{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:42:19Z","timestamp":1791999739712,"version":"4.4.0"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:00:00Z","timestamp":1658188800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018063","name":"Bowel Research UK","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100018063","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Ileostomy and Internal Pouch Association"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Decision-making under uncertainty may be influenced by an individual\u2019s personality. The primary aim was to explore associations between surgeon personality traits and colorectal anastomotic decision-making.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Colorectal surgeons worldwide participated in a two-part online survey. Part 1 evaluated surgeon characteristics using the Big Five Inventory to measure personality (five domains: agreeableness; conscientiousness; extraversion; emotional stability; openness) in response to scenarios presented in Part 2 involving anastomotic decisions (i.e. rejoining the bowel with\/without temporary stomas, or permanent diversion with end colostomy). Anastomotic decisions were compared using repeated-measure ANOVA. Mean scores of traits domains were compared with normative data using two-tailed t tests.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 186 surgeons participated, with 127 surgeons completing both parts of the survey (68.3 per cent). One hundred and thirty-one surgeons were male (70.4 per cent) and 144 were based in Europe (77.4 per cent). Forty-one per cent (77 surgeons) had begun independent practice within the last 5 years. Surgeon personality differed from the general population, with statistically significantly higher levels of emotional stability (3.25 versus 2.97 respectively), lower levels of agreeableness (3.03 versus 3.74), extraversion (2.81 versus 3.38) and openness (3.19 versus 3.67), and similar levels of conscientiousness (3.42 versus 3.40 (all P &amp;lt;0.001)). Female surgeons had significantly lower levels of openness (P &amp;lt;0.001) than males (3.06 versus 3.25). Personality was associated with anastomotic decision-making in specific scenarios.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Colorectal surgeons have different personality traits from the general population. Certain traits seem to be associated with anastomotic decision-making but only in specific scenarios. Further exploration of the association of personality, risk-taking, and decision-making in surgery is necessary.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjs\/znac200","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T10:48:40Z","timestamp":1664966920000},"page":"1156-1163","source":"Crossref","is-referenced-by-count":20,"title":["Exploring variation in surgical practice: does surgeon personality influence anastomotic decision-making?"],"prefix":"10.1093","volume":"109","author":[{"given":"Carly N","family":"Bisset","sequence":"first","affiliation":[{"name":"Department of General Surgery, Royal Alexandra Hospital , Paisley , UK"},{"name":"Department of Medical Education, University of Aberdeen , Aberdeen , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7678-1451","authenticated-orcid":false,"given":"Eamonn","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Nottingham , Nottingham , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewan","family":"MacDermid","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, University of Sydney , Sydney , Australia"},{"name":"Department of Colorectal Surgery, Bankstown-Lidcombe Hospital, Australia University of Sydney , Sydney, NSW , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon L","family":"Stein","sequence":"additional","affiliation":[{"name":"UHRISES: Research in Surgical Outcomes and Effectiveness, University Hospital Cleveland Medical Center , Cleveland, OH , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuha","family":"Yassin","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, The Royal Wolverhampton NHS Trust , Wolverhampton , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Dames","sequence":"additional","affiliation":[{"name":"Association of Coloproctology of Great Britain & Ireland Patient Liaison Group , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah S","family":"Keller","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, University of California Davis , Sacramento, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Oliphant","sequence":"additional","affiliation":[{"name":"Department of Medical Education, University of Aberdeen , Aberdeen , UK"},{"name":"Department of Colorectal Surgery, Raigmore Hospital , Inverness , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon H","family":"Parson","sequence":"additional","affiliation":[{"name":"Department of Medical Education, University of Aberdeen , Aberdeen , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Cleland","sequence":"additional","affiliation":[{"name":"Medical Education Research and Scholarship Unit, Lee Kong Chian School of Medicine, Nanyang Technological University , Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan J","family":"Moug","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Alexandra Hospital , Paisley , UK"},{"name":"School of Medicine, Dentistry and Nursing, University of Glasgow , Glasgow , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,7,19]]},"reference":[{"key":"2023063011143907500_znac200-B1","volume-title":"Theories of Personality","author":"Ryckman","year":"2012"},{"key":"2023063011143907500_znac200-B2","doi-asserted-by":"crossref","first-page":"273","DOI":"10.4135\/9781849200462.n13","volume-title":"The SAGE Handbook of Personality Theory and Assessment, Vol. 1. 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