Cancer Prevalence among Physicians in Korea - KoreaMed Synapse

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Frank E, Biola H, Burnett CA. Mortality rates and causes among U.S. physicians. Am J Prev Med 2000;19:155-9. 3. Frank E, Brogan DJ, Mokdad AH, Simoes EJ, ...
http://dx.doi.org/10.4082/kjfm.2016.37.2.91 • Korean J Fam Med 2016;37:91-96

Original Article eISSN: 2092-6715

Cancer Prevalence among Physicians in Korea: A Single Center Study Hye Lin Kim*, Hae Jin Park, Yun Hye Sim, Eun Young Choi, Kyung Won Shim, Sang Wha Lee, Hong Soo Lee, Hyejin Chun Department of Family Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea

Background: There is little research regarding whether working as a physician affects cancer risk. Moreover, there is no research on cancer prevalence among physicians in Korea. This study utilized the Korea National Cancer Incidence Database to determine whether the prevalence of cancer among physicians differs from the prevalence of cancer within the general population. Methods: We analyzed the medical records of a representative sample of 382 doctors who underwent a health examination between 2010 and 2013 at a health examination center in a Ewha Womans University Medical Center. Cancer incidence was measured as cases that were eventually diagnosed as cancer according to a biopsy. Results: We collected medical records from 382 physicians (mean age, 51.9±8.1 years) and calculated the standardized prevalence ratios compared to the general population. Thirty physicians (9 male and 21 female) were identified as having cancer. Physicians had a significantly higher prevalence of cancer compared to the general population. Cancer prevalence in male physicians was found to be 2.47 times higher than the prevalence expected within the general population (P=0.006). Among female physicians, cancer prevalence was 3.94 times higher than that in the general population (P98% of can-

physicians’ health, not only to assess the current status of their health

cers reported on death certificates.20) The medical history question-

but to also manage their health. To this end, we reviewed the medical

naire used to assess past diagnoses of cancer was composed of the fol-

records of physicians who work at a university hospital and who visited

lowing questions: “Have you ever been diagnosed with cancer?”, What

http://dx.doi.org/10.4082/kjfm.2016.37.2.91

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Hye Lin Kim, et al.  •  Cancer in Korean Physicians type(s) of cancer have you been diagnosed with?”, and “When were

vere obesity (defined as a BMI greater than 30.0 kg/m2). The mean

you diagnosed with cancer?”

BMI of female physicians was 22.1±2.6 kg/m2; the overweight rate was 23.8%, and the obesity rate was 11.9%. Unlike male physicians, there

4. Statistical Analyses

were no subjects with severe obesity among female physicians. Wom-

Data were expressed as the mean±standard deviation for continuous

en in our study were somewhat younger and more likely to have a nor-

variables and as a number (percentage) for categorical variables. Work

mal BMI (