Evidence map›Paper›PMID 27741118›Full record

Observational studyMedicine2016

Higher risk for cervical herniated intervertebral disc in physicians: A retrospective nationwide population-based cohort study with claims analysis.

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

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  4. Review
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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.

Cheng LiuHyperbaric Oxygen Therapy Center and Division of Plastic Surgery, Chi-Mei Medical Center Department of Electrical Engineering, Southern Taiwan University of Science and Technology Department of Emergency Medicine, Chi-Mei Medical Center Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University Bachelor Program of Senior Service, Southern Taiwan University of Science and Technology Department of Occupational Medicine Department of Geriatrics and Gerontology, Chi-Mei Medical Center Department of Biotechnology, Southern Taiwan University of Science and Technology, Tainan Department of Emergency Medicine, Taipei Medical University, Taipei Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital Department of Leisure, Recreation and Tourism Management, Southern Taiwan University of Science and Technology Department of Medical Research, Chi-Mei Medical Center, Liouying Department of Medical Research, Chi-Mei Medical Center, Tainan Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chien-Cheng Huang
Chien-Chin Hsu
Hung-Jung Lin
How-Ran Guo
Shih-Bin Su
Jhi-Joung Wang
Shih-Feng Weng
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

There is no study about cervical herniated intervertebral disc (cervical HIVD) in physicians in the literature; therefore, we conceived a retrospective nationwide, population-based cohort study to elucidate the topic. We identified 26,038 physicians, 33,057 non-physician healthcare providers (HCPs), and identical numbers of non-HCP references (i.e., general population). All cohorts matched a 1:1 ratio with age and gender, and each were chosen from the Taiwan National Health Insurance Research Database (NHIRD). We compared cervical HIVD risk among physicians, nonphysician HCPs, and non-HCP references and performed a follow-up between 2007 and 2011. We also made comparisons among physician specialists. Both physicians and nonphysician HCPs had higher cervical HIVD risk than non-HCP references (odds ratio [OR]: 1.356; 95% confidence interval (CI): 1.162-1.582; OR: 1.383; 95% CI: 1.191-1.605, respectively). There was no significant difference of cervical HIVD risk between physicians and nonphysician HCPs. In the comparison among physician specialists, orthopedists had a higher cervical HIVD risk than other specialists, but the difference was not statistically significant (adjusted OR: 1.547; 95% CI: 0.782-3.061). Physicians are at higher cervical HIVD risk than the general population. Because unknown confounders could exist, further prospective studies are needed to identify possible causation.

Indexed as

Cervical VertebraeInsurance Claim ReviewAdultFemaleHumansIncidenceIntervertebral Disc DisplacementMaleMiddle AgedOccupational HealthOdds RatioPhysiciansRetrospective StudiesRisk AssessmentRisk FactorsTaiwan

Identifiers

PMID27741118
PMCPMC5072945
OpenAlexW2531365248

What OpenQuestion holds

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LicenceCC BY-SA
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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.