons in urology: a prospective observational study

You have accessJournal of UrologyCME1 Apr 2023MP48-20 MENTAL WORKLOADS OF SURGEONS IN UROLOGY: A PROSPECTIVE OBSERVATIONAL STUDY Shigeru Harada, Takashige Abe, Jun Furumido, Keita Takahashi, Kanta Hori, Noriyuki Abe, Masafumi Kon, Sachiyo Murai, Haruka Miyata, Hiroshi Kikuchi, Ryuji Matsumoto, Takahiro Osawa, and Nobuo Shinohara Shigeru HaradaShigeru Harada More articles by this author , Takashige AbeTakashige Abe More articles by this author , Jun FurumidoJun Furumido More articles by this author , Keita TakahashiKeita Takahashi More articles by this author , Kanta HoriKanta Hori More articles by this author , Noriyuki AbeNoriyuki Abe More articles by this author , Masafumi KonMasafumi Kon More articles by this author , Sachiyo MuraiSachiyo Murai More articles by this author , Haruka MiyataHaruka Miyata More articles by this author , Hiroshi KikuchiHiroshi Kikuchi More articles by this author , Ryuji MatsumotoRyuji Matsumoto More articles by this author , Takahiro OsawaTakahiro Osawa More articles by this author , and Nobuo ShinoharaNobuo Shinohara More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003294.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In urology, new technologies such as laparoscopic and robotic surgery are spreading, and physicians manage to catch up with novel methods. While professional burnout is recently emphasized, the mental and physical costs during surgery are not well understood. Our aim was to clarify the mental workloads (MWLs) of urologists during surgery and predictive factors. METHODS: Urologists in Hokkaido, Japan, joined this study. Between December 2020 and December 2021, after each surgical case, they reported patients’ backgrounds, their role (independent operator, operator under supervision, instructor, 1st, 2nd assistant), surgical outcomes (procedure, operative time, blood loss, complications, near-miss incidents etc.), subjective procedure difficulty, and MWLs, which was assessed by National Aeronautics and Space Administration-Task Load Index (NASA-TLX), via SurveyMonkey®. A multiple linear mixed-effects model was utilized to analyze the factors associated with NASA-TLX. RESULTS: 65 urologists (5 women) joined the study, and 2159 data were collected in 7 days after surgeries (open=250, laparoscopy=315, robotics=407, transurethral surgeries=743, and others=444). A multiple linear mixed-effects model revealed that female surgeons (estimate: +13.90, p=0.035), laparoscopic surgery [+2.54 (reference: transurethral surgery), p=0.035], intraoperative complications (+7.83, p<0.001), near-miss incidents (+3.34, p<0.001), longer operative time (continuous, +0.06, p<0.001), and higher blood loss (continuous, +0.001, p=0.01) were associated with higher MWLs. Operator under supervision (+17.42, p<0.001), independent operator (+8.86, p<0.001), instructor (+4.46, p=0.003), and 1st assistant (+3.90, p=0.01) also showed higher MWLs than 2nd assistant (reference). MWLs correlated with subjective surgical difficulty, with higher scores (+8.05, p<0.001) when the procedure was more difficult, and lower scores (-8.05, p<0.001) when it was less difficult than expected. MWLs was lower as the number of previous surgeries increased (-1.90, p<0.001). CONCLUSIONS: Surgeon MWLs were influenced by multiple factors. Regarding the role of surgery, operators showed higher MWLs, especially under supervision. Instructors should be aware of the high MWLs of operators under their supervision and devise instructional interventions. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e663 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shigeru Harada More articles by this author Takashige Abe More articles by this author Jun Furumido More articles by this author Keita Takahashi More articles by this author Kanta Hori More articles by this author Noriyuki Abe More articles by this author Masafumi Kon More articles by this author Sachiyo Murai More articles by this author Haruka Miyata More articles by this author Hiroshi Kikuchi More articles by this author Ryuji Matsumoto More articles by this author Takahiro Osawa More articles by this author Nobuo Shinohara More articles by this author Expand All Advertisement PDF downloadLoading ...