Mortality of doctors in different specialties : findings from a cohort of 20 000 NHS hospital consultants.
Objectives-To examine patterns of cause specific mortality in NHS hospital consultants according to their specialty and to assess these in the context of potential occupational exposures.
Metho4ls---A historical cohort assembled from Department of Health records with follow up through the NHS Central Register involving 18 358 male and 2168 female NHS hospital consultants employed in England and Wales between 1962 and 1979.
Main outcome measures examined were cause specific mortality during 1962-92 in all consultants combined, and separately for 17 specialty groups, with age, sex, and calendar year adjusted standardised mortality ratios (SMRs) for comparison with national rates, and rate ratios (RRs) for comparison with rates in all consultants combined.
Result-The 2798 deaths at ages 25 to 74 reported during the 30 year study period were less than half the number expected on the basis of national rates (SMR 48,95% confidence interval (95% Cl) 46 to 49).
Low mortality was evident for cardiovascular disease, lung cancer, other diseases related to smoking, and particularly for diabetes (SMR 14,95% CI 6 to 29).
Death rates from accidental poisoning were significantly raised among male consultants (SMR 227,95% CI 135 to 359), the excess being most apparent in obstetricians and gynaecologists (SMR 934) ; almost all deaths from accidental poisoning involved prescription drugs. (...)
Mots-clés Pascal : Personnel sanitaire, Exposition professionnelle, Médecin, Spécialité médicale, Epidémiologie, Mortalité, Homme, Royaume Uni, Europe, Etude cohorte
Mots-clés Pascal anglais : Health staff, Occupational exposure, Physician, Medical specialty, Epidemiology, Mortality, Human, United Kingdom, Europe, Cohort study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0410407
Code Inist : 002B30A05. Création : 19/12/1997.