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Cause-specific mortality risks of anesthesiologists.

B H Alexander1, H Checkoway, S I Nagahama

  • 1Department of Anesthesiology, School of Medicine, and the Department of Environmental Health, School of Public Health, University of Washington, Seattle, Washington, USA.

Anesthesiology
|October 6, 2000
PubMed
Summary
This summary is machine-generated.

Anesthesiologists face higher risks of death from suicide and substance abuse compared to internists. These findings highlight significant occupational hazards requiring new intervention strategies.

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Area of Science:

  • Occupational Health
  • Medical Professional Mortality
  • Anesthesiology

Background:

  • The operating room environment's health impacts on physicians remain largely unknown.
  • This study investigates the comparative mortality risks between anesthesiologists and internal medicine physicians.

Purpose of the Study:

  • To compare the mortality risks associated with anesthesiology practice versus internal medicine.
  • To identify specific causes of death that may be elevated in anesthesiologists.

Main Methods:

  • Utilized the Physician Master File database to identify cohorts of anesthesiologists (n=40,242) and internists (n=40,211).
  • Frequency-matched cohorts by gender, birth decade, and US citizenship; confirmed mortality via the National Death Index.
  • Employed Cox proportional hazards regression to compare adjusted mortality risks.

Main Results:

  • Anesthesiologists showed significantly increased risks of death from suicide, drug-related causes, external causes, and cerebrovascular disease.
  • Elevated risks for male anesthesiologists included death from HIV and viral hepatitis.
  • The risk of drug-related death was highest early in careers but persisted throughout.

Conclusions:

  • Substance abuse and suicide are identified as substantial occupational hazards for anesthesiologists.
  • The study underscores the need for developing novel strategies to address substance abuse within this medical specialty.