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Introduction

Burnout syndrome is a commonly seen in healthcare professionals, particularly in physicians who are exposed to a high level of stress at work and has a negative impact on the medical activity. The physicians who had have high burnout levels have been shown to commit more medical errors.

Aims & Methods

Aim: To assess the level of the burnout syndrome in a tertiary university centre of gastroenterology in Romania.
Methods. This observational study involved physicians from a tertiary gastroenterology university centre. An online questionnaire assessed the presence of burnout using the Maslach Burnout Inventory (MBI).

Results

A total of 64 physicians responded to the questionnaire. In terms of high burnout, 11 doctors (17.18%) had emotional exhaustion, 13 doctors (20.3%) had depersonalization, and 58 doctors (90.62%) scored low for personal achievement. There were statistically significant correlations between the personal accomplishment and exhausting scores and between the personal accomplishment and depersonalization scores, respectively (P=0.007, and P<0.001, respectively).

Conclusion

Physicians present an increased risk for burnout relative to workers in other fields. The high rate of burnout among physicians found by our study requires careful attention. Further studies aiming to identify other factors that contribute to burnout as well as measures to combat burnout are necessary. Professional societies should get involved in studying the factors that generate burnout among physicians as well as to find solutions to reduce them.

PREVALENCE OF BURNOUT SYNDROME IN A TERTIARY UNIVERSITY CENTRE IN ROMANIA

Mihaela Dranga 1, Stefan Chiriac 1, Carol Stanciu 2, Irina Girleanu 1, Camelia Cojocariu 1, Ana Maria Singeap 1, Cristina Cijevschi Prelipcean 2, Anca-Victorita Trifan 1

1 "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania

2 "St. Spiridon" Emergency Hospital, Iasi, Romania

Conference

UEG Week Copenhagen 2023

Submission format

Abstract

Session

PP 10 Health economics / Digitalisation in GI / Education In GI / Gender and diversity (Posters)

Citation

United European Gastroenterology Journal 2023; 11 (Supplement 8)

Published

2023

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BURNOUT SYNDROME ASSESSMENT OF NURSING STAFF IN A DIGESTIVE ENDOSCOPY UNIT AT A TERTIARY REFERRAL HOSPITAL

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Introduction

Burnout Syndrome is a subject that has been studied for several decades. Despite the fact that is a well-known topic and that more and more people are suffering from it, the bibliography shows that there are no great changes in it and as a consequence, there are still great deficiencies in the prevention of this syndrome today.
In 1981, Maslach and Jackson defined Burnout as a syndrome that occurs when there is inadequate coping with chronic stress, i.e., as a consequence of continuous work stress, negative attitudes and feelings appear both in the professional role itself and towards colleagues, and this makes the person suffering from it emotionally exhausted.
Burnout syndrome is now considered a public health problem because of the number and severity of the consequences for the physical and psychological integrity of workers. According to the International Council of Nurses, professionals who suffer higher levels of work and personal stress are 30% more likely to suffer accidents in their workplace. This means that on the one hand the person suffering from work-related stress and/or burnout syndrome has a series of complications of varying degrees of severity and on the other hand the organisation has to bear the costs involved (e.g. sick leave).

Results & Findings

Observational, descriptive and cross-sectional study, carried out in March 2025 on the nursing staff of our Digestive Endoscopy Unit. A survey was distributed with a section for the analysis of socio-demographic data and another presenting the Maslach Burnout Inventory (MBI) questionnaire.
Descriptive statistical analysis was performed using frequency and association tables.
All questionnaires received were analysed and no exclusion criteria were established. Total sample was 30 professionals, 18 nurses (60%) and 12 TCAES (40%).

Interpreting MBI Scores	LOW BURNOUT	MODERATE BURNOUT	HIGH BURNOUT
EMOTIONAL EXHAUSTION	<19	19-26	>27
DEPERSONALIZATION	<5	6-9	>10
PERSONAL ACCOMPLISHMENT	<33	34-39	>40

Burnout Syndrome was evident in 4 professionals (13,3%) and a total of 10 professionals (33,3%) showed a tendency to suffer from it.

