Higher risk for cervical herniated intervertebral disc in physicians: A retrospective nationwide population-based cohort study with claims analysis.
There is no study about cervical herniated intervertebral disc (cervical HIVD) in physicians in the literature; therefore, we conceived a retrospective nationwide, population-based cohort study to elucidate the topic. We identified 26,038 physicians, 33,057 non-physician healthcare providers (HCPs),...
| Publicado en: | Medicine Vol. 95; no. 41; pp. 1 - 6 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
10/11/2016
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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=118934523&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118934523 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: 10/11/2016 vid: 95 iid: 41 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 118934523 118934523 NLM27741118 118934523 10.1097/MD.0000000000005055 NLM27741118 118934523 ppf: 1 ppct: 5 formats: tig: atl: Higher risk for cervical herniated intervertebral disc in physicians: A retrospective nationwide population-based cohort study with claims analysis. aug: au: Cheng Liu Chien-Cheng Huang Hung-Jung Lin How-Ran Guo Shih-Bin Su Jhi-Joung Wang Shih-Feng Weng Liu, Cheng Huang, Chien-Cheng Hsu, Chien-Chin Lin, Hung-Jung Guo, How-Ran Su, Shih-Bin Wang, Jhi-Joung Weng, Shih-Feng affil: Hyperbaric Oxygen Therapy Center and Division of Plastic Surgery, Chi-Mei Medical Center, Southern Taiwan University of Science and Technology, Tainan, Taiwan sug: subj: Insurance Occupational Health Risk Assessment Methods Intervertebral Disk Displacement Epidemiology Cervical Vertebrae Physicians Statistics and Numerical Data Incidence Taiwan Risk Factors Female Odds Ratio Intervertebral Disk Displacement Etiology Adult Male Middle Age Retrospective Design Validation Studies Comparative Studies Evaluation Research Multicenter Studies Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: There is no study about cervical herniated intervertebral disc (cervical HIVD) in physicians in the literature; therefore, we conceived a retrospective nationwide, population-based cohort study to elucidate the topic. We identified 26,038 physicians, 33,057 non-physician healthcare providers (HCPs), and identical numbers of non-HCP references (i.e., general population). All cohorts matched a 1:1 ratio with age and gender, and each were chosen from the Taiwan National Health Insurance Research Database (NHIRD). We compared cervical HIVD risk among physicians, nonphysician HCPs, and non-HCP references and performed a follow-up between 2007 and 2011. We also made comparisons among physician specialists. Both physicians and nonphysician HCPs had higher cervical HIVD risk than non-HCP references (odds ratio [OR]: 1.356; 95% confidence interval (CI): 1.162-1.582; OR: 1.383; 95% CI: 1.191-1.605, respectively). There was no significant difference of cervical HIVD risk between physicians and nonphysician HCPs. In the comparison among physician specialists, orthopedists had a higher cervical HIVD risk than other specialists, but the difference was not statistically significant (adjusted OR: 1.547; 95% CI: 0.782-3.061). Physicians are at higher cervical HIVD risk than the general population. Because unknown confounders could exist, further prospective studies are needed to identify possible causation. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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