Lower risk of end stage renal disease in diabetic nurse
As professional medical caregivers, nurses have extensive medical knowledge and information than general population. However, they may use their professional knowledge and networks to seek prompt health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developi...
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| Published in | Biomedicine (Taipei) Vol. 7; no. 4; p. 25 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
France
EDP Sciences
01.12.2017
China Medical University |
| Subjects | |
| Online Access | Get full text |
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| Abstract | As professional medical caregivers, nurses have extensive medical knowledge and information than general population. However, they may use their professional knowledge and networks to seek prompt health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developing end-stage renal disease requiring dialysis compared to diabetes patients in the general population.
This retrospective longitudinal study extracted data of nurses with newly diagnosed diabetes and general patients with diabetes from the National Health Insurance Database between 1998 and 2006 and follow-up to December 2009, satisfied the participant inclusion criteria was 518,058. Nurses and general population were matched with propensity score method in a 1:10 ratio. Basic characteristics and health status were similar between groups. Cox proportional hazards model was used to compare relative risks and dialysis factors between groups.
Nurses were younger than general population with diabetes (42.01 years vs. 59.29 years) and had lower risk of dialysis (adjusted hazard ratio = 0.36, 95% confidence interval 0.16-0.81). Nurses with Diabetes Complications Severity Index (DCSI)≧3 had dialysis risk up to 83.53 times higher than that of the reference group (DCSI < 3). DCSI was the only variable determined to be a related factor affecting dialysis risk in nurses with diabetes.
Nurses with diabetes have lower risk of dialysis. This suggests that nurses may have more knowledge regarding chronic disease control and change their lifestyles than general diabetes patients. Results of this study may serve as a reference for developing health education. |
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| AbstractList | As professional medical caregivers, nurses have extensive medical knowledge and information than general population. However, they may use their professional knowledge and networks to seek prompt health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developing end-stage renal disease requiring dialysis compared to diabetes patients in the general population.
This retrospective longitudinal study extracted data of nurses with newly diagnosed diabetes and general patients with diabetes from the National Health Insurance Database between 1998 and 2006 and follow-up to December 2009, satisfied the participant inclusion criteria was 518,058. Nurses and general population were matched with propensity score method in a 1:10 ratio. Basic characteristics and health status were similar between groups. Cox proportional hazards model was used to compare relative risks and dialysis factors between groups.
Nurses were younger than general population with diabetes (42.01 years vs. 59.29 years) and had lower risk of dialysis (adjusted hazard ratio = 0.36, 95% confidence interval 0.16-0.81). Nurses with Diabetes Complications Severity Index (DCSI)≧3 had dialysis risk up to 83.53 times higher than that of the reference group (DCSI < 3). DCSI was the only variable determined to be a related factor affecting dialysis risk in nurses with diabetes.