Summary & Discussion

Proffesionals with presence and/or tendency to suffer burnout is characterised by being a professional of nursing on a temporary contract, female, aged 31-45 years and who have been working in our Endoscopy Unit from 5 to 10 years.
It is worth emphasising that there is a significant percentage of professionals who suffer from a high level of emotional exhaustion (63,3%)
Excessive workload (73,3%) and high-pressure job (52,6%), as well as poor workplace relationships (73,7%) are the main precursors highlighted by professionals for the appearance of burn out.

Conclusion

These data show that this is a latent problem and it is therefore necessary to take measures, both of an organisational nature and to intervene in the
nursing staff.

References

Maslach C, Schaufeli WB, Leiter M. 2001. Job burnout. Annual Review of Psychology. 52, 397-422.Gordon, S. 2005.
ICN (13 January 2021). Mass Trauma Experienced by the Global Nursing Workforce. [Internet] 2021 [Access 30/03/2025] Available at: https://www.icn.ch/sites/default/files/inline-files/ICN%20COVID19%20update%20report%20FINAL.pdf
Nursing against the odds: How health care cost cutting, media stereotypes, and medical hubris undermine nurses and patient care. Ithaca, NY: ILR Press (Cornell University Press).
Baiget, D, Chapela, R, López-Pérez, A, Milà, A. Síndrome de burnout entre el personal de enfermería del Servicio de Endoscopia Digestiva del HUVH. Enferm Endosc Dig. [Internet] 2016 [Access 30/03/2025];3(2): 30-37. Available at: http://aeeed.com/documentos/publicos/revista/octubre2016/Enferm%20Endosc %20Dig.%202016;3(2)30-37.pdf

BURNOUT SYNDROME ASSESSMENT OF NURSING STAFF IN A DIGESTIVE ENDOSCOPY UNIT AT A TERTIARY REFERRAL HOSPITAL

YAIZA DEL CARMEN TORRES ZAMORA 1

1 Complejo Hospitalario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain

Event

UEG Week Berlin 2025

Topics

Nurses

Submission format

Abstract

Session

Abstracts I: Management and education

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Introduction

Burnout is an increasingly recognised occupational hazard that negatively affects clinicians' well-being, patient safety and the sustainability of healthcare systems. It is characterised by emotional exhaustion, depersonalisation, and a sense of low personal accomplishment. In this systematic review and meta-analysis, we aimed to estimate the global prevalence of burnout in gastroenterology, hepatology and endoscopy.

Aims & Methods

We searched MEDLINE, Embase, Scopus and PsycINFO, from their inception to November 2024, for studies reporting the prevalence of burnout among gastroenterologists, hepatologists and endoscopists. The primary outcome was the pooled prevalence of burnout. The secondary outcomes included the prevalence of emotional exhaustion, depersonalisation, the sense of low personal accomplishment, and gender-related differences in burnout.

Results

A total of 22 studies comprising 8,124 participants were included. The pooled prevalence of burnout was 45% (95% CI, 37% - 54%), with significant variability observed across different geographical regions, assessment tools and definitions of burnout. The pooled prevalence of emotional exhaustion was 31% (95% CI, 22% - 40%), depersonalisation was 23% (95% CI, 16% - 31%), and low sense of personal accomplishment was 25% (95% CI, 10% - 40%). Female gastroenterologists were more likely to experience burnout than males (OR 1.53; 95% CI, 1.16 – 2.01; p<0.001).

Conclusion

Almost half of gastroenterologists and endoscopists experience burnout, with females being disproportionately affected. These findings highlight the need for urgent actions to address burnout and its contributing factors, including gender disparities.

