Surgeon Sleep Timing Tied to Risk - Report - MDSpire

Surgeon Sleep Timing Tied to Risk

  • By

  • Andrea Surnit

  • June 3, 2026

  • 5 min

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Surgeon Sleep Timing Tied to Risk of Major Adverse Events

Overview

A recent study published in JAMA Surgery indicates that patients operated on by surgeons experiencing severe social jet lag—defined as a difference of 2 hours or more between workday and free day sleep timing—had a higher incidence of major adverse events. This observational study analyzed 7,117 surgeries and found a 36% increased risk of complications associated with severe social jet lag.

Background

Understanding the impact of surgeon sleep patterns on patient outcomes is crucial, as irregular sleep timing may affect surgical performance and patient safety. This study highlights the potential risks associated with sleep irregularity, particularly in high-stakes environments like surgery. The findings contribute to a growing body of literature emphasizing the importance of sleep health in clinical practice.

Data Highlights

Verify and update the table to ensure it accurately reflects the study's findings.

Key Findings

  • 20% of surgeries resulted in at least one major adverse event.
  • Surgeons with severe social jet lag had a 36% higher adjusted risk of major adverse events compared to those with less than 1 hour of social jet lag.
  • Surgeons with burnout exhibited higher social jet lag and midsleep time variability.
  • Other sleep measures, such as sleep duration and midsleep time variability, were not independently associated with adverse events.
  • The study included 7,117 operations across 38 surgeons and 14 surgical specialties.

Clinical Implications

Surgeons should be aware of the potential impact of their sleep patterns on surgical outcomes and consider strategies to promote more regular sleep timing. This may enhance both surgeon well-being and patient safety, particularly in high-risk surgical settings.

Conclusion

The findings underscore the importance of sleep regularity in surgical practice and suggest that addressing surgeon sleep patterns may be a critical factor in improving patient outcomes.

Related Resources & Content

  1. JAMA Surgery, 2023 -- Surgeon Sleep Timing Tied to Risk of Major Adverse Events
  2. Surgical Endoscopy, 2026 -- Impact of acute sleep deprivation on laparoscopic performance: a prospective, randomized crossover trial
  3. Surgical Endoscopy, 2024 -- Comparative Analysis of Surgical Outcomes for Chronic Subdural Hematomas: Daytime vs. Night-time Procedures from the FINISH Randomized Trial
  4. Surgical Endoscopy, 2025 -- Complications Associated with Nighttime Surgery for Chronic Subdural Hematoma: Insights from a Population-Based Cohort Analysis
  5. The ASCO Post — Lack of Sleep Found to Be Risk Factor for Aggressive Breast Cancers
  6. JAMA Network Media Advisory
  7. Association Between Surgeon Stress and Major Surgical Complications
  8. Extended Work Periods Among Anesthesiologists and Postoperative Patient Outcomes
  9. Common Program Requirements - Residency
  10. Revised Statement on Surgeon Well-Being | ACS
  11. American College of Surgeons Releases First-Ever Workplace Standards Framework | ACS
  12. Fatigue and Sleepiness of Clinicians Due to Hours of Service - Making Healthcare Safer IV - NCBI Bookshelf
  13. Frontiers | A well-rested scalpel: a proposal for standardized guidelines on surgeon fatigue
  14. Postoperative Sleep Dynamics Across Surgical Risk Using Wearable Device Technology
  15. Continuous vs Intermittent Postoperative Vital Sign Monitoring: A Cluster Randomized Crossover Trial - PubMed

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