Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26195578
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 CMAJ
2015 ; 187
(13
): E412-E418
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A comparison of the stages at which cancer is diagnosed in physicians and in the
general population in Taiwan
#MMPMID26195578
Hsu YH
; Kung PT
; Wang YH
; Chang YM
; Tsai WC
CMAJ
2015[Sep]; 187
(13
): E412-E418
PMID26195578
show ga
BACKGROUND: Previous investigations have reported that physicians tend to neglect
their own health care; however, they may also use their professional knowledge
and networks to engage in healthier lifestyles or seek prompt health services. We
sought to determine whether the stage at which cancer is diagnosed differs
between physicians and nonphysicians. METHODS: We conducted a nationwide matched
cohort study over a period of 14 years in Taiwan. We accessed data from two
national databases: the National Health Insurance Research Database and the
Taiwan Cancer Registry File. We collected data on all patients with the 6 most
common cancers in Taiwan (hepatoma, lung, colorectal, oral, female breast and
cervical cancer) from 1999 to 2012. We excluded patients less than 25 years of
age, as well as those with a history of organ transplantation, cancer or AIDS. We
used propensity score matching for age, sex, residence and income to select
members for the control (nonphysicians) and experimental (physicians) groups at a
5:1 ratio. We used ?(2) tests to analyze the distribution of incident cancer
stages among physicians and nonphysicians. We compared these associations using
multinomial logistic regression. We performed sensitivity analyses for subgroups
of doctors and cancers. RESULTS: We identified 274,003 patients with cancer, 542
of whom were physicians. After propensity score matching, we assigned 536
physicians to the experimental group and 2680 nonphysicians to the control group.
We found no significant differences in cancer stage distributions between
physicians and controls. Multinomial logistic regression and sensitivity analyses
showed similar cancer stages in most scenarios; however, physicians had 2.64-fold
higher risk of having stage IV cancer at diagnosis in cases of female breast and
cervical cancer. INTERPRETATION: In this cohort of physicians in Taiwan, cancer
was not diagnosed at earlier stages than in nonphysicians, with the exception of
stage IV cancer of the cervix and female breast.