GLOBAL PREVALENCE OF BURNOUT IN GASTROENTEROLOGY, HEPATOLOGY AND ENDOSCOPY: A SYSTEMATIC REVIEW AND META-ANALYSIS

Francesca Manza 1, Mohamed G. Shiha 2, John Ong 3, Iago Rodríguez-Lago 4, Martina Müller-Schilling 5, Reena Sidhu 6

1 Sheffield Teaching Hospitals, Sheffield, United Kingdom|||University of Ferrara, Ferrara, Italy

2 University of Sheffield, Sheffield, United Kingdom|||University Hospitals of Leicester, Leicester, United Kingdom

3 University of Cambridge, Cambridge, United Kingdom|||Bedfordshire Hospitals NHS Trust, Bedford, United Kingdom

4 Hospital Universitario de Galdakao, Bilbao, Spain

5 University Hospital Regensburg, Regensburg, Germany

6 Sheffield Teaching Hospitals, Sheffield, United Kingdom|||University of Sheffield, Sheffield, United Kingdom

Conference

UEG Week Berlin 2025

Submission format

Abstract

Session

Quality, diversity and sustainability (Posters)

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Introduction

Hepatitis C has an important global impact in terms of morbidity, mortality and economic costs, being a real public health problem worldwide. The efficacy of the new direct-acting antivirals treatment determined the World Health Organization (WHO) to adopt the ambitious strategy for Global Health Sector on Viral Hepatitis in 2016, having as main objective to eliminate hepatitis C virus (HCV) by 2030. In response to this challenge, several countries have already initiated the micro-elimination strategy as part of the global C virus eradication program.

Aims & Methods

We aimed to evaluate the prevalence of HCV infection and risk factors in a Romanian village population-based screening and link these data to the antiviral treatment.We conducted a prospective study from 1 March2022 to 28 February 2023, based on a strategy as part of a project designed to educate, screen, treat and eliminate HCV infection in all adults, in a village located in Northeastern Romania. All demographic data and risk factors for HCV infection were collected through a questionnaire.

Results

In total, 3507 subjects were invited to be screened by rapid diagnostic orientation tests. Overall, 2945 (84%) subjects were tested, out of whom 78 (2.64%) were found with positive HCV antibodies and were scheduled for further evaluation in tertiary center of gastroenterology/hepatology, in order to be linked to care. A number of 66 (85%) subjects presented for evaluation and 55 (83%) had HCV RNA detectable. Of these, 54 (98%) completed antiviral treatment and 53 (99%) obtained sustained virological response. The main risk factors associated with chronic HCV infection were family history of HCV (OR=2.23, 95%CI=1.37–3.5, p<0.0001), professional exposure to blood products (OR=0.25, 95%CI=0.11-0.53, p<0.0001), blood transfusions performed before 1992 (OR=3.21, 95%CI=2.25-4.52, p<0.0001), abortions undergone before 1990 (OR=1.35, 95%CI=1.02-1.9, p<0.023), multiple surgical interventions (OR=1.32, 95%CI=1.05-1.72, p<0.038) and sharing personal hygiene objects (OR=1.45, 95%CI=1.12-1.73, p<0.002).

Conclusion

The elimination of hepatitis C worldwide has become a reality, with higher chances of success if micro-elimination strategies based on mass screening are adopted. At the same time, sustained effort it required from all. The development of screening programs can facilitate the cascade of care from diagnosis to treatment of all patients and the achievement of WHO objectives.

HEPATITIS C VIRUS PREVALENCE AND RISK FACTORS IN A VILLAGE FROM NORTHEASTERN ROMANIA - THE FIRST STEP TO VIRAL MICRO-ELIMINATION

Laura Huiban 1, Carol Stanciu 2, Cristina Maria Muzica 2, Robert Nastasa 2, Sebastian Zenovia 2, Remus Stafie 2, Stratina Ermina 2, Adrian Rotaru 2, Ana Maria Singeap 2, Camelia Cojocariu 2, Catalin Sfarti 2, Irina Girleanu 2, Stefan Chiriac 2, Tudor Cuciureanu 2, Anca-Victorita Trifan 2

1 “Grigore T. Popa“ University of Medicine and Pharmacy, Iasi, Romania|||"St. Spiridon" Emergency Hospital Iasi, Iasi, Romania

2 "St. Spiridon" Emergency Hospital Iasi, Iasi, Romania|||“Grigore T. Popa“ University of Medicine and Pharmacy, Iasi, Romania

