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Author: search.filters.author.Rodrigo GuiloffSubject: search.filters.subject.human

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    Impact of burnout on turnover, medical errors, medical leave and a cross-sectional study of contributing factors among Chilean physicians
    (BMJ, 2025-05)
    Francisco Villalón López
    ;
    Adrian P Mundt
    ;
    Alejandro Hirmas
    ;
    Rita M Rivera
    ;
    Rodrigo Guiloff
    Abstract Background During the COVID-19 pandemic, many physicians experienced burnout, underscoring the need to identify factors associated with this condition to develop effective prevention and treatment strategies. Objective To examine the relationship between physician burnout and individual factors, medical errors, medical leave and the work environment. Design A cross-sectional online survey conducted from November 2020 to December 2020. Participants Physicians registered with the Medical College of Chile. Setting Registered physicians working in Chile across primary, secondary and tertiary levels of healthcare. Primary outcomes Burnout was assessed using the Maslach Burnout Inventory for Human Services. Secondary outcomes Self-reported medical errors, medical leave and turnover. Independent variables Sociodemographic characteristics, personality factors, psychological well-being, mindfulness factors, self-compassion and work environment factors. Descriptive statistics, linear and logistic regressions and regression analyses with cross-validation using least absolute shrinkage and selection operator (LASSO) tests were applied. Results Of the 23 481 registered physicians, 795 (3.4%) completed the survey. The sample included 64.1% women, with a mean age of 37.7 years (SD=11.3). The prevalence of burnout syndrome was 20.4% based on strict criteria and 68.9% based on lax criteria. Burnout scores predicted days of medical leave (ß=0.086, p<0.01), turnover (ß=0.012, p<0.05) and perceived medical errors (ß=0.009, p<0.001). In contrast, burnout was inversely correlated with age (ß=−0.125, p<0.001), agreeableness as a personality trait (ß=−0.107, p<0.001), psychological well-being (ß=−0.248, p<0.001) and the mindfulness factor awareness (ß=−0.145, p<0.001). In the work environment, time pressure (ß=0.167, p<0.001) was positively associated with burnout among others. Conclusion Younger physicians may be prioritised for individual-level interventions, while addressing time pressure at the organisational level could help prevent burnout. However, longitudinal studies are needed to clarify the directionality of relationships with psychological factors.
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    Scopus© Citations 1
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      23Scopus© Citations 3
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    Cross‐cultural adaptation and validation of the KOOS, JR questionnaire for assessing knee osteoarthritis in Spanish‐speaking patients
    (2023)
    Rodrigo Guiloff
    ;
    Magaly Iñiguez
    ;
    Tomás Prado
    ;
    FIGUEROA BERRIOS, FRANCISCO JAVIER  
    ;
    Nicolás Olavarría
    <jats:title>Abstract</jats:title><jats:sec><jats:title>Purpose</jats:title><jats:p>The present study aims to translate, adapt and validate a Spanish version of the Knee Injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS, JR), including a reliability and validity analysis in patients with knee osteoarthritis (OA).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This study conducted a prospective validation study following the six stages of the “Guidelines for the Process of Cross‐Cultural Adaptation of Self‐Report Measures”. Psychometric testing was conducted in patients with knee osteoarthritis. Subjects answered the Spanish KOOS, JR (S‐KOOS, JR) and a validated Spanish Oxford Knee Score (S‐OKS). Retest was conducted at 10 days. Acceptability, floor and ceiling effect, internal consistency (Cronbach’s α), reproducibility (mixed‐effect model coefficient [MEMC]) and construct validity (Spearman’s correlation; <jats:italic>p</jats:italic> = 0.05) were assessed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Forty‐one patients (mean age: 65.6 ± 5.39; 48.8% female) participated in the study. All patients (100%) answered both scores during the first assessment and 38 (92.7%) during the second assessment. All patient‐reported outcomes measures were answered completely (100%). The S‐KOOS, JR resulted in 100% acceptability when answered. There were no ceiling or floor effects detected. The Cronbach’s α for the S‐KOOS, JR was 0.927 and its MEMC was 0.852 (CI 95% 0.636–1.078). The Spearman’s correlation between the S‐KOOS, JR and the S‐OKS was 0.711 (CI 0.345–0.608; <jats:italic>p</jats:italic> &lt; 0.001) and 0.870 (CI 0.444–0.651; <jats:italic>p</jats:italic> &lt; 0.001) for the first and second assessments, respectively.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The S‐KOOS, JR has very high internal consistency and reproducibility, with a high correlation with the S‐OKS; it is a reliable and valid instrument for characterising Spanish‐speaking patients suffering from knee OA.</jats:p></jats:sec><jats:sec><jats:title>Level of evidence</jats:title><jats:p>IV.</jats:p></jats:sec>
    Scopus© Citations 1  1
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    Posterolateral corner knee injuries: a narrative review
    (2021)
    FIGUEROA BERRIOS, FRANCISCO JAVIER  
    ;
    FIGUEROA POBLETE, DAVID HUMBERTO  
    ;
    Sven Putnis
    ;
    Rodrigo Guiloff
    ;
    Patricio Caro
    <jats:p>Limited knowledge of the anatomy and biomechanics of the posterolateral corner (PLC) of the knee, coupled with poor patient outcomes with non-operative management, resulted in the PLC often being labelled as the ‘dark side’ of the knee. In the last two decades, extensive research has resulted in a better understanding of the anatomy and function of the PLC, and has led to the development of anatomic reconstructions that have resulted in improved patient outcomes. Despite considerable attention in the clinical orthopaedic literature (nearly 400 articles published in the last decade), a standardized algorithm for the diagnosis and treatment of the PLC is still lacking, and much controversy remains. Considering the literature review, there is not a reconstruction technique that clearly prevails over the others. As anatomic, biomechanical, and clinical knowledge of PLC injuries continues to progress, finding the balance between re-creating native anatomy and safely performing PLC reconstruction provides a big challenge. Treatment decisions should be made on a case-by-case basis.</jats:p><jats:p>Cite this article: EFORT Open Rev 2021;6:676-685. DOI: 10.1302/2058-5241.6.200096</jats:p>
      16Scopus© Citations 23
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    Scopus© Citations 17  1
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    Scopus© Citations 8  3