{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:46:48Z","timestamp":1792108008396,"version":"4.4.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objectives Burnout is underinvestigated in endoscopy. Given the increasing complexity of endoscopic practice, understanding burnout is crucial to addressing the problem and finding possible risk and protective factors.<\/jats:p>\n                  <jats:p>Methods A survey with 38 questions was internationally distributed via professional networks and social media. The survey investigated demographic data, professional experience, mentorship, work\u2013life balance, and burnout. Burnout\u2019 three symptoms were: feeling exhausted, feeling negative, and feeling emotionally drained. Individuals with all three symptoms were defined as burnout, whereas those having at least one symptom were defined as at risk of burnout. Univariate and multivariate statistical analyses were conducted using SPSS 30.0.<\/jats:p>\n                  <jats:p>Results Totally, 553 endoscopists from 48 countries responded (51% male). Overall, 31% of the endoscopists were classified as having burnout, whereas 42% were considered at risk. At multivariable analysis, the delay of planning to have a family due to career was independently associated with burnout, OR: 2.48 [1.59\u20132.88]. Protective factors against burnout were: working in Asia 0.59 [0.38\u20130.93] and having a supportive mentor 0.50 [0.30\u20130.82].<\/jats:p>\n                  <jats:p>Conclusion One out of every three endoscopists who responded to the questionnaire possessed features of burnout and one out of every two is at risk of developing it. Delay in family planning was associated with burnout, whereas working in Asia and having a supportive mentor were protective. This results may allow targeting of supportive programs to reduce burnout.<\/jats:p>","DOI":"10.1055\/a-2932-0577","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:59:22Z","timestamp":1792105162000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Burnout in Gastrointestinal Endoscopy"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9774-2374","authenticated-orcid":false,"given":"Clara Benedetta","family":"Conti","sequence":"additional","affiliation":[{"name":"IRCCS San Gerardo dei Tintori Foundation Hospital, Lombardy, Italy","place":["Monza"],"department":["Interventional Endoscopy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9220-6465","authenticated-orcid":false,"given":"Susanne M","family":"O\u2019Reilly","sequence":"additional","affiliation":[{"name":"St Vincent\u2019s University Hospital, Ireland","place":["Dublin"],"department":["Centre for Colorectal Disease"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4025-6735","authenticated-orcid":false,"given":"Belen","family":"Martinez-Moreno","sequence":"additional","affiliation":[{"name":"Hospital General Universitario Dr Balmis, Valencian Community, Spain","place":["Alicante"],"department":["Endoscopy Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina Gabriela","family":"Diaconu","sequence":"additional","affiliation":[{"name":"HELIOS Universit\u00e4tsklinikum Wuppertal, Germany","place":["Wuppertal"],"department":["Department for Gastroenterology and Interventional Endoscopy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didintle","family":"Mokgoko","sequence":"additional","affiliation":[{"name":"Charlotte Maxeke Johannesburg Academic Hospital, South Africa","place":["Johannesburg"],"department":["Division of Gastroenterology, Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malina","family":"Wiesand","sequence":"additional","affiliation":[{"name":"Clarunis University Digestive Health Care Center, Switzerland","place":["basel"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preetha","family":"Thomas","sequence":"additional","affiliation":[{"name":"Mediclinic Kloof Hospital, South Africa","place":["pretoria"],"department":["Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Tabacelia","sequence":"additional","affiliation":[{"name":"Elias Emergency University Hospital, Bucharest, Romania","place":["Bucharest"],"department":["Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Merten","sequence":"additional","affiliation":[{"name":"University Hospital Muenster, Germany","place":["munster"],"department":["Department of General, Visceral and Transplant Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nada","family":"El-Domiaty","sequence":"additional","affiliation":[{"name":"Helwan University, Cairo Governorate, Egypt","place":["Helwan"],"department":["Endemic Medicine Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morenike","family":"Osundina","sequence":"additional","affiliation":[{"name":"University