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Sporadic Creutzfeldt-Jakob Disease among Physicians, Germany, 1993-2018
Insights
Physicians in Germany may face a higher risk of developing sporadic Creutzfeldt-Jakob disease (sCJD). Surveillance data shows an increasing trend of sCJD cases among doctors, warranting further investigation.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Sporadic Creutzfeldt-Jakob disease (sCJD) is a rare, fatal neurodegenerative prion disease.
- Understanding potential occupational risks is crucial for disease prevention and control.
Purpose of the Study:
- To investigate the incidence of sCJD among physicians in Germany.
- To identify any potential occupational risk factors associated with sCJD in the medical community.
Main Methods:
- Analysis of sCJD patient data from German surveillance units (1993-2016).
- Inclusion of occupational information, specifically focusing on physicians.
- Statistical analysis, including cumulative sum tests and comparison with the general population.
Main Results:
- A small but increasing proportion of sCJD cases were identified as physicians over time.
- No specific medical specialties were disproportionately represented among physician cases.
- An elevated rate of sCJD among physicians was observed in recent data (2017-2018).
Conclusions:
- The findings suggest a potential increased risk of sCJD among physicians in Germany.
- The reasons for this potential association remain speculative.
- Larger, multinational studies are required to confirm these findings and explore underlying causes.
Abstract:
We investigated sporadic Creutzfeldt-Jakob disease (sCJD) among physicians in Germany by analyzing occupational information of patients with sCJD recorded by the German CJD Surveillance Unit (1993-2005; 1,250 patients, of whom 4 [0.32%] were physicians) and the National Reference Center for Human Spongiform Encephalopathies (2006-2016; 1,491 patients, of whom 13 [0.87%] were physicians). Among the physicians, we did not identify any neurologists, neurosurgeons, psychiatrists, or pathologists. A cumulative sum test showed an increase in reported physicians over time. Data for 2017-2018 indicated an increased rate of physicians among all notified sCJD cases (5/239 [2.1%]) when we used the total population of Germany as control group. Our data suggest the possibility of an increased risk for sCJD among physicians in Germany. However, we can only speculate about the reasons, and larger multinational studies are needed to replicate the finding and to clarify whether this finding is a general or a country-specific phenomenon.
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