分析 2000 年至 2023 年加拿大医生的讣告,调查不同专业之间的死亡趋势:回顾性横断面研究

Q3 Medicine Lifestyle medicine (Hoboken, N.J.) Pub Date : 2024-08-19 DOI:10.1002/lim2.114
Angela Li, Amir-Ali Golrokhian-Sani, Maya Morcos, Marc Morcos
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引用次数: 0

摘要

目标 医生的工作环境因其所从事的医疗专业而有很大不同。因此,这可能会决定他们的压力水平、工作与生活的平衡、满意度以及最终的预期死亡年龄。本文旨在确定加拿大医生的死亡趋势,并确定不同专业的中位死亡年龄。 方法 我们研究了《加拿大医学会杂志》(Canadian Medical Association Journal,CMAJ)在 2000 年至 2023 年间发表的医生讣告,提取了死亡年龄和医学专业。 结果 1999年至2023年间,医生死亡年龄的中位数呈稳定上升趋势,中位数年龄为80岁。精神病学(p = 0.020,95% 置信区间 [CI] [1.00, 4.00])和急诊医学(p = 0.025,95% CI [7.00, 26.00])职业与平均死亡年龄下降有关,而外科(p < 0.001,95% CI [-4.00,-2.00])、内科(p = 0.038,95% CI [-3.00,-1.00])和公共卫生(p = 0.016. 95% CI [-9.00,-2.00])与较高的死亡年龄相关。在有统计学意义的专科中,急诊科医生的死亡年龄中位数最低(59 岁),而外科和公共卫生科的死亡年龄中位数最高(分别为 81.5 岁和 83.5 岁)。 结论 我们的研究结果表明,不同医学专业的中位死亡年龄是不同的。展望未来,《中国医学杂志》应该以标准化的格式持续报道医生讣告,因为它拥有最广泛的讣告数据集,尽管在 2008 年至 2022 年期间缺失了大量数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Analysis of Canadian Physician Obituaries Between 2000 and 2023 to Investigate Trends in Death Between Specialties: A Retrospective Cross-Sectional Study

Objectives

A physician's work environment varies greatly depending on their medical specialty. As such, it may dictate their stress levels, work-life balance, satisfaction, and, ultimately, expected age of death. This paper aims to determine trends in Canadian physician deaths and determine the median age of death for different specialties.

Methods

We examined physician obituaries from the Canadian Medical Association Journal (CMAJ) published between 2000 and 2023, extracting age at death and medical specialty.

Results

The median age of death for doctors had a steady incline between 1999 and 2023 with a median age of 80 years. Careers in psychiatry (p = 0.020, 95% confidence interval [CI] [1.00, 4.00]) and emergency medicine (p = 0.025, 95% CI [7.00, 26.00]) were associated with decreased average ages of death, while careers in surgery (p < 0.001, 95% CI [−4.00, −2.00]), internal medicine (p = 0.038, 95% CI [−3.00, −1.00]), and public health (p = 0.016. 95% CI [−9.00, −2.00]) correlated with older ages of death. Of the statistically significant specialties, emergency medicine physicians had the lowest median age at death (59 years) while surgery and public health had the highest (81.5 and 83.5, respectively).

Conclusion

Our findings indicate that the median age of death differs across different medical specialties. Moving forward, the CMAJ should report physician obituaries consistently in a standardized format as it holds the most extensive obituary dataset despite missing significant data between 2008 and 2022.

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Issue Information Meeting Abstract Issue Information Analysis of Canadian Physician Obituaries Between 2000 and 2023 to Investigate Trends in Death Between Specialties: A Retrospective Cross-Sectional Study Defining the Traditional Mediterranean Lifestyle: Joint International Consensus Statement
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