Evidence map›Paper›PMID 26632715›Full record

Observational studyMedicine2015

Cancer Incidence in Physicians: A Taiwan National Population-based Cohort Study.

Yu-Sung Lee, Chien-Chin Hsu, Shih-Feng Weng, Hung-Jung Lin, Jhi-Joung Wang, Shih-Bin Su, Chien-Cheng Huang, How-Ran Guo

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 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, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Increased Prevalence of Breast and All-cause Cancer in Female Orthopaedic Surgeons.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
  6. Health and Mortality in Korean Healthcare Workers.Journal of Korean medical science · 2022
    Article
  7. Population-Based Study on Cancer Incidence in Pharmacist: A Cohort Study in Taiwan.International journal of environmental research and public health · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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
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 2 institutions in 2 countries.

Yu-Sung LeeFrom the Department of Emergency Medicine, Chi-Mei Medical Center (Y-SL, C-CH, H-JL, C-CH); Department of Biotechnology, Southern Taiwan University of Science and Technology, Tainan (C-CH, H-JL); Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung (S-FW); Department of Emergency Medicine, Taipei Medical University, Taipei (H-JL); Department of Medical Research, Chi-Mei Medical Center (J-JW); Department of Leisure, Recreation and Tourism Management, Southern Taiwan University of Science and Technology (S-BS); Department of Occupational Medicine, Chi-Mei Medical Center (S-BS, C-CH); Department of Medical Research, Chi-Mei Medical Center, Liouying (S-BS); Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University (C-CH, H-RG); Department of Child Care and Education, Southern Taiwan University of Science and Technology (C-CH); Department of Geriatrics and Gerontology, Chi-Mei Medical Center (C-CH); and Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan (H-RG).
Chien-Chin Hsu
Shih-Feng Weng
Hung-Jung Lin
Jhi-Joung Wang
Shih-Bin Su
Chien-Cheng Huang
How-Ran Guo
JW Pharmaceutical (South Korea) · KRKaohsiung Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer has been the leading cause of death in Taiwan since 1982. Physicians have many health-related risk factors which may contribute to cancer, such as rotating night shift, radiation, poor lifestyle, and higher exposure risk to infection and potential carcinogenic drugs. However, the cancer risk in physicians is not clear. In Taiwan's National Health Insurance Research Database, we identified 14,889 physicians as the study cohort and randomly selected 29,778 nonmedical staff patients as the comparison cohort for this national population-based cohort study. Cox proportional-hazard regression was used to compare the cancer risk between physicians and comparisons. Physician subgroups were also analyzed. Physicians had a lower all-cancer risk than did the comparisons (hazard ratio [HR] 0.86, 95% confidence interval [CI] 0.76-0.97). In the sex-based analysis, male physicians had a lower all-cancer risk than did male comparisons (HR 0.82, 95% CI 0.73-0.94); and female physicians did not (HR 1.29, 95% CI 0.88-1.91). In the cancer-type analysis, male physicians had a higher risk of prostate cancer (HR 1.72, 95% CI 1.12-2.65) and female physicians had twice the risk of breast cancer (HR 2.00, 95% CI 1.11-3.62) than did comparisons. Cancer risk was not significantly associated with physician specialties. Physicians in Taiwan had a lower all-cancer risk but higher risks for prostate and breast cancer than did the general population. These new epidemiological findings require additional study to clarify possible mechanisms.

Indexed as

AdultBreast NeoplasmsFemaleHumansIncidenceMaleMiddle AgedOccupational HealthPhysiciansProportional Hazards ModelsProstatic NeoplasmsRisk FactorsTaiwan

Identifiers

PMID26632715
PMCPMC5058984
OpenAlexW2325494821

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.