Conference

UEG Week Copenhagen 2023

Topics

Hepatobiliary

Submission format

Abstract

Session

PP 07 Liver & biliary (Posters)

Citation

United European Gastroenterology Journal 2023; 11 (Supplement 8)

Published

2023

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Introduction

In order to meet the requirements of the WHO, namely - the eradication of viral hepatitis by 2030, UMF “Grigore T. Popa” from Iasi together with ARAS and the Hospital “St. Spiridon" from Iasi, carries out since 2020 the project "LIVE(RO) 2 - Integrated regional program for prevention, early detection (screening), diagnosis and targeting treatment of patients with chronic liver disease secondary to viral infections with liver viruses B/D and C in the North-East and South-East regions”.

Aims & Methods

This study aimed to assess the epidemiological characteristics of the vulnerable population in the eastern part of the country diagnosed with chronic B/D and C viral infection. Between July 2021 and April 2023, we performed a prospective screening of chronic viral hepatitis B/D and C in vulnerable people in the counties of North-East and South-East of Romania, within the national program LIVE(RO) 2 - EST. Rapid diagnostic tests were used to detect HBs antigen (HBsAg) and anti-HCV antibodies (HCVA): HBV (Wama Immuno-Rapid HBV®) and HCV (Wama Immuno-Rapid HCV®). Rapid test-positive patients were tested for HBV DNA and HCV RNA and those eligible under the national protocol were treated with antivirals.

Results

The study included 55593 individuals tested rapidly, of which 2160 (3.8%) patients were tested positive (1120 women, 1040 men, mean age 55.86 ± 6.023 years, predominantly rural background - 76.19%). Of these, 1077 (49.8%) were HBsAg positive, 918 (42.5%) with HCV positive needle, 37 (1.7%) HBV/HCV coinfection and 128 (5.9%) HBV/VHD coinfection. HBV-DNA was performed in 724 (67.3%) individuals, of which 452 (62.5%) subjects > 2,000 children/ml. Also, 518 (54.3%) patients with HCV-positive Ac had detectable HCV RNA, of which 375 (72.3%) received antiviral treatment. Depending on the ethnicity, the prevalence of viral infection was 4.29% in Roma people and 3.23% in Romanian people. Among the vulnerable groups determined by work, inactive people (27.7%), uninsured people (11.2%), unskilled people (1.87%), unemployed people (0.6%) and people working in agriculture (0.59%) were predominantly tested. Among the special vulnerable groups, people with disabilities (3.99%), people addicted to alcohol (2.43%) and people with a minimum income (1.21%) were predominantly tested.

Conclusion

The high prevalence of B/D and C viral infection in the vulnerable population tested in the North-East and South-East Region of Romania compared to the rest of the population, indicates the significant viral spread of the infection in these people, a condition that requires further testing and the need for policies public health in vulnerable groups to promote access to existing health services and early initiation of optimal antiviral treatment.

EPIDEMIOLOGY OF CHRONIC VIRAL HEPATITIS B/D AND C IN THE VULNERABLE POPULATION IN THE NORTH-EAST AND SOUTH-EAST REGIONS OF ROMANIA – INTERMEDIATE STAGE RESULTS IN THE LIVE(RO)2 - EAST SCREENING

Anca-Victorita Trifan 1, Laura Huiban 2, Cristina Maria Muzica 1, Robert Nastasa 1, Sebastian Zenovia 2, Remus Stafie 1, Ermina Stratina 2, Adrian Rotaru 1, Ana Maria Singeap 1, Camelia Cojocariu 1, Catalin Sfarti 3, Irina Girleanu 2, Stefan Chiriac 1, Horia-Octav Minea 1, Tudor Cuciureanu 1, Carol Stanciu 1

1 “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania|||“St. Spiridon” Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania

2 “St. Spiridon” Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania|||“Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania

3 “St. Spiridon” Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania

Conference

UEG Week Copenhagen 2023

Topics

Hepatobiliary

Submission format

Abstract

Session

PP 07 Liver & biliary (Posters)

