MARC details
000 -LEADER |
fixed length control field |
03152nam a22004457a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
201231s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1195-9479 |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
33325351 |
245 ## - TITLE STATEMENT |
Title |
The impact of gender and institutional factors on depression and suicidality in urology residents. |
251 ## - Source |
Source |
Canadian Journal of Urology. 27(6):10471-10479, 2020 Dec. |
252 ## - Abbreviated Source |
Abbreviated source |
Can J Urol. 27(6):10471-10479, 2020 Dec. |
253 ## - Journal Name |
Journal name |
The Canadian journal of urology |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
ppublish |
266 ## - Date added to catalog |
Date added to catalog |
2020-12-31 |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: Urology trainees experience high rates of depression and SI. Female residents have significantly higher risk of depression. A single-item appears useful to screen for SI. Further investigation is needed to understand and promote urology resident wellness. |
520 ## - SUMMARY, ETC. |
Abstract |
INTRODUCTION Surgical trainees experience high rates of depression and suicidal ideation (SI). However, there remain a gap in knowledge on the drivers of depression and SI in trainees, especially within the field of urology. |
520 ## - SUMMARY, ETC. |
Abstract |
MATERIALS AND METHODS: We conducted a national study of urology trainees using a 50-item questionnaire in May 2018. The survey included demographic, depression (Patient Health Questionnaire-9 (PHQ-9)), burnout (Maslach Burnout Inventory (MBI)), and quality of life (QoL) questions. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Overall, 37 (17.6%) endorsed depression; 24 residents endorsed SI (11%). SI was higher in those with depression (p < 0.001). Burnout was also higher among depressed residents (97.3% versus 61.8%, p < 0.001) and those endorsing SI (16.1% versus 1.5%, p < 0.001). Depression was associated with female gender (29.2% versus 12.4%, p = 0.005), fatigue (29.5% versus 7.8%, p < 0.001), and lack of structured mentorship (23.7% versus 9.8%, p = 0.010). Access to mental health services was protective (p = 0.016). Older age, low QoL, dissatisfaction with work-life-balance (WLB), and fatigue were associated with SI. On adjusted analysis, gender (OR 3.1 [95%CI 1.4-6.9], p = 0.006), fatigue (OR 3.8[95%CI 1.6-9.0], p = 0.002), and burnout (OR 16.7 [95%CI 2.2-127.5], p = 0.007) increased the odds of depression. On exploratory analysis, self-reported burnout alone was predictive of SI (OR 7.6 [95%CI 2.5-23]), and performed similarly to an adjusted model (AUC Area 0.718 [95%CI 0.634-0.802] versus 0.825 [0.753-0.897]). |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Health |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Health Research Institute |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar Shah Medical Group |
656 ## - INDEX TERM--OCCUPATION |
Department |
Urology |
656 ## - INDEX TERM--OCCUPATION |
Department |
Urology; Literature and Medicine |
656 ## - INDEX TERM--OCCUPATION |
Department |
Vice President |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Alger, Jordan |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Krasnow, Ross |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Lynch, John H |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Marchalik, Daniel |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Mete, Mihriye |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Padmore, Jamie |
790 ## - Authors |
All authors |
Alger J, Catomeris A, Goldman C, Krasnow R, Lynch JH, Marchalik D, Mete M, Padmore J, Rodriguez A |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |