Comparison of perforation risk among physicians, other medical professionals and general adults with acute appendicitis in Taiwan

Deng, Chung Yeh; Huang, Nicole; Chou, Yiing Jenq; Hsu, Yea Jen; Chen, L.‐S.; Chou, Pesus

doi:10.1002/bjs.5435

Cited by 12 publications

(5 citation statements)

References 38 publications

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“…This could be because the nurses receive medical education and training, and thus have knowledge regarding the prevention of chronic diseases [15,16]; they can apply such knowledge to adjust their lifestyles in order to prevent diseases and reduce the death rate from such diseases. Furthermore, studies have reported consistent results that the risk of chronic diseases was lower in health care professionals [15,16,17,18,19]. These findings show that extensive medical knowledge is beneficial to personal well-being and is helpful in disease prevention.…”

Section: Discussionmentioning

confidence: 52%

Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan

Liao

Peng

Chen

et al. 2018

IJERPH

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Background: Nurses are typically required to address patient emergencies, and they experience high stress levels in their work, which may expose them to a higher risk of stroke. This cohort study compared the risk of stroke between nurses and the general population. Methods: We used the Taiwan National Health Insurance database to conduct our retrospective cohort study, and we identified 83,641 individuals in the nurse group and 334,564 individuals in the control group. For the nurse group and the control group, we used the chi-square test in addition to applying Student’s t-test, in order to compare the distribution differences for the continuous variables. We estimated the hazard ratios (HRs) and 95% confidence intervals (CIs) for ischemic stroke and hemorrhagic stroke through univariate and multivariate Cox proportional-hazards regression models, with stratification according to age, sex, and comorbidity. Results: The nurse group had a lower risk of ischemic stroke and hemorrhagic stroke in the crude model (HR = 0.66, 95% CI = 0.58–0.75; HR = 0.58, 95% CI = 0.47–0.72). After adjusting the prevalent variables, the nurse group still had a lower risk of stroke (HR = 0.68, 95% CI = 0.60–0.77; HR = 0.59, 95% CI = 0.48–0.73). Conclusion: The risks of both stroke types were lower in the nurse group than in the control. For stroke prevention, more frequent physical examinations are needed in order to enhance the health and well-being of people, including the nurses.

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Section: Discussionmentioning

confidence: 52%

Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan

Liao

Peng

Chen

et al. 2018

IJERPH

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“…A study reported that among patients who had undergone appendectomy or drainage, physicians and other medical professionals had a significantly lower risk of developing appendical perforation. Medical knowledge, familiarity with the healthcare system, and better patient–doctor communication were considered to contribute to the difference . Prescription behavior was viewed as a reasoned action based on the interaction of expectancies and values about treatment outcomes (attitude), normative factors, and personal experiences.…”

Section: Discussionmentioning

confidence: 83%

Brand name or generic? What are the health professionals prescribed for treating diabetes? A longitudinal analysis of the National Health Insurance reimbursement database

Liou

Hsieh

Chang

et al. 2013

Pharmacoepidemiology and Drug

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“…Physicians’ medical knowledge, health behaviors and insight into disease may help them recognize symptoms earlier and avoid delayed diagnosis or treatment, which definitely is a crucial determinant of clinical outcome. [23–26] Second, better communication among healthcare teams with physicians as patients may influence patients’ medical outcomes. [27] Third, physicians’ insider information may help them to select surgeons with greater skill, which is another important determinant for perioperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

Postoperative adverse outcomes among physicians receiving major surgeries

et al. 2016

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Outcomes after surgeries involving physicians as patients have not been researched. This study compares postoperative adverse events between physicians as surgical patients and nonhealth professional controls.Using reimbursement claims data from Taiwan's National Health Insurance Program, we conducted a matched retrospective cohort study of 7973 physicians as surgical patients and 7973 propensity score–matched nonphysician controls receiving in-hospital major surgeries between 2004 and 2010. We compared postoperative major complications, length of hospital stay, intensive care unit (ICU), medical expenditure, and 30-day mortality.Compared with nonphysician controls, physicians as surgical patients had lower adjusted odds ratios (ORs) with 95% confidence intervals (CIs) of postoperative deep wound infection (OR 0.63, 95% CI 0.40–0.99; P < 0.05), prolonged length of stay (OR 0.68, 95% CI 0.62–0.75; P < 0.0001), ICU admission (OR 0.74, 95% CI 0.66–0.83; P < 0.0001), and increased medical expenditure (OR 0.80, 95% CI 0.73–0.88; P < 0.0001). Physicians as surgical patients were not associated with 30-day in-hospital mortality after surgery. Physicians working at medical centers (P < 0.05 for all), dentists (P < 0.05 for all), and those with fewer coexisting medical conditions (P < 0.05 for all) had lower risks for postoperative prolonged length of stay, ICU admission, and increased medical expenditure.Although our study's findings suggest that physicians as surgical patients have better outcomes after surgery, future clinical prospective studies are needed for validation.

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Comparison of perforation risk among physicians, other medical professionals and general adults with acute appendicitis in Taiwan

Abstract: The risk of perforation was significantly lower among physicians and other medical professionals than in general adults. Medical knowledge, familiarity with the healthcare system and better patient-doctor communication may have been contributory factors.

Cited by 12 publications

References 38 publications

Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan

Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan

Brand name or generic? What are the health professionals prescribed for treating diabetes? A longitudinal analysis of the National Health Insurance reimbursement database

Postoperative adverse outcomes among physicians receiving major surgeries

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