[PMID]: | 29505537 |
[Au] Autor: | Chan FK; Hsu CC; Lin HJ; Wang JJ; Su SB; Huang CC; Weng SF |
[Ad] Endereço: | Department of Emergency Medicine, Kuo General Hospital. |
[Ti] Título: | Physicians as well as nonphysician health care professionals in Taiwan have higher risk for lumbar herniated intervertebral disc than general population. |
[So] Source: | Medicine (Baltimore);97(1):e9561, 2018 Jan. |
[Is] ISSN: | 1536-5964 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | Physicians in Taiwan have long working hours and are at risk for inappropriate posture when handling patients, which may contribute to lumbar herniated intervertebral disc (L-HIVD). This study was conducted to delineate this issue, which is still unknown. This nationwide population-based cohort study was based on Taiwan National Health Insurance Research Database. We identified 25,428 physicians, 32,316 nonphysician health care professionals (HCPs), and an identical number of age- and sex-matched individuals from the general population. All individuals who had L-HIVD before 2007 were excluded. We compared the L-HIVD risk between physicians and general population, nonphysician HCPs and general population, and physicians and nonphysician HCPs by tracing their medical histories between 2007 and 2011. A comparison among physician specialties was also performed. Physicians and nonphysician HCPs had higher L-HIVD risk than the general population [odds ratio (OR): 1.149; 95% confidence interval (CI): 1.011-1.307 and OR: 1.220; 95% CI: 1.080-1.378, respectively]. Physicians did not have higher L-HIVD risk than nonphysician HCPs [adjusted OR (AOR): 0.912; 95% CI: 0.795-1.046]. Physician specialties of orthopedics and obstetrics and gynecology had a trend of higher L-HIVD risk than other specialties (AOR: 1.538; 95% CI: 0.805-2.939, and AOR: 1.306; 95% CI: 0.967-1.764, respectively). Physicians as well as nonphysician health care professionals in Taiwan have higher L-HIVD risk than the general population, which could be attributed to a probable role of long working hours. This result provides an important reference for the government to promote occupational health in health care professionals; however, further studies are warranted for the underlying mechanisms. |
[Mh] Termos MeSH primário: |
Pessoal Técnico de Saúde/estatística & dados numéricos Deslocamento do Disco Intervertebral/epidemiologia Vértebras Lombares Exposição Ocupacional/efeitos adversos Médicos/estatística & dados numéricos
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[Mh] Termos MeSH secundário: |
Adulto Feminino Seres Humanos Deslocamento do Disco Intervertebral/etiologia Masculino Meia-Idade Risco Taiwan/epidemiologia
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; OBSERVATIONAL STUDY |
[Em] Mês de entrada: | 1803 |
[Cu] Atualização por classe: | 180309 |
[Lr] Data última revisão:
| 180309 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 180306 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1097/MD.0000000000009561 |
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