Mortality trends among Indian Medical Association member doctors in India (2018-2023): Implications of the COVID-19 pandemic

Abstract

Objective:To analyze mortality trends among Indian Medical Association (IMA) member doctors in India from 2018 to 2023 and to assess the impact of the COVID-19 pandemic.
Methods:This was a cross-sectional study based on secondary data analysis of the doctors’ mortality reported to and published by the IMA as a part of their National Social Security Scheme. Yearly membership details and death records of the member doctors from 2018 to 2023 were accessed from the published annual reports of IMA-National Social Security Scheme and analyzed.
Results:The number of deaths reported annually among IMA member doctors increased from 896 out of a total population of 15862 in 2018 to 1579 out of 16253 in 2023. The calculated death rate among member doctors was 56.5 per 1000 in 2018 and 97.1 per 1000 in 2023. The mean age at death among doctors during the COVID period (64.9±9.0) was significantly lower than that during pre-COVID (67.3±11.1) and post-COVID (66.1±8.5) periods.
Conclusions:This study shows a rising number of deaths and death rate among member doctors of IMA from 2018 to 2023. The average age at death during the study period ranged from 64 to 67 years, with a significant decline of approximately 2.4 years during the COVID-19 period.

Keywords

Doctor death rate / Corona disease / Annual death rate / Pre-COVID / Post-COVID

Conflict of interest statement

The authors claim there is no conflict of interest.

Funding

This study receives no extramural funding.

Data availability statement

The data supporting the findings of this study are available from the corresponding author upon request.

Authors’ contributions

Jyotsana N and Pandit N conceptualize the study. Jyotsana N, Audichya H and Pandit Y contributed to the data collection and literature search. Trivedi A and Pandit N contributed to the first draft and all authors contributed in the finalization of the manuscript.

References

[1] Pandey S, Sharma V. Doctor, Heal Thyself: Addressing the shorter life expectancy of doctors in India. Indian J Ophthalmol 2019; 67(7):1248.

[2] Carpenter LM, Swerdlow AJ, Fear NT.Mortality of doctors in different specialties: Findings from a cohort of 20000 NHS hospital consultants. Occupat Environment Med 1997; 54(6):388-395.

[3] Aasland OG, Hem E, Haldorsen T, Ekeberg Ø. Mortality among Norwegian doctors 1960-2000. BMC Public Health 2011; 11(1):173.

[4] Frank E. Mortality rates and causes among U.S. physicians. Am J Prevent Med 2000; 19(3):155-159.

[5] Pune Times Mirror, Pune. Doctors dies earlier than normal citizen: IMA study, 2018. [Online] Available from: https://punemirror.com/pune/civic/doctor-dies-earlier-than-a-normal-citizen-ima-study/cid5133648.htm [Accessed on 10 March 2024].

[6] Times of India, Kochi. Kerala doctors die earlier than general public: Study; 2017.

[7] Pandey SK, Sharma V. Sudden and early death among medical professionals: How to reverse this trend? Indian J Ophthalmol 2023; 71(5):2286-2287.

[8] World Health Organization. The impact of COVID-19 on health and care workers: A closer look at deaths.

[9] Iyengar KP, Ish P, Upadhyaya GK, Malhotra N, Vaishya R, Jain VK.Covid-19 and mortality in doctors. Diabetes Metab Syndr 2020; 14(6):1743-1746.

[10] Kapoor A, Kapoor KM.Covid-19 related deaths among doctors in India. MedRxive 2020. doi: 10.1101/2020.09.28.20202796.

[11] Guraya SS, Menezes P, Lawrence IN, Guraya SY, Rashid-Doubell F.Evaluating the impact of Covid-19 pandemic on the Physicians’ Psychological Health: A systematic scoping review. Front Med 2023;10:107153.

[12] Indian Medical Association (IMA). About Us. IMA NSSS.

[13] Indian Medical Association (IMA). Publications.

[14] Tendulkar P, Pandey P, Panda PK, Bhadoria AS, Kulshreshtha P, Mishra M, et al. Comparative study between the first and second wave of covid-19 deaths in India: A single center study. Cureus 2023; 15(4):e37472.

[15] International Institute of Population Science (IIPS) and ICF. National Family Health Survey 5 (NFHS-5), 2019-2021: India: Volume 1. Mumbai, IIPS.

[16] The World Bank Data.Life expectancy at birth, total (years) - India.

[17] Yadav S, Yadav PK, Yadav N. Impact of covid-19 on life expectancy at birth in India: A decomposition analysis. BMC Public Health 2021; 21(1):1906 doi: 10.1186/s12889-021-11690-z.

[18] Cao G, Liu J, Liu M, Liang W.Effects of the COVID-19 pandemic on life expectancy at birth at the Global, regional, and national levels: A joinpoint time-series analysis. J Global Health 2023;13:06042.

[19] Harris E.Most Covid-19 deaths worldwide were among older people. JAMA 2023; 329(9):704.

[20] Wong MK, Brooks DJ, Ikejezie J, Gacic-Dobo M, Dumolard L, Nedelec Y, et al. Covid-19 mortality and progress toward vaccinating older adults — World Health Organization, worldwide, 2020-2022. MMWR Morb Mortal Wkly Rep 2023; 72(5):113-118.

[21] Irigoyen-Otiñano M, Castro-Herranz S, Romero-Agüit S, Mingote-Adán JC, Garrote-Díaz JM, Matas-Aguilera V, et al. Suicide among physicians: Major risk for women physicians. Psychiatry Res 2022;310:114441.

[22] Shang TF, Chen PC, Wang JD. Disparities in mortality among doctors in Taiwan: A 17-year follow-up study of 37 545 doctors. BMJ Open 2012; 2(1):e000382.