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Physicians as well as nonphysician health care professionals in Taiwan have higher risk for lumbar herniated intervertebral disc than general population.

Abstract 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.
PMID
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Authors

Mayor MeshTerms

Lumbar Vertebrae

Keywords
Journal Title medicine
Publication Year Start




PMID- 29505537
OWN - NLM
STAT- MEDLINE
DCOM- 20180309
LR  - 20180309
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 1
DP  - 2018 Jan
TI  - Physicians as well as nonphysician health care professionals in Taiwan have
      higher risk for lumbar herniated intervertebral disc than general population.
PG  - e9561
LID - 10.1097/MD.0000000000009561 [doi]
AB  - 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.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Chan, Feng-Kai
AU  - Chan FK
AD  - Department of Emergency Medicine, Kuo General Hospital.
FAU - Hsu, Chien-Chin
AU  - Hsu CC
AD  - Department of Emergency Medicine, Chi-Mei Medical Center.
AD  - Department of Biotechnology, Southern Taiwan University of Science and
      Technology.
FAU - Lin, Hung-Jung
AU  - Lin HJ
AD  - Department of Emergency Medicine, Chi-Mei Medical Center.
AD  - Department of Biotechnology, Southern Taiwan University of Science and
      Technology.
AD  - Department of Emergency Medicine, Taipei Medical University, Taipei.
FAU - Wang, Jhi-Joung
AU  - Wang JJ
AD  - Department of Medical Research.
FAU - Su, Shih-Bin
AU  - Su SB
AD  - Department of Occupational Medicine, Chi-Mei Medical Center.
AD  - Department of Leisure, Recreation and Tourism Management, Southern Taiwan
      University of Science and Technology.
AD  - Department of Medical Research, Chi-Mei Medical Center, Liouying.
FAU - Huang, Chien-Cheng
AU  - Huang CC
AD  - Department of Emergency Medicine, Chi-Mei Medical Center.
AD  - Department of Occupational Medicine, Chi-Mei Medical Center.
AD  - Department of Environmental and Occupational Health, College of Medicine,
      National Cheng Kung University.
AD  - Bachelor Program of Senior Service, Southern Taiwan University of Science and
      Technology.
AD  - Department of Geriatrics and Gerontology, Chi-Mei Medical Center, Tainan.
FAU - Weng, Shih-Feng
AU  - Weng SF
AD  - Department of Healthcare Administration and Medical Informatics, Kaohsiung
      Medical University, Kaohsiung, Taiwan.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Allied Health Personnel/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Intervertebral Disc Displacement/*epidemiology/etiology
MH  - *Lumbar Vertebrae
MH  - Male
MH  - Middle Aged
MH  - Occupational Exposure/*adverse effects
MH  - Physicians/*statistics & numerical data
MH  - Risk
MH  - Taiwan/epidemiology
EDAT- 2018/03/06 06:00
MHDA- 2018/03/10 06:00
CRDT- 2018/03/06 06:00
PHST- 2018/03/06 06:00 [entrez]
PHST- 2018/03/06 06:00 [pubmed]
PHST- 2018/03/10 06:00 [medline]
AID - 10.1097/MD.0000000000009561 [doi]
AID - 00005792-201801050-00034 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jan;97(1):e9561. doi: 10.1097/MD.0000000000009561.