Nurses with diabetes have lower risk of dialysis. This suggests that nurses may have more knowledge regarding chronic disease control and change their lifestyles than general diabetes patients. Results of this study may serve as a reference for developing health education. OBJECTIVESAs professional medical caregivers, nurses have extensive medical knowledge and information than general population. However, they may use their professional knowledge and networks to seek prompt health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developing end-stage renal disease requiring dialysis compared to diabetes patients in the general population. METHODSThis retrospective longitudinal study extracted data of nurses with newly diagnosed diabetes and general patients with diabetes from the National Health Insurance Database between 1998 and 2006 and follow-up to December 2009, satisfied the participant inclusion criteria was 518,058. Nurses and general population were matched with propensity score method in a 1:10 ratio. Basic characteristics and health status were similar between groups. Cox proportional hazards model was used to compare relative risks and dialysis factors between groups. RESULTSNurses were younger than general population with diabetes (42.01 years vs. 59.29 years) and had lower risk of dialysis (adjusted hazard ratio = 0.36, 95% confidence interval 0.16-0.81). Nurses with Diabetes Complications Severity Index (DCSI)≧3 had dialysis risk up to 83.53 times higher than that of the reference group (DCSI < 3). DCSI was the only variable determined to be a related factor affecting dialysis risk in nurses with diabetes. CONCLUSIONSNurses with diabetes have lower risk of dialysis. This suggests that nurses may have more knowledge regarding chronic disease control and change their lifestyles than general diabetes patients. Results of this study may serve as a reference for developing health education. Objectives: As professional medical caregivers, nurses have extensive medical knowledge and information than general population. However, they may use their professional knowledge and networks to seek prompt health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developing end-stage renal disease requiring dialysis compared to diabetes patients in the general population. Methods: This retrospective longitudinal study extracted data of nurses with newly diagnosed diabetes and general patients with diabetes from the National Health Insurance Database between 1998 and 2006 and follow-up to December 2009, satisfied the participant inclusion criteria was 518,058. Nurses and general population were matched with propensity score method in a 1:10 ratio. Basic characteristics and health status were similar between groups. Cox proportional hazards model was used to compare relative risks and dialysis factors between groups. Results: Nurses were younger than general population with diabetes (42.01 years vs . 59.29 years) and had lower risk of dialysis (adjusted hazard ratio = 0.36, 95% confidence interval 0.16-0.81). Nurses with Diabetes Complications Severity Index (DCSI)≧3 had dialysis risk up to 83.53 times higher than that of the reference group (DCSI < 3). DCSI was the only variable determined to be a related factor affecting dialysis risk in nurses with diabetes. Conclusions: Nurses with diabetes have lower risk of dialysis. This suggests that nurses may have more knowledge regarding chronic disease control and change their lifestyles than general diabetes patients. Results of this study may serve as a reference for developing health education. Objectives: As professional medical caregivers, nurses have extensive medical knowledge and information than general population. However, they may use their professional knowledge and networks to seek prompt health services. In this study, we aimed to determine susceptibility of nurses with diabetes to developing end-stage renal disease requiring dialysis compared to diabetes patients in the general population. Methods: This retrospective longitudinal study extracted data of nurses with newly diagnosed diabetes and general patients with diabetes from the National Health Insurance Database between 1998 and 2006 and follow-up to December 2009, satisfied the participant inclusion criteria was 518,058. Nurses and general population were matched with propensity score method in a 1:10 ratio. Basic characteristics and health status were similar between groups. Cox proportional