Trends in the mortality of general practitioners and specialists in Cali, Colombia
Keywords:
average mortality rate, Cause of death in medical mortality trends in medical specialists, cancer, heart attackAbstract
Objective: To determine the Average Mortality Rate (TMP) and the causes of death of general practitioners and specialists in the city of Cali in the period studied. Methodology: Retrospective cohort study, carried out in a database of doctors associated with a fund of employees from the city of Cali between the years 1997 and 2011. The information of the medical specialty was obtained from the records of the employee fund and the cause of death of all the deceased (n = 181) was established from the records of the National Administrative Department of Statistics (DANE). Results: The TMP of the doctors in Cali in the period between 1997 to 2011 (5.8 / 1000) is lower than the TMP of the general population older than 30 years (8.3 / 1000) in the evaluated period (P < 0.001). The main causes of death are related to Cancer (36%) and Cardiovascular Diseases (30%). The first cause of death from Cancer is due to the Prostate and the first cause of Cardiovascular Disease was Acute Myocardial Infarction. The highest TMP with statistical significance was for doctors with surgical specialties. Conclusions: The studied medical population presents a TMP in the period 1997 to 2011 lower than the general population older than 30 years of the city of Cali. The main causes of death are associated with health problems characteristic of adulthood such as Cancer and cardiovascular diseases.Downloads
References
Araki S, Murata K, Kumagai K, Nagasu M. Mortality of medical practitioners in Japan: social class and the "healthy worker effect". Am J Ind Med. 1986;10(1):91-9.
Rimpela AH, Nurminen MM, Pulkkinen PO, Rimpela MK, Valkonen T. Mortality of doctors: do doctors benefit from their medical knowledge? Lancet. 1987 Jan 10;1(8524):84-6.
Casilla EC, R; Concepción, Justo; Sosa, M; Méndez, H; Cruz, J. Principales características de la muerte del médico en República Dominicana. Rev méd domin. 1993;54(1):3-4
Bruce DL, Eide KA, Smith NJ, Seltzer F, Dykes MH. A prospective survey of anesthesiologist mortality, 1967-1971. Anesthesiology. 1974 Jul;41(1):71-4.
Hall A, Harrington JM, Aw TC. Mortality study of British pathologists. Am J Ind Med. 1991;20(1):83-9.
Carpenter LM, Swerdlow AJ, Fear NT. Mortality of doctors in different specialties: findings from a cohort of 20000 NHS hospital consultants. Occup Environ Med. 1997 Jun;54(6):388-95.
Bateman C. Doctor burnout silent and fatal. S Afr Med J. 2001 Feb;91(2):98-100.
Svardsudd K, Wedel H, Gordh T, Jr. Mortality rates among Swedish physicians: a population-based nationwide study with special reference to anesthesiologists. Acta Anaesthesiol Scand. 2002 Nov;46(10):1187-95.
Matanoski GM, Seltser R, Sartwell PE, Diamond EL, Elliott EA. The current mortality rates of radiologists and other physician specialists: specific causes of death. Am J Epidemiol. 1975 Mar;101(3):199-210.
Kono S, Ikeda M, Tokudome S, Nishizumi M, Kuratsune M. Smoking and mortalities from Cancer, Coronary Heart Disease and stroke in male Japanese physicians. J Cancer Res Clin Oncol. 1985;110(2):161-4.
Kono S, Ikeda M, Tokudome S, Nishizumi M, Kuratsune M. Alcohol and mortality: a cohort study of male Japanese physicians. Int J Epidemiol. 1986 Dec;15(4):527-32.
Ciriacos C, Rodríguez Almada H, Turnes AL. Mortalidad de los médicos en Uruguay (segunda parte): Análisis de las causas de muerte en el quinquenio 1998-2002. Revista Médica del Uruguay. 2006;22:277-86.
Aasland OG, Hem E, Haldorsen T, Ekeberg O. Mortality among Norwegian doctors 1960-2000. BMC Public Health. 2011;11:173.
Shang TF, Chen PC, Wang JD. Mortality of doctors in Taiwan. Occup Med (Lond). 2011 Jan;61(1):29-32.