College Hospital Ibadan, Nigeria","place":["Ibadan"],"department":["Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadil","family":"Layka","sequence":"additional","affiliation":[{"name":"HELIOS Hospital Krefeld, NRW, Germany","place":["Krefeld"],"department":["Department for Gastroenterology and Interventional Endoscopy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"De Silvestri","sequence":"additional","affiliation":[{"name":"Foundation IRCCS Policlinico S. Matteo, Pavia, Italy","place":["Pavia"],"department":["Clinical Epidemiology and Biometric Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7112-4383","authenticated-orcid":false,"given":"Marianna","family":"Arvanitakis","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Libre de Bruxelles - Campus Erasme, Belgium","place":["Bruxelles"],"department":["Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7167-1459","authenticated-orcid":false,"given":"Cesare","family":"Hassan","sequence":"additional","affiliation":[{"name":"Humanitas University, Italy","place":["Milan"],"department":["Department of Biomedical Sciences"]},{"name":"IRCCS Humanitas Research Hospital, Italy","place":["Rozzano"],"department":["Endoscopy Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrita","family":"Sethi","sequence":"additional","affiliation":[{"name":"Northwestern Medicine Central DuPage Hospital, Illinois, United States","place":["Winfield"],"department":["Division of Digestive and Liver Disease"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Repici","sequence":"additional","affiliation":[{"name":"Humanitas University, Seleziona, Italy","place":["Pieve Emanuele, Milan"],"department":["Department of Biomedical Sciences"]},{"name":"IRCCS Humanitas Research Hospital, Italy","place":["Rozzano"],"department":["Digestive Endoscopy Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Maselli","sequence":"additional","affiliation":[{"name":"IRCCS Humanitas Research Hospital, Italy","place":["Rozzano"],"department":["Endoscopic Unit, Department of Gastroenterology"]},{"name":"Humanitas University, Italy","place":["Rozzano"],"department":["Department of Biomedical Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5271\/sjweh.3935","article-title":"Harmonized definition of occupational burnout: a systematic review, semantic analysis, and Delphi consensus in 29 countries","volume":"47","author":"I Guseva Canu","year":"2021","journal-title":"Scand J Work Environ Health"},{"key":"ref3","first-page":"191","volume-title":"Maslach burnout inventory: third edition","author":"C Maslach","year":"1997"},{"key":"ref4","first-page":"187","volume-title":"Burnout syndrome and depression","author":"E Bianchi","year":"2018"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"743","DOI":"10.2471\/BLT.23.289996","article-title":"Examining the evidence base for burnout","volume":"101","author":"R Bianchi","year":"2023","journal-title":"Bull World Health Organ"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.burn.2014.03.003","article-title":"Relationship between burnout and depressive symptoms: a study using the person-centred approach","volume":"1","author":"K Ahola","year":"2014","journal-title":"Burn Res"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1133484","DOI":"10.3389\/fpubh.2023.1133484","article-title":"The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: a mixed methods systematic review","volume":"11","author":"E Ryan","year":"2023","journal-title":"Front Public Health"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40359-021-00576-9","article-title":"Subjective cognitive complaints in patients with stress-related exhaustion disorder: a cross sectional study","volume":"9","author":"A Nelson","year":"2021","journal-title":"BMC Psychol"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1186\/s12888-021-03454-1","article-title":"Impaired cognitive functioning in stress-induced exhaustion disorder: a new tablet-based assessment","volume":"21","author":"A Bartfai","year":"2021","journal-title":"BMC Psychiatry"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"e14519","DOI":"10.1016\/j.heliyon.2023.e14519","article-title":"Burnout dimension profiles among healthcare workers in Indonesia","volume":"9","author":"A Lamuri","year":"2023","journal-title":"Heliyon"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"e0300377","DOI":"10.1371\/journal.pone.0300377","article-title":"Determinants of intention to leave among nurses and physicians in a hospital setting during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"19","author":"N de Vries","year":"2024","journal-title":"PLoS One"},{"issue":"11","key":"ref14","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1001\/jama.2018.12777","article-title":"Prevalence