본문 바로가기
KERD
논문KCI 등재

Cancer Prevalence among Physicians in Korea: A Single Center Study

1

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류가정의학

초록

Background: There is little research regarding whether working as a physician affects cancer risk. Moreover, thereis no research on cancer prevalence among physicians in Korea. This study utilized the Korea National Cancer IncidenceDatabase to determine whether the prevalence of cancer among physicians differs from the prevalence ofcancer within the general population. Methods: We analyzed the medical records of a representative sample of 382 doctors who underwent a health examinationbetween 2010 and 2013 at a health examination center in a Ewha Womans University Medical Center. Cancer incidence was measured as cases that were eventually diagnosed as cancer according to a biopsy. Results: We collected medical records from 382 physicians (mean age, 51.9±8.1 years) and calculated the standardizedprevalence ratios compared to the general population. Thirty physicians (9 male and 21 female) were identifiedas having cancer. Physicians had a significantly higher prevalence of cancer compared to the general population. Cancer prevalence in male physicians was found to be 2.47 times higher than the prevalence expected withinthe general population (P=0.006). Among female physicians, cancer prevalence was 3.94 times higher than that inthe general population (P<0.001). Conclusion: This study revealed that physicians had a higher prevalence of cancer compared to the general populationin Korea, which suggests that there may be a problem present in the health care of physicians. Changes to theworking environment of physicians will be needed to reduce the high prevalence of cancer among physicians.

Abstract

Background: There is little research regarding whether working as a physician affects cancer risk. Moreover, thereis no research on cancer prevalence among physicians in Korea. This study utilized the Korea National Cancer IncidenceDatabase to determine whether the prevalence of cancer among physicians differs from the prevalence ofcancer within the general population. Methods: We analyzed the medical records of a representative sample of 382 doctors who underwent a health examinationbetween 2010 and 2013 at a health examination center in a Ewha Womans University Medical Center. Cancer incidence was measured as cases that were eventually diagnosed as cancer according to a biopsy. Results: We collected medical records from 382 physicians (mean age, 51.9±8.1 years) and calculated the standardizedprevalence ratios compared to the general population. Thirty physicians (9 male and 21 female) were identifiedas having cancer. Physicians had a significantly higher prevalence of cancer compared to the general population. Cancer prevalence in male physicians was found to be 2.47 times higher than the prevalence expected withinthe general population (P=0.006). Among female physicians, cancer prevalence was 3.94 times higher than that inthe general population (P<0.001). Conclusion: This study revealed that physicians had a higher prevalence of cancer compared to the general populationin Korea, which suggests that there may be a problem present in the health care of physicians. Changes to theworking environment of physicians will be needed to reduce the high prevalence of cancer among physicians.

참고문헌 (32)

  1. Frank E, "STUDENTJAMA. Physician health and patient care", JAMA, 291, pp.637~ (2004)
  2. Frank E, "Mortality rates and causes among U.S. physicians", Am J Prev Med, 19, pp.155~159 (2000)
  3. Frank E, "Health-related behaviors of women physicians vs other women in the United States", Arch Intern Med, 158, pp.342~348 (1998)
  4. Carpenter LM, "Mortality of doctors in different specialties: findings from a cohort of 20000 NHS hospital consultants", Occup Environ Med, 54, pp.388~395 (1997)
  5. Alexander BH, "Cause-specific mortality risks of anesthesiologists", Anesthesiology, 93, pp.922~930 (2000)
  6. Rimpela AH, "Mortality of doctors: do doctors benefit from their medical knowledge?", Lancet, 1, pp.84~86 (1987)
  7. Aasland OG, "Mortality among Norwegian doctors 1960-2000", BMC Public Health, 11, pp.173~ (2011)
  8. Ramachandran A, "High prevalence of cardiometabolic risk factors among young physicians in India", J Assoc Physicians India, 56, pp.17~20 (2008)
  9. Kay MP, "Doctors do not adequately look after their own physical health", Med J Aust, 181, pp.368~370 (2004)
  10. Frank E, "U.S. Women Physicians’ personal and clinical breast cancer screening practices", J Womens Health Gend Based Med, 9, pp.791~801 (2000)
  11. Silagy C, "A view from the other side: a doctor’s experience of having lymphoma", Aust Fam Physician, 30, pp.547~549 (2001)
  12. Yoshinaga S, "Cancer risks among radiologists and radiologic technologists: review of epidemiologic studies", Radiology, 233, pp.313~321 (2004)
  13. Mohan AK, "Cancer and other causes of mortality among radiologic technologists in the United States", Int J Cancer, 103, pp.259~267 (2003)
  14. Freedman DM, "Risk of melanoma among radiologic technologists in the United States", Int J Cancer, 103, pp.556~562 (2003)
  15. Wang JX, "Cancer incidence and risk estimation among medical x-ray workers in China, 1950-1995", Health Phys, 82, pp.455~466 (2002)
  16. 강상희, "High Occupational Stress and Low Career Satisfaction of Korean Surgeons", Journal of Korean Medical Science, 30(2), pp.133~139 (2015), 대한의학회
  17. Galam E, "Burnout among French GPs in training: a cross-sectional study", Br J Gen Pract, 63, pp.e217~e224 (2013)
  18. Khawaja O, "Sleep duration and risk of lung cancer in the physicians’ health study", Zhongguo Fei Ai Za Zhi, 17, pp.649~655 (2014)
  19. Bellolio MF, "Compassion fatigue is similar in emergency medicine residents compared to other medical and surgical specialties", West J Emerg Med, 15, pp.629~635 (2014)
  20. Percy CL, "Effect of changes in cancer classification and the accuracy of cancer death certificates on trends in cancer mortality", Ann N Y Acad Sci, 609, pp.87~97 (1990)
  21. 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2012", Cancer Research and Treatment, 47(2), pp.127~141 (2015), 대한암학회[DOI]
  22. WHO Expert Consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies", Lancet, 363, pp.157~163 (2004)
  23. Chou LB, "Increased breast cancer prevalence among female orthopedic surgeons", J Womens Health (Larchmt), 21, pp.683~689 (2012)
  24. Chou LB, "Prevalence of cancer in female orthopaedic surgeons in the United States", J Bone Joint Surg Am, 92, pp.240~244 (2010)
  25. Berrington A, "100 years of observation on British radiologists: mortality from cancer and other causes 1897-1997", Br J Radiol, 74, pp.507~519 (2001)
  26. Akerstedt T, "Night work and breast cancer in women: a Swedish cohort study", BMJ Open, 5, pp.e008127~ (2015)
  27. Hansen J, "Nested case-control study of night shift work and breast cancer risk among women in the Danish military", Occup Environ Med, 69, pp.551~556 (2012)
  28. Hansen J, "Increased breast cancer risk among women who work predominantly at night", Epidemiology, 12, pp.74~77 (2001)
  29. Jartti P, "Cancer incidence among physicians occupationally exposed to ionizing radiation in Finland", Scand J Work Environ Health, 32, pp.368~373 (2006)
  30. Willey SC, "Screening and follow-up of the patient at high risk for breast cancer", Obstet Gynecol, 110, pp.1404~1416 (2007)
  31. Laden F, "Geographic variation in breast cancer incidence rates in a cohort of U.S. women", J Natl Cancer Inst, 89, pp.1373~1378 (1997)
  32. Kang HT, "Trends in prevalence of overweight and obesity in Korean adults, 1998-2009: the Korean National Health and Nutrition Examination Survey", J Epidemiol, 24, pp.109~116 (2014)

관련 논문AI추천

이 간행물의 다른 논문 (9건)