Increased cancer risk among surgeons in an orthopaedic hospital
Increased cancer risk among surgeons in an orthopaedic hospital
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DOI：
10.1093/occmed/kqi048
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发表时间：
2005-09-01
影响因子：
5.1
通讯作者：
Saia, B
中科院分区：
文献类型：
--
作者：
Mastrangelo, G;Fedeli, U;Saia, B
背景 某放射防护实践较差的小型骨科医院报告了 5 例 7 年以上的癌症病例。目的 调查该医院接受常规辐射剂量评估的工作人员的癌症风险是否增加。方法对 158 名接受常规剂量评估的工作人员和 158 名年龄性别匹配的未暴露工作人员进行癌症发生情况询问。所有肿瘤均作为单一诊断类别进行分析。结果 1976-2000 年，骨科、骨科以外的暴露人群和未暴露工人的累计癌症发病率分别为 29 (9/31)、6 (8/125) 和 4% (7/158)。在逻辑回归分析中，骨科医生的工作显着增加（P < 0.002）患肿瘤的风险。 结论 这些研究结果提醒外科医生不要低估潜在的辐射风险，并且其医疗保健机构对安全工作实践的宣传不够。
Background Five cancer cases over 7 years were reported in a small orthopaedic hospital where radiation protection practice was poor.Aim To investigate whether workers subject to routine radiation dosimetric assessment in that hospital had an increased cancer risk.Methods One hundred and fifty-eight workers subject to routine dose assessment and 158 age-sex-matched unexposed workers were questioned about cancer occurrence. All tumours were analysed as a single diagnostic category.Results Cumulative 1976-2000 cancer incidence was 29 (9/31), 6 (8/125) and 4% (7/158) in orthopaedics, exposed other than orthopaedics, and unexposed workers, respectively. At logistic regression analysis, working as orthopaedic surgeon significantly (P < 0.002) increased the risk of tumours.Conclusion These findings caution against surgeons' underestimation of the potential radiation risk and insufficient promotion of safe work practices by their health care institutions.