Evidence map›Paper›PMID 26631235›Full record

ArticleThe journal of headache and pain2015

Higher migraine risk in healthcare professionals than in general population: a nationwide population-based cohort study in Taiwan.

Wan-Yin Kuo, Chien-Cheng Huang, Shih-Feng Weng, Hung-Jung Lin, Shih-Bin Su, Jhi-Joung Wang, How-Ran Guo, Chien-Chin Hsu

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Shift work and migraine: A systematic review.Journal of occupational health · 2020
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Prevalence, Factors and Impact of Migraine on Healthcare Professionals:Sultan Qaboos University medical journal · 2025
    Article
  7. Hallmarks of primary headache: part 1 - migraine.The journal of headache and pain · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Sex and gender differences in migraines: a narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  13. Article
  14. Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health.International journal of environmental research and public health · 2022
    Article
  15. Health and Mortality in Korean Healthcare Workers.Journal of Korean medical science · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

8 authors at 5 institutions in 1 country.

Wan-Yin KuoDepartment of Emergency Medicine, Chi-Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan.
Chien-Cheng HuangDepartment of Emergency Medicine, Chi-Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan.
Shih-Feng WengDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Hung-Jung LinDepartment of Emergency Medicine, Chi-Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan.
Shih-Bin SuDepartment of Occupational Medicine, Chi-Mei Medical Center, Tainan, Taiwan.
Jhi-Joung WangDepartments of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan.
How-Ran GuoDepartment of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chien-Chin HsuDepartment of Emergency Medicine, Chi-Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan. nych2525@gmail.com.
National Cheng Kung University · TWChi Mei Medical Center · TWKaohsiung Medical University · TWSouthern Taiwan University of Science and Technology · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh stress levels and shift work probably trigger migraine in healthcare professionals (HCPs). However, the migraine risk differences between HCPs and the general population is unknown.

methodsThis nationwide population-based cohort study used Taiwan's National Health Insurance Research Database. Physicians (50,226), nurses (122,357), and other HCPs (pharmacists, technicians, dietitians, rehabilitation therapists, social workers, etc.) (45,736) were enrolled for the study cohort, and randomly selected non-HCPs (218,319) were enrolled for the comparison cohort. Conditional logistical regression analysis was used to compare the migraine risks. Comparisons between HCPs and between physician specialties were also done.

resultsPhysicians, nurses, and other HCPs had higher migraine risks than did the general population (adjusted odds ratio [AOR]: 1.672; 95 % confidence interval [CI]: 1.468-1.905, AOR: 1.621; 95 % CI: 1.532-1.714, and AOR: 1.254; 95 % CI: 1.124-1.399, respectively) after stroke, hypertension, epilepsy, anxiety, depression, and insomnia had been adjusted for. Nurses and physicians had higher migraine risks than did other HCPs (AOR: 1.303; 95 % CI: 1.206-1.408, and AOR: 1.193; 95 % CI: 1.069-1.332, respectively). Obstetricians and gynecologists had a lower migraine risk than did other physician specialists (AOR: 0.550; 95 % CI: 0.323-0.937).

conclusionHCPs in Taiwan had a higher migraine risk than did the general population. Heavy workloads, emotional stress, and rotating night shift sleep disturbances appear to be the most important risk factors. These findings should provide an important reference for promoting occupational health in HCPs in Taiwan.

Indexed as

Health PersonnelOccupational ExposureOccupational HealthPopulation SurveillanceAdultCohort StudiesFemaleHumansMaleMiddle AgedMigraine DisordersNursesPhysiciansRisk FactorsTaiwanHealthcare professionalsMigraineNursePhysicianSpecialty

Identifiers

PMID26631235
PMCPMC4668247
OpenAlexW2183118125

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.