Estudo da mortalidade dos médicos no Estado de São Paulo, Brasil, no período 2000-2009

Sanchez, Zila M.; Alves, Hamer Nastasy Palhares; Nogueira-Martins, Luiz Antônio; Prado, Mariangela C. Oliveira

doi:10.1590/s0102-311x2013000700019

Cited by 6 publications

(8 citation statements)

References 6 publications

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“…This is probably related to ethnic inequality concerning access to higher education in Brazil, with a markedly smaller number of black doctors in the country. These data corroborate the results of studies conducted in São Paulo 2,3 and Bahia, 11 where a predominance of deaths from CVD among white physicians was shown as well.…”

Section: Original Articlesupporting

confidence: 90%

“…Among them, the most important variable is cause of death, 1 as it is the final outcome of life, besides allowing monitoring the health/disease situation, such as early mortality and its main determining factors. 2 This information is important for the development of action plans and proper allocation of resources. 3 Physicians' health status, like of the general population, can be estimated by analyzing mortality data.…”

Section: Introductionmentioning

confidence: 99%

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Mortality from Cardiovascular Diseases: A Comparative Analysis between the Medical and Non-Medical Populations in Brazil

Matos¹,

Pacheco²,

Magalhães³

et al. 2022

International Journal of Cardiovascular Sciences

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Background: Cardiovascular disease (CVD) is the leading cause of death worldwide, including among physicians. Professional peculiarities increase cardiovascular risk in this population, making it relevant to analyze mortality in the medical population (MPop) and non-medical population (NMPop).Objective: To compare the CVD mortality coefficient (MC) in between MPop and NMPop in Brazil by analyzing the epidemiological profile and the main causes of deaths from CVD.Methods: Time-series study with data obtained from the Mortality Information System of the Federal Council of Medicine and the Brazilian Institute of Geography and Statistics, from 2014 to 2018. The variables age group, sex, race, occupation, and CVD that caused the death were assessed in MPop and NMPop. MC, relative risk and odds ratio between the populations were calculated. Tests for difference in proportions, with approximation to the normal distribution, and chi-squared tests were performed, assuming p<0.01 as statistically significant.Results: Both MPop and NMPop had a predominance of men (86.7% and 52.3%), senior citizens (85.9% and 79.7%) and white individuals (86.4% and 52.2%). The MCs of the MPop and NMPop was 92.2 and 255.1 deaths/100,000 individuals, respectively. The main cause of death was acute myocardial infarction (AMI) (32.5% and 24.6% in MPop and NMPop, respectively) followed by cerebrovascular accident (CVA) (5.1% and 10.5% in MPop and NMPop, respectively). Conclusion:In Brazil, mortality from CVD was more prevalent in white elderly males, and mainly caused by AMI and CVA. Being a doctor, man and over 60 years old represents a greater chance of death from CVD in comparison with non-physicians.

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Section: Original Articlesupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Mortality from Cardiovascular Diseases: A Comparative Analysis between the Medical and Non-Medical Populations in Brazil

Matos¹,

Pacheco²,

Magalhães³

et al. 2022

International Journal of Cardiovascular Sciences

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“…With regard to the semantic equivalence, most instrument items showed good general and referential equivalence when comparing the original version of the instrument to the translated and back translated versions, respectively. According to the experts' assessment, all questions or statements showed good agreement between the original source and the target versions, demonstrating that the translation and back translation did not lead to loss of original meaning, as reported in other studies using the same evaluation method [20,21].…”

Section: Discussionsupporting

confidence: 76%

Cross-cultural adaptation and content validation into Portuguese of the Subjective Global Nutritional Assessment for pediatric patients hospitalized with cancer

et al. 2017

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Objective Cross-cultural adaptation and content validation of the Brazilian Portuguese version of the Subjective Global Nutritional Assessment questionnaire (originally in English) for use in hospitalized children and adolescents being treated in a reference institute of oncology. Methods The cross-cultural adaptation process consisted of the following stages: conceptual, item, semantic, and operational equivalence. The conceptual equivalence and item was carried out through discussion with members of an expert committee. Semantic equivalence was evaluated through initial translation, synthesis of translations, back translation, discussions with experts, and pretest with 32 patients. During operational equivalence, the experts discussed about the format of questions and instructions, setting, target populations, and mode of administration to later propose a final version. Content validation was performed by the expert committee. Results Minor modifications were made in the instrument to facilitate its use in the Brazilian socio-cultural context. Pretest results showed that the instrument is easily understood by health care professionals and the target population. Conclusion The cross-cultural adaptation and validation of the Subjective Global Nutritional Assessment allowed obtaining a Brazilian version equivalent to the original. The adapted instrument will be an important tool for the subjective assessment of the nutritional status of pediatric patients hospitalized with cancer.

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“…Na amostra estudada advogados apresentaram tatuagens com maior frequência que médicos (Tabela 2). Os resultados dos exames de teor alcoólico e exame toxicológico para 23 .…”

Section: Materiais E Métodosunclassified

“…Este achado diverge de estudos que mostram uma maior prevalência do suicídio nos médicos do que em outras profissões 14,16,18,[24][25][26][27] . No estudo paulista com declarações de óbito de médicos, o suicídio também foi a segunda principal circunstância de morte 23 . Entretanto, no presente estudo, em 43% dos casos a circunstância do óbito não foi esclarecida, o que comprometeu a avaliação completa desta informação e pode ter resultado em um déficit na análise dos casos de suicídio.…”

Section: Materiais E Métodosunclassified

Análise Comparativa dos Óbitos de Médicos e Advogados Periciados no IML-BH no Período de 2006 a 2012

Bordoni¹,

Braga²,

Vieira³

et al. 2017

BJFS

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As causas externas apresentam distribuição desigual entre diferentes grupos populacionais. Esta pesquisa buscou verificar se há diferença nos óbitos por causas externas entre médicos e advogados, profissões de um mesmo grupo socioeconômico. Foi realizado um estudo transversal dos laudos de necropsias realizadas em médicos e advogados no IML-BH no período de 2006 a 2012. Foram analisados 107 laudos, sendo 39 de médicos (36%) e 68 de advogados (64%). Em ambos os grupos houve predominância de indivíduos do sexo masculino, com idade superior a 49 anos e a maioria vivia sozinha. As principais circunstâncias dos óbitos nos dois grupos foram acidentes de trânsito, suicídio e homicídio, nesta ordem de prevalência. Como não houve diferença estatística na maioria das variáveis analisadas e o poder do estudo foi inferior a 80%, não foi possível com os dados avaliados afirmar diferenças nos óbitos por causas externas entre as duas ocupações. Apesar deste estudo não apresentar poder suficiente para demonstrar associação entre a circunstância do óbito e a profissão, sua relevância encontra-se na descrição do perfil epidemiológico destes profissionais em relação às mortes por causas externas. O seu conhecimento pode orientar ações preventivas em relação a essa causa de mortalidade, contribuindo para medidas de saúde pública.

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Estudo da mortalidade dos médicos no Estado de São Paulo, Brasil, no período 2000-2009

Cited by 6 publications

References 6 publications

Mortality from Cardiovascular Diseases: A Comparative Analysis between the Medical and Non-Medical Populations in Brazil

Mortality from Cardiovascular Diseases: A Comparative Analysis between the Medical and Non-Medical Populations in Brazil

Cross-cultural adaptation and content validation into Portuguese of the Subjective Global Nutritional Assessment for pediatric patients hospitalized with cancer

Análise Comparativa dos Óbitos de Médicos e Advogados Periciados no IML-BH no Período de 2006 a 2012

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