hazards model was used to compare relative risks and dialysis factors between groups. Results: Nurses were younger than general population with diabetes (42.01 years vs. 59.29 years) and had lower risk of dialysis (adjusted hazard ratio = 0.36, 95% confidence interval 0.16-0.81). Nurses with Diabetes Complications Severity Index (DCSI)≧3 had dialysis risk up to 83.53 times higher than that of the reference group (DCSI < 3). DCSI was the only variable determined to be a related factor affecting dialysis risk in nurses with diabetes. Conclusions: Nurses with diabetes have lower risk of dialysis. This suggests that nurses may have more knowledge regarding chronic disease control and change their lifestyles than general diabetes patients. Results of this study may serve as a reference for developing health education. |
| Author | Kung, Pei-Tseng Chou, Wen-Yu Tsai, Wen-Chen Pan, Cheng-Chin Kung, Chuan-Yu Huang, Hsiu-Ling Chen, Ming-Chih |
| AuthorAffiliation | 1 Department of Urology, Hengchun Tourism Hospital, Ministry of Health and Welfare Pingtung 946 Taiwan 4 Department of Orthopedics, Hengchun Tourism Hospital, Ministry of Health and Welfare Pingtung 946 Taiwan 3 Department of Health Services Administration, China Medical University Taichung 404 Taiwan 6 Department of Healthcare Administration, Asia University Taichung 413 Taiwan 2 Department of Aged Welfare & Social Work, Toko University Chiayi 613 Taiwan 5 Department of Nursing, Hengchun Tourism Hospital, Ministry of Health and Welfare Pingtung 946 Taiwan |
| AuthorAffiliation_xml | – name: 6 Department of Healthcare Administration, Asia University Taichung 413 Taiwan – name: 5 Department of Nursing, Hengchun Tourism Hospital, Ministry of Health and Welfare Pingtung 946 Taiwan – name: 3 Department of Health Services Administration, China Medical University Taichung 404 Taiwan – name: 2 Department of Aged Welfare & Social Work, Toko University Chiayi 613 Taiwan – name: 4 Department of Orthopedics, Hengchun Tourism Hospital, Ministry of Health and Welfare Pingtung 946 Taiwan – name: 1 Department of Urology, Hengchun Tourism Hospital, Ministry of Health and Welfare Pingtung 946 Taiwan |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29130450$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1038_s41598_023_43513_z crossref_primary_10_3390_ijerph18094648 crossref_primary_10_1051_bmdcn_2017070317 crossref_primary_10_1007_s00228_017_2256_9 crossref_primary_10_1051_bmdcn_2017070426 crossref_primary_10_1097_MD_0000000000026644 crossref_primary_10_3390_ijerph16162959 crossref_primary_10_1051_bmdcn_2017070320 crossref_primary_10_1051_bmdcn_2018080105 crossref_primary_10_1097_MD_0000000000011388 crossref_primary_10_1051_bmdcn_2018080425 crossref_primary_10_1097_MD_0000000000018127 crossref_primary_10_1097_MD_0000000000017476 crossref_primary_10_1155_2018_8403648 crossref_primary_10_1016_j_healthpol_2023_104917 crossref_primary_10_1051_bmdcn_2018080319 crossref_primary_10_1007_s00228_017_2341_0 crossref_primary_10_1051_bmdcn_2019090104 crossref_primary_10_1007_s41999_018_0096_5 |
| Cites_doi | 10.1016/0895-4356(92)90133-8 10.1186/s12889-016-3113-y 10.1053/ajkd.2002.34915 10.2307/3349613 10.1186/1471-2458-11-173 10.1111/j.1464-5491.2010.03007.x 10.1136/oem.58.11.747 10.1186/1472-6963-14-71 10.1371/journal.pmed.1001141 10.2337/diacare.25.7.1159 10.1016/j.diabres.2013.11.002 10.2337/diacare.27.5.1240-a 10.1016/j.sleep.2014.04.001 10.1093/heapol/czt056 10.1037/a0039346 10.3126/jcmc.v4i4.11972 10.1377/hlthaff.22.3.61 10.1111/jonm.12113 10.1215/03616878-26-5-899 10.1108/IJHCQA-04-2012-0035 10.1093/aje/kwt215 10.1080/02813430701691778 10.1111/scs.12056 10.2215/CJN.07630713 10.5271/sjweh.682 |
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| References | Molitch (R2) 2004; 27 Pineau (R11) 2015; 23 Mehta (R12) 2015; 4 Young (R21) 2008; 14 Gangwisch (R13) 2014; 15 McMurray (R30) 2002; 40 Deyo (R20) 1992; 45 Bhargava (R9) 2013; 26 Foundation (R1) 2013; 63 Cheng (R15) 2003; 22 Huang (R23) 2016; 16 R27 R26 R28 Liu (R22) 2006; 4 R3 R4 Jallinoja (R32) 2007; 25 R5 Heider (R6) 2014; 14 Sloan (R10) 2001; 26 R7 Vilhjalmsson (R8) 2014; 28 Hsu (R16) 2013; 60 Aasland (R31) 2011; 11 Norris (R29) 2002; 25 R14 Wilson (R17) 2014; 9 Chang (R18) 2010; 27 Yu (R33) 2014; 29 Pan (R24) 2011; 8 R19 Karlsson (R25) 2001; 58 |
