TY - JOUR
T1 - Higher risk for cervical herniated intervertebral disc in physicians
T2 - A retrospective nationwide population-based cohort study with claims analysis
AU - Liu, Cheng
AU - Huang, Chien Cheng
AU - Hsu, Chien Chin
AU - Lin, Hung Jung
AU - Guo, How Ran
AU - Su, Shih Bin
AU - Wang, Jhi Joung
AU - Weng, Shih Feng
N1 - Funding Information:
Funding: This study was supported by grants 105CM-KMU-04 from the Chi-Mei Medical Center. We thank the National Health Insurance Administration, Ministry of Health and Welfare (managed by the National Health Research Institutes—Registered number NHIRD-102–024 and NHIRD-100–057) for access to the Taiwan National Health Insurance Research Database. The conclusions in this study do not represent those of the National Health Insurance Administration, Ministry of Health and Welfare, or National Health Research Institutes.
PY - 2016
Y1 - 2016
N2 - 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.
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 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.
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U2 - 10.1097/MD.0000000000005055
DO - 10.1097/MD.0000000000005055
M3 - Article
C2 - 27741118
AN - SCOPUS:85012024705
VL - 95
JO - Medicine (United States)
JF - Medicine (United States)
SN - 0025-7974
IS - 41
M1 - e5055
ER -