Higher risk for cervical herniated intervertebral disc in physicians

A retrospective nationwide population-based cohort study with claims analysis

Cheng Liu, Chien Cheng Huang, Chien Chin Hsu, Hung Jung Lin, How-Ran Guo, Shih Bin Su, Jhi Joung Wang, Shih Feng Weng

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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 nonphysician 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.

Original languageEnglish
Article numbere5055
JournalMedicine (United States)
Volume95
Issue number41
DOIs
Publication statusPublished - 2016 Jan 1

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Insurance Claim Review
Intervertebral Disc Displacement
Intervertebral Disc
Cohort Studies
Physicians
Health Personnel
Population
Odds Ratio
Confidence Intervals
National Health Programs
Taiwan
Causality
Databases
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Liu, Cheng ; Huang, Chien Cheng ; Hsu, Chien Chin ; Lin, Hung Jung ; Guo, How-Ran ; Su, Shih Bin ; Wang, Jhi Joung ; Weng, Shih Feng. / Higher risk for cervical herniated intervertebral disc in physicians : A retrospective nationwide population-based cohort study with claims analysis. In: Medicine (United States). 2016 ; Vol. 95, No. 41.
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Higher risk for cervical herniated intervertebral disc in physicians : A retrospective nationwide population-based cohort study with claims analysis. / Liu, Cheng; Huang, Chien Cheng; Hsu, Chien Chin; Lin, Hung Jung; Guo, How-Ran; Su, Shih Bin; Wang, Jhi Joung; Weng, Shih Feng.

In: Medicine (United States), Vol. 95, No. 41, e5055, 01.01.2016.

Research output: Contribution to journalArticle

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