1081O_PR - Professional Burnout in European Young Oncologists: a European Survey conducted by the European Society for Medical Oncology (ESMO) Young Oncologis...

Date 28 September 2014
Event ESMO 2014
Session Issues facing oncologists today
Topics Bioethics, Legal, and Economic Issues
Presenter Susana Banerjee
Citation Annals of Oncology (2014) 25 (5): 1-41. 10.1093/annonc/mdu438
Authors S. Banerjee1, R. Califano2, J. Corral3, E. De Azambuja4, L. De Mattos-Arruda5, V. Guarneri6, M. Hutka7, K. Jordan8, E. Martinelli9, G. Mountzios10, M.A. Ozturk11, M. Petrova12, S. Postel-Vinay13, M. Preusser14, C. Qvortrup15, M. Strijbos16, N.M. Volkov17, D. Olmos Hidalgo18
  • 1Gynaecology Unit, Royal Marsden Hospital NHS Foundation Trust, SW3 6JJ - London/GB
  • 2Department Of Medical Oncology, The Christie NHS Foundation Trust, M20 4BX - Manchester/GB
  • 3Medical Oncology, University Hospital Virgen del Rocio, Seville/ES
  • 4Medical Oncology, Institute Jules Bordet, 1000 - Brussels/BE
  • 5Institut D'oncologia, Vall d'Hebron Univertity Hospital, Barcelona/ES
  • 6Medical Oncology 2 And Department Ofsurgery, Oncology And Gastroenterology, Istituto Oncologico Veneto IRCCS and University of Padova, 35128 - Padova/IT
  • 7Gynaecology Unit, Champalimaud Foundation Cancer Center, Lisbon/PT
  • 8Dept. Hematology/ Oncology, Martin Luther University of Halle, 06120 - Halle/DE
  • 9Dipt. Di Internistica Clinica E Sperimentale, AOU Seconda Università degli Studi di Napoli (AOU-SUN), 80131 - Napoli/IT
  • 10Medical Oncology, University of Athens School of Medicine Clinical Therapeutics, 154 51 - Athens/GR
  • 11Medical Oncology, Hatay Antakya Devlet Hastanesi, Hatay/TR
  • 12Department Of Medical Oncology, Military Medical Academy, 1606 - Sofia/BG
  • 13Sitep, Institut Gustave Roussy, Université Paris XI, Paris/FR
  • 14Department Of Medicine I, Vienna General Hospital (AKH) - Medizinische Universität Wien, 1090 - Vienna/AT
  • 15Oncology, Odense University Hospital, 5000 - Odense C/DK
  • 16Medical Oncology, A.Z. Klina, Brasschaat/BE
  • 17Oncology Department, Diagnostic Treatment Centre of International Institute of Biological Systems Dr. Sergey Berezin, RU-197758 - St. Petersburg/RU
  • 18Prostate Cancer Clinical Research Unit, CNIO - Spanish National Cancer Center, Madrid/ES




Burnout could potentially have serious negative impact on quality of cancer care, professional satisfaction and personal life. Our aim was to investigate the burnout prevalence, work and lifestyle factors amongst European oncologists ≤40 (YOs).


A survey was conducted using the validated Maslach Burnout Inventory (MBI) and additional questions exploring work/ lifestyle factors. Parametric and non-parametric analyses were performed to identify factors associated with burnout and multivariate analyses to derive a predictive burnout model.


737 surveys (all ages) were collected from 41 European countries. Countries were divided into 6 regions. Results from 595 (81%) YOs were included (81% medical oncologists; 52% trainees, 62% women). 71% of YOs showed burnout (burnout indices: depersonalisation 50%; emotional exhaustion 35%; low accomplishment 35%). 22% requested support for burnout during training and 74% reported no hospital access to support services. Burnout rates were significantly different across Europe (p < 0.0001). Burnout was highest in southeastern (83%)/ central European (82%) regions and lowest in Northern Europe (52%). Depersonalisation scores were higher in men compared to women (60% vs 45% p = 0.0001) and low accomplishment was highest in 26-30 age group (p < 0.01). Univariate analysis showed burnout to be associated with European region, number of oncologists in the workplace, patient number/week, commuting time, relationship and children status (all p < 0.05). Burnout was higher in oncologists with no support access, lower recreation hours, inadequate work/life balance and inadequate vacation time (all p < 0.05). In multivariate analyses, European region, work/life balance and inadequate vacation time remained independent burnout factors (p < 0.01). A predictive burnout model will be presented.


This is the largest burnout survey of European YOs. Burnout is common amongst YOs and rates vary across Europe. Achieving a good work/life balance and adequate vacation time may reduce burnout levels. Raising burnout awareness, support for oncologists and interventional research are needed.


All authors have declared no conflicts of interest.