Klein-Kremer Adi, Liphshitz Irena, Haklai Ziona, Linn Shai, Barchana Micha
Isr Med Assoc J. 2014 Jul;16(7):412-7.
Physicians' occupational environment includes exposures to potential carcinogenic factors on a regular basis. The prevalence of specific tumor types and subsequent mortality are reported to be elevated in physicians.
To assess the incidence of various cancer types among Israeli physicians of various specialties, as compared with the general population, and to determine the role, if any, of gender and ethnicity.
This historical retrospective cohort analysis incorporated data on Israeli officially licensed physicians and information retrieved from the Israel National Cancer Registry database (INCR). Physicians were divided into five groups: non-specialists, internists, pediatricians, surgeons, and potentially at-risk specialties. Data were collected retrospectively for the years 1980-2007.
The study cohort comprised 37,789 physicians, of whom 33,393 (88.37%) were Jews and 4396 (11.63%) were Arabs. Comparing Jewish physicians to the general population revealed higher rates of: a) breast cancer among female specialized physicians, and b) melanoma among specialized male and female physicians. All cancer types were more prevalent in the Arab physicians than in the general Arab population.
This study revealed incidences of specific cancer types among different medical specialties as compared to the general population. Hopefully, these findings will prompt changes in the occupational environment of physicians of particular specialties in order to reduce their high risk for cancer occurrence.
医生的职业环境包括经常接触潜在致癌因素。据报道，特定肿瘤类型的患病率及随后的死亡率在医生群体中有所升高。
评估以色列不同专科医生中各类癌症的发病率，并与普通人群进行比较，同时确定性别和种族（若有影响）的作用。
这项历史性回顾队列分析纳入了以色列官方注册医生的数据以及从以色列国家癌症登记数据库（INCR）检索到的信息。医生被分为五组：非专科医生、内科医生、儿科医生、外科医生以及潜在高危专科医生。回顾性收集了1980年至2007年的数据。
研究队列包括37789名医生，其中33393名（88.37%）为犹太人，4396名（11.63%）为阿拉伯人。将犹太医生与普通人群比较发现：a）女性专科医生中乳腺癌发病率较高；b）专科男女医生中黑色素瘤发病率较高。所有癌症类型在阿拉伯医生中的患病率均高于阿拉伯普通人群。
本研究揭示了不同医学专科中特定癌症类型的发病率与普通人群的比较情况。希望这些发现能促使特定专科医生的职业环境发生改变，以降低他们患癌症的高风险。
