Evidence map›Paper›PMID 27430323›Full record

ArticleBMC health services research2016

Urolithiasis risk: a comparison between healthcare providers and the general population.

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

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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  12. 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
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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

8 authors at 4 institutions in 1 country.

Ming-Hung ChenDepartment of Emergency Medicine, Chi-Mei Medical Center, Yongkang District, Tainan City, 710, Taiwan.
Shih-Feng WengDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chien-Chin HsuDepartment of Emergency Medicine, Chi-Mei Medical Center, Yongkang District, Tainan City, 710, Taiwan.
Hung-Jung LinDepartment of Emergency Medicine, Chi-Mei Medical Center, Yongkang District, Tainan City, 710, Taiwan.
Shih-Bin SuDepartment of Leisure, Recreation and Tourism Management, Southern Taiwan University of Science and Technology, Tainan, Taiwan.
Jhi-Joung WangDepartment 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.
Chien-Cheng HuangDepartment of Emergency Medicine, Chi-Mei Medical Center, Yongkang District, Tainan City, 710, Taiwan. chienchenghuang@yahoo.com.tw.
Chi Mei Medical Center · TWKaohsiung Medical University · TWNational Cheng Kung University · TWSouthern Taiwan University of Science and Technology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare providers have many health-related risk factors that might contribute to urolithiasis: a heavy workload, a stressful workplace, and an unhealthy quality of life. However, the urolithiasis risk in healthcare providers is not clear.

methodsUsing Taiwan's National Health Insurance Research Database, we identified 50,226 physicians, 20,677 pharmacists, 122,357 nurses, and 25,059 other healthcare providers as the study cohort and then randomly selected an identical number of patients who are not healthcare providers (general population) as the comparison cohort for this study. Conditional logistical regression analysis was used to compare the urolithiasis risk between healthcare providers and comparisons. Physician specialty subgroups were also analyzed.

resultsPhysicians had a lower urolithiasis risk than did the general population (adjusted odds ratio [AOR]: 0.682; 95 % confidence interval [CI]: 0.634-0.732) and other healthcare providers (AOR: 0.661; 95 % CI 0.588-0.742) after adjusting for hypertension, diabetes, hyperlipidemia, coronary artery disease, and residence location. For pharmacists, nurses, and other healthcare providers, the urolithiasis risk was not significantly different than that for general population. Subgroup analysis showed that surgeons and family medicine physicians had a lower urolithiasis risk than did physician comparisons (AOR: 0.778; 95 % CI: 0.630-0.962 and AOR: 0.737; 95 % CI: 0.564-0.962, respectively).

conclusionsAlthough job stress and heavy workloads affect physicians' health, physicians had a lower urolithiasis risk than did the general population and other healthcare providers. This might be attributable to their greater medical knowledge and access to healthcare. Our findings provide useful information for public health policy makers about the disease risks of healthcare providers.

Indexed as

PhysiciansPopulation SurveillanceAdolescentAdultChildChild, PreschoolCohort StudiesDatabases, FactualDiabetes MellitusFemaleHumansHypertensionInfantMaleMiddle AgedNational Health ProgramsHealthcare providerNursePharmacistPhysicianSpecialtyUrolithiasis

Identifiers

PMID27430323
PMCPMC4949927
OpenAlexW2488830314

What OpenQuestion holds

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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.