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INTRODUCTION The study aims to assess the level of burnout among Greek Primary Healthcare Professionals (physicians, nurses, and allied professionals) and to investigate the association between work-related stressors with the presence of clinical burnout. METHODS A multi-center, web-based, cross-sectional survey was conducted from June to end of October 2021, in Greece. Facilitating convenience sampling, the survey recorded demographic data, personal experience with COVID-19, and emerging work-related perspectives and concerns. Burnout was assessed using the Maslach Burnout Inventory (MBI), which is a 22-item inventory, referring to three burnout dimensions: emotional exhaustion (EA, 9 items), depersonalization (DE, 5 items), and personal accomplishment (PA, 8 items). The inventory is rated on a 7-point Likert scale, and, for diagnosis, burnout is experienced when at least 2 of the 3 dimensions yield high scores. Data were analyzed using descriptive statistics and multiple regression models. RESULTS A total of 236 participants, including 104 physicians, 83 nurses, and 49 allied professionals, with a mean age of 46 years (SD=9.3) and a male/female ratio of 0.4, completed the online questionnaire. In respect to MBI subscales, high burnout risk was found in the 23.3%, 29.7%, and 46.6% of the three types of participants, respectively. Gender, occupation, and education level were not identified as predisposing factors. Nevertheless, vulnerability was related to young age (<44 years, p=0.028), working in urban settings (29/64, p=0.001), and the experience of severe SARS-CoV-2 infection in the work environment (32/85, p=0.018). Clinical burnout was more frequently observed in participants who would avoid visiting patients (n=36/96, p=0.015), in those who stated that work could endanger their health (n=59/183, p=0.023), and in those concerned about an imminent staff (n=54/155, p=0.004) or protective equipment (n=53/141, p<0.001) shortage. CONCLUSIONS This study showed the severe psychological impact of the COVID-19 pandemic. Building resilience through the timely identification of risk factors and implementation of meaningful interventions to promote the mental health of healthcare workers is critical. [ABSTRACT FROM AUTHOR]

Background: Due to an urgent need to develop palliative care services for geriatric patients with advanced cancer, an overview of available information regarding home-based palliative care interventions would be valuable., Aim: To summarize current literature for interventions targeted to homebound, older patients with incurable cancer, and investigate whether these patients can be benefited from home-based palliative care and achieve improved outcomes., Design: A search strategy consisting of terms related to home care, palliation, oncology, and geriatrics was employed. A protocol following PRISMA guidelines was prospectively uploaded at PROSPERO (ID = CRD42023404675)., Data Sources: Pubmed (MEDLINE), Cochrane Central Register of Controlled Trials (CENTRAL), ClinicalTrials.gov, and Epistemonikos.org databases were searched from inception until the present day. Eligibility criteria were selected based on the research question, the population of interest, and the research design. The Risk of Bias Assessment Tool version 2 (RoB-2) was used to appraise study quality., Results: A total of 10 articles including 871 patients (out of 1236 titles and 141 fully-reviewed texts) were selected. Four studies assessed exercise interventions, two evaluated multi-component home-care models, two focused on supervision services, and two had nutrition and activity components. Eight studies reported improved outcomes in either specified or mixed cancer geriatric populations., Conclusions: There is a scarcity of clinical trials regarding home-based palliative care for geriatric oncology patients, resulting in poor information and a lack of evidence. At-home interventions seem feasible and have a positive effect on pain management and functional status, but more high-quality studies are required., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.