Evidence map›Paper›PMID 25802869›Full record

ArticleBioMed research international2015

Acute myocardial infarction: a comparison of the risk between physicians and the general population.

Yen-ting Chen, Chien-Cheng Huang, Shih-Feng Weng, Chien-Chin Hsu, Jhi-Joung Wang, Hung-Jung Lin, Shih-Bin Su, How-Ran Guo, Chi-Wen Juan

Open access · hybridAbstract readComparative Study
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Health and Mortality in Korean Healthcare Workers.Journal of Korean medical science · 2022
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  10. Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan.International journal of environmental research and public health · 2018
    Article
  11. Standing Posture at Work Does Not Increase the Risk of Varicose Veins among Health Care Providers in Taiwan.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2017
    Article
  12. Observational
  13. Article
  14. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Yen-ting ChenDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan.
Chien-Cheng HuangDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan ; Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan ; Department of Child Care and Education, Southern Taiwan University of Science and Technology, Tainan, Taiwan ; Department of Emergency Medicine, Kuo General Hospital, Tainan, Taiwan.
Shih-Feng WengDepartment of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan ; Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chien-Chin HsuDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan ; Department of Biotechnology, Southern Taiwan University of Science and Technology, Tainan, Taiwan.
Jhi-Joung WangDepartment of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan.
Hung-Jung LinDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan ; Department of Biotechnology, Southern Taiwan University of Science and Technology, Tainan, Taiwan ; Department of Emergency Medicine, Taipei Medical University, Taipei, Taiwan.
Shih-Bin SuDepartment of Leisure, Recreation and Tourism Management, Southern Taiwan University of Science and Technology, Tainan, Taiwan ; Department of Occupational Medicine, Chi-Mei Medical Center, Tainan, Taiwan ; Department of Medical Research, Chi-Mei Medical Center, Liouying, Tainan, Taiwan.
How-Ran GuoDepartment of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan ; Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Chi-Wen JuanDepartment of Emergency Medicine, Kuang-Tien General Hospital, Taichung, Taiwan ; Department of Nursing, Hungkuang University, Taichung, Taiwan.
Southern Taiwan University of Science and Technology · TWChi Mei Medical Center · TWHungkuang University · TWKuo General Hospital · TWMinistry of Health and Welfare · TWNational Cheng Kung University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physicians in Taiwan have a heavy workload and a stressful workplace, both of which may contribute to cardiovascular disease. However, the risk of acute myocardial infarction (AMI) in physicians is not clear. This population-based cohort study used Taiwan's National Health Insurance Research Database. We identified 28,062 physicians as the case group and randomly selected 84,186 nonmedical staff patients as the control group. We used a conditional logistic regression to compare the AMI risk between physicians and controls. Subgroup analyses of physician specialty, age, gender, comorbidities, area, and hospital level were also done. Physicians have a higher prevalence of HTN (23.59% versus 19.06%, P < 0.0001) and hyperlipidemia (21.36% versus 12.93%, P < 0.0001) but a lower risk of AMI than did the controls (adjusted odds ratio (AOR): 0.57; 95% confidence interval (CI): 0.46-0.72) after adjusting for DM, HTN, hyperlipidemia, and area. Between medical specialty, age, and area subgroups, differences in the risk for having an AMI were nonsignificant. Medical center physicians had a lower risk (AOR: 0.42; 95% CI: 0.20-0.85) than did local clinic physicians. Taiwan's physicians had higher prevalences of HTN and hyperlipidemia, but a lower risk of AMI than did the general population. Medical center physicians had a lower risk than did local clinic physicians. Physicians are not necessary healthier than the general public, but physicians, especially in medical centers, have a greater awareness of disease and greater access to medical care, which permits timely treatment and may prevent critical conditions such as AMI induced by delayed treatment.

Indexed as

PhysiciansAdultComorbidityDemographyFemaleHumansLogistic ModelsMaleMiddle AgedMyocardial InfarctionRisk FactorsTaiwan

Identifiers

PMID25802869
PMCPMC4352724
OpenAlexW2152615747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.