Is it the load that breaks you or the way you carry it: How demanding is endourology?

Abstract

Surgical outcomes are dependent on multiple factors. Besides patient-related or procedure-related factors, several surgeon-related factors contribute to surgical outcomes. The SURG-TLX questionnaire helps to assess the impact of several stressors on the perceived demands of surgeons during surgery. In this study we evaluate the applicability of the SURG-TLX questionnaire for endourological procedures and set a first point of reference. Between March and August 2022, 15 urologists and urology residents at a tertiary referral center for endourology completed the SURG-TLX questionnaire after endourological procedures. After data-acquisition, all participants were asked to evaluate the applicability of the questionnaire for endourological procedures. A total of 130 procedures were included between March and August 2022. Situational stress had the lowest median score (3.0/20; IQR 2.0-7.0) and task complexity the highest (5.0/20; IQR 3.0-8.0). After weighing, the dimensions showed different proportions when compared to the non-weighted scores. Distractions received the highest score (15.0/100; IQR 7.5-32.8), temporal demands (6.0/100; IQR 3.0-12.5) and situational stress the lowest (6.0/100; IQR 2.0-21.0). This was due to the higher weight that was attributed to distractions (3.4/5), as opposed to task complexity (2.6/5). In the questionnaire regarding applicability of the SURG-TLX, the overall satisfaction (6.0/10; IQR 5.0-7.0) and clarity (6.5/10; IQR 5.0-7.5) were moderate. The user-friendliness and applicability of the questionnaire were rated high (7.0/10; IQR 5.5-8.0 and 7.0/10; IQR 6.0-8.0, respectively) and task load (3.0/10; IQR 2.0-5.0) and time load (2.0/10; IQR 2.0-3.5) low. The SURG-TLX questionnaire is appropriate to assess the different dimensions of workload during endourological procedures. Furthermore, the perceived workload during endourological procedures is relatively low.