To analyze divorce rates among surgeons compared to nonsurgeon physicians and other healthcare professionals using American Community Survey data.
Approach:
Key Findings:
Surgeons had 1.16 times the odds of divorce compared to nonsurgeon physicians, with divorce prevalence among surgeons at 21% and nonsurgeon physicians at 18%.
Clarify that the divorce prevalence among surgeons is similar to the general US population rate of 21%.
Interpretation:
The elevated divorce risk among surgeons may be linked to the demanding nature of surgical practice, which can lead to emotional exhaustion and reduced time for personal relationships.
Limitations:
Self-reported marital status may not accurately reflect legal divorce status.
Lack of data on employment status, years in practice, or spouse occupation.
Marital status as a proxy for marital satisfaction does not capture marriage quality.
The ACS data were not designed specifically to assess marital outcomes.
Conclusion:
Interventions such as flexible scheduling, expanded mental health services, and revised parental leave policies are recommended to address the unique challenges faced by surgeons, particularly to reduce stigma around paternity leave.
Preoperative use was associated with fewer revisions and no increase in short-term complications among patients with obesity, although benefits appeared concentrated in select subgroups.
Structured implementation increased participation and improved preoperative fitness, while postoperative complication and mortality rates remained similar across groups.
