Kim Hye Lin, Park Hae Jin, Sim Yun Hye, Choi Eun Young, Shim Kyung Won, Lee Sang Wha, Lee Hong Soo, Chun Hyejin
Department of Family Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea.
Korean J Fam Med. 2016 Mar;37(2):91-6. doi: 10.4082/kjfm.2016.37.2.91. Epub 2016 Mar 25.
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.
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.
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 (P<0.001).
This study revealed that physicians had a higher prevalence of cancer compared to the general population in Korea, which suggests that there may be a problem present in the health care of physicians. Changes to the working environment of physicians will be needed to reduce the high prevalence of cancer among physicians.
关于医生职业是否会影响癌症风险的研究较少。此外，韩国尚无关于医生群体中癌症患病率的研究。本研究利用韩国国家癌症发病率数据库，以确定医生群体中的癌症患病率与普通人群中的癌症患病率是否存在差异。
我们分析了2010年至2013年间在梨花女子大学医学中心健康检查中心接受健康检查的382名医生的代表性样本的病历。癌症发病率以最终经活检确诊为癌症的病例数来衡量。
我们收集了382名医生（平均年龄51.9±8.1岁）的病历，并计算了与普通人群相比的标准化患病率比值。有30名医生（9名男性和21名女性）被确诊患有癌症。与普通人群相比，医生的癌症患病率显著更高。男性医生的癌症患病率是普通人群预期患病率的2.47倍（P = 0.006）。在女性医生中，癌症患病率是普通人群的3.94倍（P < 0.001）。
本研究表明，韩国医生的癌症患病率高于普通人群，这表明医生的医疗保健可能存在问题。需要改变医生的工作环境，以降低医生群体中癌症的高患病率。
