Abstract
Working with cancer patients is a highly demanding task. Both, caring for physical, social and spiritual needs of cancer patients as well as an overwhelming bureaucratisation, and technologisation challenge oncologists in a way that may cause mental and physical exhaustion, often—paradoxically—despite high job and specialty satisfaction. This article (i) summarises research findings with a special focus on oncologists’ burnout (including factors associated with the phenomffenon), job satisfaction and physical health; (ii) describes potential consequences of burnout and distress, e.g., shortcomings in the physician–patient interaction in oncological treatment settings, financial implications on the health-care system, etc.; and (iii) reviews published data for interventions that may prevent or alleviate oncologists’ burnout on an organisational and/or individual level.
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References
Banerjee S, Califano R, Corral J et al (2017) Professional burnout in European young oncologists: Results of the European Society for Medical Oncology (ESMO) young oncologists committee burnout survey. Ann Oncol 28:1590–1596
Blanchard P, Truchot D, Albiges-Sauvin L et al (2010) Prevalance and causes of burnout amongst oncology residents: A comprehensive nationwide cross-sectional study. Eur J Cancer 46:2708–2715
Dieci MV, Massari F, Giusti R et al (2018) Gender influence on professional satisfaction and gender issue pereption among young oncologists. A survey of the Young Oncologists Working Group of the Italian Association of Medical Oncology (AIOM). ESMO Open 3:e000389
Dewa CS, Loong D, Bonato S, Trojanowski L (2017) The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review. BMJ Open 7:e015141
Eelen S, Bauwens S, Baillon C et al (2014) The prevalence of burnout among oncology professionals: oncologists are at risk of developing burnout. Psycho-Oncology 23:1415–1422
Hall LH, Johnson J, Watt I, Tsipa A, O’Connor DB (2016) Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PLoS ONE 11:e0159015
Han S, Shanafelt TD, Sinsky CA et al (2019) Estimating the attributable cost of physician burnout in the United States. Ann Intern Med 170:784–790
Hipp M, Pilz L, Al-Batran SE et al (2015) Workload and quality of life of medical doctors in the field of oncology in Germany–a survey of the working group quality of life of the AIO for the study group of internal oncology. Oncol Res Treat 38:154–159
Hlubocky FJ, Taylor LP, Marron JM et al (2020).A call to action: Ethics committee roundtable recommendations for addressing burnout and moral distress in oncology. JCO Oncol Practice 16:191–199
Korzilius H (2020) MB-Monitor 2019: Ärzte fühlen sich überlastet. Dtsch Arztebl 117:B168-169
Lazarescu I, Dubray B, Joulakian MB et al (2018) Prevalence of burnout, depression and job satisfaction among french senior and resident radiation oncologists. Cancer Radiotherapie 22:784–789
Maslach C, Jackson SE, Leiter MP (1986) The Maslach Burnout Inventory Manual. Consulting Psychologists Press, Palo Alto
Maske UE, Riedel-Heller SG, Seiffert I et al (2016) Häufigkeit und psychiatrische Komorbiditäten von selbstberichtetem diagnostiziertem Burnout-Syndrom. Psychiat Prax 43:18–24
McFarland DC, Hlubocky F, Susaimanickam B et al (2019) Adressing depression, burnout, and suicide in oncology physicians. Am Soc Clin Oncol Educ Book 39:590–598
Medscape (2020) Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide (Page 5/29). https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460#5. Accessed 7 Jul 2020
Murali K, Makker V, Lynch J, Banerjee S (2018) From burnout to resilience: An update for oncologists. Am Soc Clin Oncol Educ Book 38:862–872
Osborn VW, Doke K, Griffith KA et al (2019) A survey of female radiation oncology residents´ experiences to inform change. Int J Radiat Oncol Biol Phys 104:999–1008
Paiva CE, Martins BP, Ribeiro Paiva BS (2018) Doctor, are you healthy? A cress-sectional investigation of oncologist burnout, depression, and anxiety and an investigation of their associated factors. BMC Cancer 18:1044
Raphael MJ, Fundytus A, Hopman WM et al (2019) Medical oncology job satisfaction: Results of a global survey. Sem Oncol 46:73–82
Raspe M, Koch P, Zilezinski M et al (2020) Arbeitsbedingungen und Gesundheitszustand junger Ärzte und professionell Pflegender in deutschen Krankenhäuser. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 63:113–121
Shanafelt TD, Gradishar WJ, Kosty, et al (2014) Burnout and career satisfaction among US oncologists. J Clin Oncol 32:678–686
Smith TG, Troeschel AN, Castro KM et al (2019) Perceptions of Patients With Breast and Colon Cancer of the Management of Cancer-Related Pain, Fatigue, and Emotional Distress in Community Oncology. J Clin Oncol 37:1666–1676
Tauchert FK, Bankstahl UK, Winkler EC et al (2015) Changing symptom burden in cancer patients: Does physician-patient communication cover physical, psychological, and social discomfort? A Survey among 2009 German patients. J Clin Oncol 33 (suppl; abstr. e17717)
Travado L, Grassi L, Gil F et al (2005) Physician-patient communication among Southern European cancer physicians: the influence of psychosocial orientation and burnout. Psychooncology 14:661–670
Yates M, Samuel V (2019) Burnout in oncologists and associated factors: A systematic literature review and metaanalysis. Eur J Cancer Care 28:e13094
Weltärztebund (2018) Warnung vor “Burnout-Pandemie.” Dtsch Arztebl 115:A1844
West C, Dyrbye LN, Erwin P, Shanafelt TD (2016) Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 388:2272–2281
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Hofheinz, RD. (2021). Routine Oncology Treatment and Its Human Deficits. In: Bauer, A.W., Hofheinz, RD., Utikal, J.S. (eds) Ethical Challenges in Cancer Diagnosis and Therapy. Recent Results in Cancer Research, vol 218. Springer, Cham. https://doi.org/10.1007/978-3-030-63749-1_15
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DOI: https://doi.org/10.1007/978-3-030-63749-1_15
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