Are medical employees at a higher risk of cardiovascular diseases also endangered by tumor diseases?
Authors:
Sovová Eliška 1,2; Nakládalová Marie 3; Kaletová Markéta 1; Sovová Markéta 4; Křibská Michaela 3; Radová Lenka 5
Authors‘ workplace:
I. interní klinika – kardiologická Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci, přednosta prof. MUDr. Miloš Táborský, CSc.
1; Klinika tělovýchovného lékařství a kardiovaskulární rehabilitace Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci, přednostka prof. MUDr. Eliška Sovová, Ph. D., MBA
2; Klinika pracovního lékařství Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci, přednostka doc. MUDr. Marie Nakládalová, Ph. D.
3; II. interní klinika – gastroenterologická, hepatologická FNOL a LF, přednosta doc. MUDr. Vlastlimil Procházka, Ph. D.
4; CEITEC – Středoevropský technologický institut Masarykovy univerzity, ředitel prof. RNDr. Jaroslav Koča, DrSc.
5
Published in:
Pracov. Lék., 66, 2014, No. 1, s. 20-24.
Category:
Original Papers
Overview
Introduction:
Physicians and nurses belong to an occupational category with health risk related to working conditions, which include working environment with various risk factors, working shifts, mental and physical stress. The care of their health state should be therefore in the forefront of occupational medicine and should include preventing the origin of cardiovascular and tumor diseases. The risk factors of both these groups of diseases are partly overlapping. The objective of this work was to determine the incidence of tumor diseases in a group of employees of a large hospital, where a higher risk of cardiovascular diseases (CVD) was established.
Patients and methods:
The cohort included 3124 employees at the mean age of 36.1 ± 11.4 years, 562 men at the mean age of 37.1 ± 12.26 years (range 18–72) and 2562 women at the mean age of 35.9 ± 11.24 years (range 18–68). At the entry examination the employees filled out a questionnaire related to basic risk factors of CVD and after supplementing objective data (BP, body mass, stature, BMI, lipid spectrum values) the CVD risk was determined according to valid tables. A subgroup of persons was selected who displayed a high or medium risk – altogether 247 subjects at the average age of 54.1 ± 5.73 years. They were subjected to repeated follow-up examination after 7.24 ± 1.38 (5–9) years. Alternatively, their general health was ascertained by telephone or in the hospital information system. A new incidence of tumor diseases was the end point of the observation.
Results:
The end point occurred altogether in 18 subjects, of them 9 men (7.8 %) and 9 women (6.8 %). In these male subjects, there were five cases of prostate cancer and three individuals with colorectal cancer and one man suffered from multiple myeloma. In the female subjects six suffered from breast cancer, two with colorectal cancer and one woman from renal cancer. The tumors occurred at a significantly higher rate in the auxiliary staff (p < 0.035). Among continuous variables there was a significant relation between higher age and tumor incidence in the total group (p = 0.01), men suffered from the incidence of tumors in relation to age (p = 0.01) and lower BMI (p = 0.007). The incidence of malignancies in our group did not significantly differ from the general population (p = 0.21).
Conclusion:
In spite of the fact that the incidence of malignancies in the hospital employees did not differ from general population, attention should be devoted to prevention of cardiovascular diseases as well as tumor in the preventive follow up examinations.
Keywords:
hospital employees – prevention – tumor diseases – cardiovascular diseases
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Labels
Hygiene and epidemiology Hyperbaric medicine Occupational medicineArticle was published in
Occupational Medicine
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