Risk for cervical herniated intervertebral disc in dentists: a nationwide population-based study.
Adult
Age Factors
Dentists
/ statistics & numerical data
Female
Humans
Intervertebral Disc
/ physiopathology
Intervertebral Disc Degeneration
/ epidemiology
Intervertebral Disc Displacement
/ epidemiology
Male
Middle Aged
Occupational Diseases
/ epidemiology
Posture
/ physiology
Registries
/ statistics & numerical data
Retrospective Studies
Risk Factors
Taiwan
/ epidemiology
Cervical
Dentist
Herniated intervertebral disc
Occupation
Prolonged static posture
Younger
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
04 May 2019
04 May 2019
Historique:
received:
17
08
2018
accepted:
09
04
2019
entrez:
6
5
2019
pubmed:
6
5
2019
medline:
3
9
2019
Statut:
epublish
Résumé
Prolonged static postures (PSPs) may predispose dentists to develop cervical herniated intervertebral disc (C-HIVD); however, there is limited evidence supporting this in the literature thus far. We conducted this study to fit the data gap. We conducted a retrospective nationwide population-based study using the Taiwan National Health Insurance Research Database to identify 10,930 dentists, an identical number of age- and sex-matched participants from the general population, and 73,718 other health care providers (HCPs, non-dentists). Comparisons for the risk of developing C-HIVD between dentists and the general population, and between dentists and other HCPs were performed by tracing their medical histories between 2007 and 2011. Dentists had a cumulative incidence rate of 1.1% for C-HIVD during the 5-year follow-up period. Overall, there was no difference of the risk for C-HIVD between dentists and the general population after adjusting for hypertension, hyperlipidemia, liver disease, mental disorders, diabetes mellitus, coronary artery disease, chronic obstructive pulmonary disease, malignancy, stroke, and renal disease (adjusted odds ratio [AOR]: 1.2, 95% confidence interval [CI]: 0.9-1.6). However, stratified analysis showed that younger dentists (≤ 34 years) had a trend of higher risk for C-HIVD than members of the younger general population (AOR: 1.9, 95% CI: 0.9-4.1). There was no difference found between dentists and other HCPs (AOR: 0.9, 95% CI: 0.8-1.1). Younger dentists had a trend of higher risk of developing C-HIVD than members of the general population.
Sections du résumé
BACKGROUND
BACKGROUND
Prolonged static postures (PSPs) may predispose dentists to develop cervical herniated intervertebral disc (C-HIVD); however, there is limited evidence supporting this in the literature thus far. We conducted this study to fit the data gap.
METHODS
METHODS
We conducted a retrospective nationwide population-based study using the Taiwan National Health Insurance Research Database to identify 10,930 dentists, an identical number of age- and sex-matched participants from the general population, and 73,718 other health care providers (HCPs, non-dentists). Comparisons for the risk of developing C-HIVD between dentists and the general population, and between dentists and other HCPs were performed by tracing their medical histories between 2007 and 2011.
RESULTS
RESULTS
Dentists had a cumulative incidence rate of 1.1% for C-HIVD during the 5-year follow-up period. Overall, there was no difference of the risk for C-HIVD between dentists and the general population after adjusting for hypertension, hyperlipidemia, liver disease, mental disorders, diabetes mellitus, coronary artery disease, chronic obstructive pulmonary disease, malignancy, stroke, and renal disease (adjusted odds ratio [AOR]: 1.2, 95% confidence interval [CI]: 0.9-1.6). However, stratified analysis showed that younger dentists (≤ 34 years) had a trend of higher risk for C-HIVD than members of the younger general population (AOR: 1.9, 95% CI: 0.9-4.1). There was no difference found between dentists and other HCPs (AOR: 0.9, 95% CI: 0.8-1.1).
CONCLUSION
CONCLUSIONS
Younger dentists had a trend of higher risk of developing C-HIVD than members of the general population.
Identifiants
pubmed: 31054566
doi: 10.1186/s12891-019-2559-3
pii: 10.1186/s12891-019-2559-3
pmc: PMC6499988
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
189Subventions
Organisme : Kaohsiung Medical University Research Foundation
ID : KMU-Q105015
Organisme : Chi-Mei Medical Center
ID : 106CM-KMU-13
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