Citation

United European Gastroenterology Journal 2023; 11 (Supplement 8)

Published

2023

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UEG Week+ | Burnout in European Gastroenterology - A call to action

Iago Rodríguez-Lago, Reena Sidhu, Martina Müller-Schilling

Event

UEG Week Copenhagen 2023

Session

UEG Week+ | Burnout in European Gastroenterology - A call to action

Published

2023

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Introduction

Although chronic alcohol consumption has progressively decreased in recent years, a third of people over 15 years declare at least one episode of excessive use every month, which ranks Romania on second position, with a rate of 35%, far above the average registered in the EU (20%). Therefore, Romania has one of the highest incidence rates of alcohol-related liver cirrhosis, which has become a major public health problem. This study aimed to investigate the prevalence of liver fibrosis in the asymptomatic alcohol-consuming population.

Aims & Methods

The study aimed to evaluate the relationship between advanced liver fibrosis measured by transient elastography, laboratory parameters, and the amount of alcohol consumed depending on non-modifiable risk factors such as age and gender. Between January 2022 and December 2022, we examined patients with day hospitalization in the Institute of Gastroenterology and Hepatology in Iasi, without liver history, who admitted a moderate or high consumption (women <7 versus >7 drinks/week; men <14 versus >14 drinks/week) for at least one year. The classification of the fibrosis stage by transient elastography was adjusted according to transaminase values. The results were analyzed by univariate analysis and logistic regression to establish models of prediction.

Results

The study included 689 patients with an average age of 49.32±14.31 years, a proportion of 63.7% represented by men. Advanced fibrosis (³ F3) was detected in 19.30% of the examined patients, predominantly in men (14.1%) and patients over 55 years old (12.5%). Excessive alcohol consumption is associated 2 times more with advanced fibrosis in women (OR=5.08; CI 95%: 3.45-9.50, p<0,001) and the group under 40 years old (OR=6.29; CI 95%: 1.67-9.43, p<0,001) compared to men (OR=2.27; CI 95%: 1.76-3.81, p=0,012) respectively patients over 55 years old (OR=3.21; CI 95% : 2.28-4.45 p<0,001). Using logistic regression, it was demonstrated that there was a strong correlation between advanced fibrosis, excessive alcohol consumption, low serum albumin level and the reduction of triglycerides in men (R² Nagelkerke = 0.854; p<0.001) supplemented with the reduction of cholesterol in the age group 40-55 years (R² Nagelkerke = 0.785; p<0.001), respectively of ferritin in those over 55 years old (R² Nagelkerke = 0.804; p<0.001). The association of excessive alcohol consumption, age, low levels of albumin, LDL-cholesterol and C-reactive protein generated a significant predictive model (R² Nagelkerke = 0.784; p<0.001) for female patients.

Conclusion

Screening using transient elastography represents an approach that could provide early diagnosis of advanced liver fibrosis in an asymptomatic population, with the possibility to prevent the evolution of ALD and the development of complications of cirrhosis.

THE RELATIONSHIP BETWEEN ALCOHOL CONSUMPTION AND THE PRESENCE OF ADVANCED LIVER FIBROSIS IN THE GENERAL POPULATION

Horia-Octav Minea 1, Carol Stanciu 1, Sebastian Zenovia 1, Robert Nastasa 1, Ermina Stratina 1, Remus Stafie 1, Adrian Rotaru 1, Catalin Sfarti 1, Stefan Chiriac 1, Ana Maria Singeap 1, Irina Girleanu 1, Tudor Cuciureanu 1, Cristina Maria Muzica 1, Camelia Cojocariu 1, Laura Huiban 1, Anca-Victorita Trifan 1

1 University of Medicine and Pharmacy Gr.T.Popa/Institute of Gastroenterology and Hepathology Iasi, Iasi, Romania

Conference

UEG Week Copenhagen 2023

Topics

Hepatobiliary

Submission format

Abstract

Session

PP 07 Liver & biliary (Posters)

Citation

United European Gastroenterology Journal 2023; 11 (Supplement 8)

Published

2023

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