of burnout among physicians: a systematic review","volume":"320","author":"L S Rotenstein","year":"2018","journal-title":"JAMA"},{"issue":"09","key":"ref15","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1111\/jgh.15488","article-title":"The prevalence of burnout, risk factors, and job-related stressors in gastroenterologists: a systematic review","volume":"36","author":"J Ong","year":"2021","journal-title":"J Gastroenterol Hepatol"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1136\/flgastro-2018-100984","article-title":"Stress and its causes in UK gastroenterologists: results of a national survey by the British Society of Gastroenterology","volume":"10","author":"D Gleeson","year":"2019","journal-title":"Front Gastroenterol"},{"issue":"11","key":"ref17","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1080\/00365521.2021.1961308","article-title":"Burnout in gastrenterologists: a national-level analysis","volume":"56","author":"C Correia","year":"2021","journal-title":"Scand J Gastroenterol"},{"issue":"10","key":"ref18","doi-asserted-by":"crossref","first-page":"1734","DOI":"10.1038\/ajg.2011.148","article-title":"Increased levels of stress and burnout are related to decreased physician experience and to interventional gastroenterology career choice: findings from a US survey of endoscopists","volume":"106","author":"R N Keswani","year":"2011","journal-title":"Am J Gastroenterol"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"358","DOI":"10.15403\/jgld-3687","article-title":"Negative effects of endoscopists\u2019 fatigue on colonoscopy quality on 34,022 screening colonoscopies","volume":"30","author":"Z Dong","year":"2021","journal-title":"J Gastrointestin Liver Dis"},{"issue":"07","key":"ref20","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1177\/13591053221136928","article-title":"Using social media to recruit individuals for health-related research: feasibility and lessons learned","volume":"28","author":"L E Walsh","year":"2023","journal-title":"J Health Psychol"},{"issue":"11","key":"ref21","doi-asserted-by":"crossref","first-page":"e286","DOI":"10.2196\/jmir.5698","article-title":"The use of social media in recruitment for medical research studies: a scoping review","volume":"18","author":"J Topolovec-Vranic","year":"2016","journal-title":"J Med Internet Res"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"637547","DOI":"10.3389\/fpsyg.2021.637547","article-title":"A review of key likert scale development advances: 1995\u20132019","author":"A T Jebb","year":"2021","journal-title":"Front Psychol"},{"issue":"04","key":"ref23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.JAA.0001007336.48746.90","article-title":"PA and NP burnout in orthopedic surgery","volume":"37","author":"A V Drennen","year":"2024","journal-title":"JAAPA"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.jss.2024.06.037","article-title":"Prevalence and associated factors of burnout in pediatric general surgery fellows","volume":"301","author":"B Ochoa","year":"2024","journal-title":"J Surg Res"},{"issue":"11","key":"ref25","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1016\/j.jsurg.2024.08.001","article-title":"Effects of mentorship on surgery residents\u2019 burnout and well-being: a scoping review","volume":"81","author":"E D Gaeta","year":"2024","journal-title":"J Surg Educ"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1055\/a-2839-7450","article-title":"Beyond the scope: a global perspective on gender disparity among advanced endoscopists","author":"S M O\u2019Reilly","year":"2026","journal-title":"Endoscopy"},{"issue":"15","key":"ref27","doi-asserted-by":"crossref","first-page":"100316","DOI":"10.1016\/j.jposna.2025.100316","article-title":"Advancing women in orthopaedic surgery: new insights and strategies for mentorship, sponsorship, and coaching","volume":"6","author":"R E Glavin","year":"2026","journal-title":"J Pediatr Soc North Am"},{"issue":"01","key":"ref28","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1186\/s12913-026-14288-6","article-title":"Prevalence of burnout among pediatric surgical resident physicians and the role of mentorship: a cross-sectional study","volume":"26","author":"A F Alshehri","year":"2026","journal-title":"BMC Health Serv Res"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2932-0577.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:59:26Z","timestamp":1792105166000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2932-0577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":25,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a29320577"],"URL":"https:\/\/doi.org\/10.1055\/a-2932-0577","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]}}}