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

被引：15

作者：

Chan, Feng-Kai ^{[1
]}

Hsu, Chien-Chin ^{[2
,3
]}

Lin, Hung-Jung ^{[2
,3
,4
]}

Wang, Jhi-Joung ^{[5
]}

Su, Shih-Bin ^{[6
,7
,8
]}

Huang, Chien-Cheng ^{[2
,6
,9
,10
,11
]}

Weng, Shih-Feng ^{[12
]}

机构：

[1] Kuo Gen Hosp, Dept Emergency Med, Taipei, Taiwan

[2] Chi Mei Med Ctr, Dept Emergency Med, Taipei, Taiwan

[3] Southern Taiwan Univ Sci & Technol, Dept Biotechnol, Taipei, Taiwan

[4] Taipei Med Univ, Dept Emergency Med, Taipei, Taiwan

[5] Chi Mei Med Ctr, Dept Med Res, Liouying, Taiwan

[6] Chi Mei Med Ctr, Dept Occupat Med, Liouying, Taiwan

[7] Southern Taiwan Univ Sci & Technol, Dept Leisure Recreat & Tourism Management, Liouying, Taiwan

[8] Chi Mei Med Ctr, Dept Med Res, Liouying, Taiwan

[9] Natl Cheng Kung Univ, Dept Environm & Occupat Hlth, Coll Med, Tainan, Taiwan

[10] Southern Taiwan Univ Sci & Technol, Bachelor Program Senior Serv, Tainan, Taiwan

[11] Chi Mei Med Ctr, Dept Geriatr & Gerontol, Tainan, Taiwan

[12] Kaohsiung Med Univ, Dept Healthcare Adm & Med Informat, 100 Shin Chuan 1st Rd, Kaohsiung 807, Taiwan

来源：

MEDICINE | 2018年 / 97卷 / 01期

关键词：

health care professional; lumbar herniated intervertebral disc; physician; BACK-PAIN; NURSES; SURGERY;

D O I：

10.1097/MD.0000000000009561

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：5

共 23 条

[21] Surgeons' Static Posture and Movement Repetitions in Open and Laparoscopic Surgery [J].