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http://ir.nhri.org.tw/handle/3990099045/4223
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| Title: | Mortality and cancer incidence among physicians of traditional Chinese medicine: a 20-year national follow-up study |
| Authors: | Liu, SH;Liu, YF;Liou, SH;Lin, YL;Hsiao, YC;Chen, CC;Li, CY;Wu, TN |
| Contributors: | Division of Environmental Health and Occupational Medicine |
| Abstract: | Objective To study the risks of mortality and cancer incidence in physicians of traditional Chinese medicine (TCM) who had frequent exposure to herbal medicine. Methods A population-based cohort design was conducted in which a total of 7675 certified physicians of TCM who ever practised between 1985 and 2005 were compared with the age-, sex-and calendar year-specific mortalities and cancer incidence rates of the general population of Taiwan. The age-, sex-and calendar year-standardised mortality ratio (SMR) and standardised cancer incidence ratio (SIR) were calculated to estimate the relative risks of all causes and site-specific mortality and cancer incidence. Results Over an up to 20-year observational period, 796 (10.4%) physicians of TCM died, and 279 (3.6%) developed cancer. The study cohort showed a significantly reduced SMR for all-causes mortality (68, 95% CI 63 to 73), and for deaths from infectious (SMR 64), circulatory (SMR 68), respiratory (SMR 64) and digestive (SMR 56) disease. The study cohort also had a significantly reduced SIR (80, 95% CI 71 to 90) for all cancers, and for neoplasm of rectum, rectosigmoid junction, and anus (SIR 45), female breast (SIR 30) and cervix uteri (SIR 10). On the other hand, we noted that physicians of TCM suffered from a significantly increased SIR for neoplasm of liver and intrahepatic bile ducts (SIR 151, 95% CI 116 to 192) and of bladder cancer (SIR 259, 95% CI 167 to 382). Conclusion Like other healthcare workers, we noted that physicians of TCM had significantly reduced risks of all-causes mortality and cancer incidence. Nonetheless, reasons truly responsible for significantly increased risks of liver and bladder neoplasm among physicians of TCM warrant further investigations. |
| Date: | 2010-03 |
| Relation: | Occupational and Environmental Medicine. 2010 Mar;67(3):166-169. |
| Link to: | http://dx.doi.org/10.1136/oem.2009.050021 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1351-0711&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:000275447500006 |
| Cited Times(Scopus): | http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=77949376130 |
| Appears in Collections: | [劉紹興] 期刊論文
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| ISI000275447500006.pdf | | 631Kb | Adobe PDF | 272 | View/Open |
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