TY  - JOUR
PY  - 2021//
TI  - Comparative risk of mortality and suicide associated with substance use disorder among healthcare professionals: a systematic review and meta-analysis of observational studies
JO  - European journal of anaesthesiology
A1  - da Silva Rodrigues, Joao Vitor
A1  - Guimarães Pereira, José E.
A1  - Passarelli, Luisa Almeida
A1  - Guatura, Gabrielle M. G. B.
A1  - El Dib, Regina
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Previous studies have suggested that healthcare professionals may be susceptible to substance use disorders, and among the medical specialties, anaesthesia providers appear to be overrepresented. <br><br>OBJECTIVE: We aimed to compare the prevalence of substance use-related mortality and suicides between anaesthesia and nonanaesthesia professionals. <br><br>DESIGN: Systematic review of observational studies with meta-analyses. We defined anaesthesia providers as any healthcare professionals belonging to the specialty, regardless of age and duration of employment. Other healthcare professionals served as the control group. DATA SOURCES: Ovid Medline, EMBASE, Web of Science, Scopus, Scielo, LILACS and ProQuest databases up to March 2020. <br><br>RESULTS: Thirty-nine studies were included, 31 cross-sectional studies involving 13 819 participants and eight cohorts with a total 129 811 participants proved eligible. <br><br>RESULTS suggested a higher rate of drug-related mortality with odds ratio (OR) 2.69 [95% confidence interval (CI), 1.80 to 4.00; P < 0.00001; I2 = 0%, P = 0.55; high-certainty evidence] and suicide (OR 2.18, 95% CI, 1.33 to 3.58; P = 0.002; I2 = 0%, P = 0.68; moderate-certainty evidence) for anaesthesia providers compared with other healthcare professionals. <br><br>CONCLUSION: High-to-moderate-certainty evidence shows that there is more than a two-fold increased rate of substance use-related mortality and suicide among anaesthesia providers compared with other healthcare professionals. Investigations examining substance abuse between health professionals, with particular attention to working conditions and exposure are essential to further develop preventive strategies.<p />  <p>Language: en</p>
LA  - en
SN  - 0265-0215
UR  - http://dx.doi.org/10.1097/EJA.0000000000001447
ID  - ref1
ER  -