| References_xml | – volume: 45 start-page: 613 year: 1992 ident: R20 publication-title: J Clin Epidemiol doi: 10.1016/0895-4356(92)90133-8 contributor: fullname: Deyo – volume: 16 start-page: 443 year: 2016 ident: R23 publication-title: BMC public health doi: 10.1186/s12889-016-3113-y contributor: fullname: Huang – volume: 40 start-page: 566 year: 2002 ident: R30 publication-title: Am J Kidney Dis doi: 10.1053/ajkd.2002.34915 contributor: fullname: McMurray – ident: R28 doi: 10.2307/3349613 – volume: 11 start-page: 1 year: 2011 ident: R31 publication-title: BMC public health doi: 10.1186/1471-2458-11-173 contributor: fullname: Aasland – volume: 4 start-page: 1 year: 2006 ident: R22 publication-title: J Health Manage contributor: fullname: Liu – volume: 27 start-page: 636 year: 2010 ident: R18 publication-title: Diabetic Medicine doi: 10.1111/j.1464-5491.2010.03007.x contributor: fullname: Chang – volume: 58 start-page: 747 year: 2001 ident: R25 publication-title: Occup Environ Med doi: 10.1136/oem.58.11.747 contributor: fullname: Karlsson – volume: 14 start-page: 71 year: 2014 ident: R6 publication-title: BMC health services research doi: 10.1186/1472-6963-14-71 contributor: fullname: Heider – volume: 8 start-page: e1001141 year: 2011 ident: R24 publication-title: PLoS Med doi: 10.1371/journal.pmed.1001141 contributor: fullname: Pan – volume: 14 start-page: 15 year: 2008 ident: R21 publication-title: Am J Manag Care contributor: fullname: Young – ident: R5 – ident: R14 – volume: 25 start-page: 1159 year: 2002 ident: R29 publication-title: Diabetes Care doi: 10.2337/diacare.25.7.1159 contributor: fullname: Norris – ident: R3 doi: 10.1016/j.diabres.2013.11.002 – volume: 27 start-page: S79 year: 2004 ident: R2 publication-title: Diabetes care doi: 10.2337/diacare.27.5.1240-a contributor: fullname: Molitch – volume: 15 start-page: 782 year: 2014 ident: R13 publication-title: Sleep medicine doi: 10.1016/j.sleep.2014.04.001 contributor: fullname: Gangwisch – volume: 29 start-page: 732 year: 2014 ident: R33 publication-title: Health policy and planning doi: 10.1093/heapol/czt056 contributor: fullname: Yu – ident: R7 doi: 10.1037/a0039346 – volume: 4 start-page: 42 year: 2015 ident: R12 publication-title: Nepal. J Chitwan Med College doi: 10.3126/jcmc.v4i4.11972 contributor: fullname: Mehta – volume: 22 start-page: 61 year: 2003 ident: R15 publication-title: Health Affairs doi: 10.1377/hlthaff.22.3.61 contributor: fullname: Cheng – volume: 23 start-page: 190 year: 2015 ident: R11 publication-title: J Nurs Manag doi: 10.1111/jonm.12113 contributor: fullname: Pineau – volume: 26 start-page: 899 year: 2001 ident: R10 publication-title: J Health Polit Policy Law doi: 10.1215/03616878-26-5-899 contributor: fullname: Sloan – volume: 26 start-page: 549 year: 2013 ident: R9 publication-title: Int J Health Care Qual Assur doi: 10.1108/IJHCQA-04-2012-0035 contributor: fullname: Bhargava – ident: R19 – volume: 63 start-page: e1 year: 2013 ident: R1 publication-title: Am J Kidney Dis (AJKD) contributor: fullname: Foundation – volume: 60 start-page: 50 year: 2013 ident: R16 publication-title: Hu Li Za Zhi contributor: fullname: Hsu – ident: R26 doi: 10.1093/aje/kwt215 – volume: 25 start-page: 244 year: 2007 ident: R32 publication-title: Scand J Prim Health Care doi: 10.1080/02813430701691778 contributor: fullname: Jallinoja – volume: 28 start-page: 273 year: 2014 ident: R8 publication-title: Scand J Caring Sci doi: 10.1111/scs.12056 contributor: fullname: Vilhjalmsson – ident: R4 – volume: 9 start-page: 673 year: 2014 ident: R17 publication-title: Clin J Am Soc Nephrol doi: 10.2215/CJN.07630713 contributor: fullname: Wilson – ident: R27 doi: 10.5271/sjweh.682 |
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| Title | Lower risk of end stage renal disease in diabetic nurse |
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