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Increased Prevalence of Breast and All-cause Cancer in Female Orthopaedic Surgeons
Loretta B Chou1, Brianna Johnson, Lauren M Shapiro
1From the Department of Orthopaedic Surgery, Stanford University, Stanford, CA (Dr. Chou, Dr. Pun, Dr. Ladd); Walter Reed National Military Medical Center, Bethesda, MD (Dr. Johnson); the Department of Orthopaedic Surgery, University of California - San Francisco San Francisco, CA (Dr. Shapiro); Novant Health Orthopaedic Fracture Clinic, Charlotte, NC (Dr. Cannada); the Department of Orthopaedic Surgery, Harvard Medical School Boston, MA (Dr. Chen); the Department of Orthopaedic Surgery, California Pacific Orthopaedics San Fransciso, CA (Dr. Valone); the Department of Orthopaedic Surgery, Medical University of South Carolina Charleston, SC (Dr. Van Nortwick); and the Department of Orthopaedic Surgery, Palo Alto Veterens Association Palo Alto, CA (Dr. Finlay).
Introduction:
Cancer is the second leading cause of death among women in the United States. Previous studies demonstrate a higher prevalence of cancer among female orthopaedic surgeons. This study aimed to provide an updated prevalence of breast and all-cause cancer among female orthopaedic surgeons using a larger and more current study population.
Methods:
We distributed surveys to female orthopaedic surgeons in national orthopaedic specialty societies. Six hundred seventy-two survey responses were collected. We calculated standardized prevalence ratios (SPRs) and 95% confidence intervals (CIs) based on gender-specific, race-specific, and age-specific cancer prevalence statistics in the US population. We compared the distribution of breast cancer risk factors with that of women in the 2018 and 2009 California Health Interview Survey.
Results:
Fifty-one of the 672 surveyed surgeons reported a diagnosis of invasive cancer. Twenty reported breast cancer with a prevalence higher among female orthopaedic surgeons compared with the US female population (SPR: 2.89, 95% CI: 2.16 to 3.81, P < 0.001). The breast cancer prevalence was also higher among orthopaedic surgeons compared with the US female population (SPR: 3.97, 95% CI: 2.43 to 6.14, P = 0.003).
Discussion:
The increased prevalence of breast and all-cause cancer among a larger and more diverse cohort of female orthopaedic surgeons confirms previous studies and provides an update regarding a concerning public health issue within this specialty.
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