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DOI: 10.5935/2526-8732.20220320
Coping strategies to prevent or reduce stress and burnout among oncology physicians: a systematic review
Estratégias de enfrentamento para prevenir ou reduzir o estresse e o burnout entre médicos oncologistas: uma revisão sistemáticaFinancial support: None to declare.

ABSTRACT
The purpose of this systematic review (SR) was to identify interventions that are effective to prevent or reduce stress and burnout among oncologists. Search was conducted in eight electronic databases and grey literature databases, with no language or time restrictions. Included studies involved medical oncologists and contained interventions to prevent or deal with stress or burnout with outcomes assessment. In two selection phases process, 19 out of 3,020 studies were included. Risk of bias was low for nine studies, moderate for six studies and high for four ones. Certainty of evidence was considered low and very low for the analyzed outcomes. Interventions varied a lot and those which had a significant effect in stress and burnout reduction among oncologists were experience sharing between female doctors in virtual groups, integrative meetings outside the work environment, and team sessions supervised by counselors. Although interventions had variable effects on reducing or preventing burnout and stress, mores studies are needed due to outcomes low evidence.
RESUMO
O objetivo desta revisão sistemática (RS) foi identificar intervenções eficazes para prevenir ou reduzir o estresse e o burnout entre oncologistas. A busca foi realizada em oito bases de dados eletrônicas e bases de dados de literatura cinzenta, sem restrições de idioma ou tempo. Os estudos incluídos envolveram médicos oncologistas e continham intervenções para prevenir ou lidar com o estresse ou burnout com avaliação de resultados. Em duas fases de seleção, 19 dos 3.020 estudos foram incluídos. O risco de viés foi baixo para nove estudos, moderado para seis estudos e alto para quatro. A certeza da evidência foi considerada baixa e muito baixa para os desfechos analisados. As intervenções variaram muito e as que tiveram efeito significativo na redução do estresse e do burnout entre os oncologistas foram o compartilhamento de experiências entre médicas em grupos virtuais, reuniões integrativas fora do ambiente de trabalho e sessões de equipe supervisionadas por conselheiros. Embora as intervenções tenham efeitos variáveis na redução ou prevenção de burnout e estresse, mais estudos são necessários devido à baixa evidência dos resultados.
Keywords:
Oncologists - Burnout - Professional - Stress - Psychological - Systematic review - Evaluation of the efficacy-effectiveness of interventionsDescritores:
Oncologistas - Burnout - Profissional - Estresse Psicológico - Revisão sistemática - Avaliação da eficácia-efetividade das intervençõesPublikationsverlauf
Eingereicht: 16. November 2021
Angenommen: 13. Februar 2022
Artikel online veröffentlicht:
07. April 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Anne Calbusch Schmitz, Camila da Rosa Witeck, Julia Meller Dias de Oliveira, Mark Clemons, Carlos Eduardo Paiva, Andre Luís Porporatti, Graziela de Luca Canto, Suely Grosseman. Coping strategies to prevent or reduce stress and burnout among oncology physicians: a systematic review. Brazilian Journal of Oncology 2022; 18: e-20220320.
DOI: 10.5935/2526-8732.20220320
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