Cancer Incidence in Physicians: A Taiwan National Population-based Cohort Study.
Cancer has been the leading cause of death in Taiwan since 1982. Physicians have many health-related risk factors which may contribute to cancer, such as rotating night shift, radiation, poor lifestyle, and higher exposure risk to infection and potential carcinogenic drugs. However, the cancer risk...
| Publicado en: | Medicine Vol. 94; no. 47; pp. 1 - 9 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Nov2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112831964&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112831964 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: Nov2015 vid: 94 iid: 47 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 112831964 112831964 NLM26632715 112831964 10.1097/MD.0000000000002079 NLM26632715 112831964 ppf: 1 ppct: 8 formats: tig: atl: Cancer Incidence in Physicians: A Taiwan National Population-based Cohort Study. aug: au: Yu-Sung Lee Chien-Chin Hsu Shih-Feng Weng Hung-Jung Lin Jhi-Joung Wang Shih-Bin Su Chien-Cheng Huang How-Ran Guo Lee, Yu-Sung Hsu, Chien-Chin Weng, Shih-Feng Lin, Hung-Jung Wang, Jhi-Joung Su, Shih-Bin Huang, Chien-Cheng Guo, How-Ran affil: Department of Emergency Medicine, Chi-Mei Medical Center sug: subj: Physicians Statistics and Numerical Data Prostatic Neoplasms Epidemiology Breast Neoplasms Epidemiology Taiwan Middle Age Male Risk Factors Adult Incidence Female Cox Proportional Hazards Model Occupational Health Human Middle Aged: 45-64 years Adult: 19-44 years Male Female ab: Cancer has been the leading cause of death in Taiwan since 1982. Physicians have many health-related risk factors which may contribute to cancer, such as rotating night shift, radiation, poor lifestyle, and higher exposure risk to infection and potential carcinogenic drugs. However, the cancer risk in physicians is not clear. In Taiwan's National Health Insurance Research Database, we identified 14,889 physicians as the study cohort and randomly selected 29,778 nonmedical staff patients as the comparison cohort for this national population-based cohort study. Cox proportional-hazard regression was used to compare the cancer risk between physicians and comparisons. Physician subgroups were also analyzed. Physicians had a lower all-cancer risk than did the comparisons (hazard ratio [HR] 0.86, 95% confidence interval [CI] 0.76-0.97). In the sex-based analysis, male physicians had a lower all-cancer risk than did male comparisons (HR 0.82, 95% CI 0.73-0.94); and female physicians did not (HR 1.29, 95% CI 0.88-1.91). In the cancer-type analysis, male physicians had a higher risk of prostate cancer (HR 1.72, 95% CI 1.12-2.65) and female physicians had twice the risk of breast cancer (HR 2.00, 95% CI 1.11-3.62) than did comparisons. Cancer risk was not significantly associated with physician specialties. Physicians in Taiwan had a lower all-cancer risk but higher risks for prostate and breast cancer than did the general population. These new epidemiological findings require additional study to clarify possible mechanisms. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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