An Overview of Reviews to Inform Organization-Level Interventions to Address Burnout in Rheumatologists

J RheumatolPublished Overview of reviews

Authors' conclusion

Although the quality of evidence for interventions to prevent burnout in physicians is low, promising strategies such as mindfulness have been identified.

Study context

Population
Reviews (2011 or later) with ≥ 1 primary studies with ≥ 10% physician participants, recording burnout, describing an organization-directed intervention to prevent burnout
Participants
17 reviews
Outcome
Organization-directed interventions to prevent burnout applicable to rheumatology
Methodological detailsAMSTAR 2 quality assessment, applicability assessed by rheumatologists, 15 systematic reviews, 1 realist review, 1 umbrella review
  • AMSTAR 2 quality assessment
  • Applicability assessed by rheumatologists
  • 15 systematic reviews, 1 realist review, 1 umbrella review

Main finding

As reported in the abstract

  • Possibly applicable intervention types: physician workflow and organizational strategies; peer support and formal communication training; leadership support; addressing stress, mental health, and mindfulness
  • Mindfulness had the highest quality of evidence to support its effectiveness

Further findings

AMSTAR 2 quality of systematic reviews

Low quality
5
Moderate quality
1
Critically low quality
9
  • Significant heterogeneity between and within reviews

Synthesis type

Meta-analysis
6
Qualitative summary
11

Original publication

An Overview of Reviews to Inform Organization-Level Interventions to Address Burnout in Rheumatologists. J Rheumatol. Published 1 August 2023. doi:10.3899/jrheum.2023-0437

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