Higher risk for thyroid diseases in physicians than in the general population

A Taiwan nationwide population-based secondary analysis study

T. Y. Chen, C. C. Hsu, I. J. Feng, J. J. Wang, S. B. Su, How-Ran Guo, C. C. Huang, H. J. Lin

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Physicians have high work stress, responsibility for night shifts and chances of exposure to medical radiation, which may increase the risk for thyroid diseases. Aim: We conducted this study to assess the risk for thyroid diseases in physicians, which remain unclear. Design: We used a secondary analysis of the Taiwan National Health Insurance Research Database for this study. Methods: After excluding thyroid diseases occurring before 2006 and residents, physicians and general population were identified by matching with age and sex in 2009 in a 1:2 ratio. The risk for thyroid diseases was compared between the physicians and general population and among physicians by tracing their medical histories between 2006 and 2012. Results: In total, 28,649 physicians and 57,298 general population were identified. Physicians had a higher risk for overall thyroid diseases than the general population [odds ratio (OR): 1.27; 95% confidence interval (CI): 1.10-1.47], including individual thyroid disease: thyroid cancer (OR: 1.89; 95% CI: 1.22-2.95), hypothyroidism (OR: 1.64; 95% CI: 1.23-2.18) and thyroiditis (OR: 1.48; 95% CI: 1.00-2.19). Conclusions: We showed that physicians had a significantly higher risk for thyroid diseases than the general population.

Original languageEnglish
Pages (from-to)163-168
Number of pages6
JournalQJM
Volume110
Issue number3
DOIs
Publication statusPublished - 2017 Jan 1

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Thyroid Diseases
Taiwan
Physicians
Population
Odds Ratio
Confidence Intervals
Thyroiditis
National Health Programs
Hypothyroidism
Thyroid Neoplasms
Databases
Radiation
Research

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Chen, T. Y. ; Hsu, C. C. ; Feng, I. J. ; Wang, J. J. ; Su, S. B. ; Guo, How-Ran ; Huang, C. C. ; Lin, H. J. / Higher risk for thyroid diseases in physicians than in the general population : A Taiwan nationwide population-based secondary analysis study. In: QJM. 2017 ; Vol. 110, No. 3. pp. 163-168.
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abstract = "Background: Physicians have high work stress, responsibility for night shifts and chances of exposure to medical radiation, which may increase the risk for thyroid diseases. Aim: We conducted this study to assess the risk for thyroid diseases in physicians, which remain unclear. Design: We used a secondary analysis of the Taiwan National Health Insurance Research Database for this study. Methods: After excluding thyroid diseases occurring before 2006 and residents, physicians and general population were identified by matching with age and sex in 2009 in a 1:2 ratio. The risk for thyroid diseases was compared between the physicians and general population and among physicians by tracing their medical histories between 2006 and 2012. Results: In total, 28,649 physicians and 57,298 general population were identified. Physicians had a higher risk for overall thyroid diseases than the general population [odds ratio (OR): 1.27; 95{\%} confidence interval (CI): 1.10-1.47], including individual thyroid disease: thyroid cancer (OR: 1.89; 95{\%} CI: 1.22-2.95), hypothyroidism (OR: 1.64; 95{\%} CI: 1.23-2.18) and thyroiditis (OR: 1.48; 95{\%} CI: 1.00-2.19). Conclusions: We showed that physicians had a significantly higher risk for thyroid diseases than the general population.",
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Higher risk for thyroid diseases in physicians than in the general population : A Taiwan nationwide population-based secondary analysis study. / Chen, T. Y.; Hsu, C. C.; Feng, I. J.; Wang, J. J.; Su, S. B.; Guo, How-Ran; Huang, C. C.; Lin, H. J.

In: QJM, Vol. 110, No. 3, 01.01.2017, p. 163-168.

Research output: Contribution to journalArticle

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N2 - Background: Physicians have high work stress, responsibility for night shifts and chances of exposure to medical radiation, which may increase the risk for thyroid diseases. Aim: We conducted this study to assess the risk for thyroid diseases in physicians, which remain unclear. Design: We used a secondary analysis of the Taiwan National Health Insurance Research Database for this study. Methods: After excluding thyroid diseases occurring before 2006 and residents, physicians and general population were identified by matching with age and sex in 2009 in a 1:2 ratio. The risk for thyroid diseases was compared between the physicians and general population and among physicians by tracing their medical histories between 2006 and 2012. Results: In total, 28,649 physicians and 57,298 general population were identified. Physicians had a higher risk for overall thyroid diseases than the general population [odds ratio (OR): 1.27; 95% confidence interval (CI): 1.10-1.47], including individual thyroid disease: thyroid cancer (OR: 1.89; 95% CI: 1.22-2.95), hypothyroidism (OR: 1.64; 95% CI: 1.23-2.18) and thyroiditis (OR: 1.48; 95% CI: 1.00-2.19). Conclusions: We showed that physicians had a significantly higher risk for thyroid diseases than the general population.

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