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Published on: September 27, 2024
Association of psoriasis with colorectal cancer
Yun Fu1, Cheng-Han Lee2, Ching-Chi Chi3
1Department of Dermatology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
Background:
The relation between psoriasis and colorectal cancer (CRC) was largely unclear.
Objective:
To investigate the association of psoriasis with CRC.
Methods:
A systematic review and meta-analysis of observational studies that examined the association of psoriasis with CRC was performed. We searched MEDLINE and Embase on March 24, 2020, for relevant studies. The Newcastle-Ottawa scale was used to evaluate the risk of bias of included studies. We conducted a random-effects model meta-analysis and subgroup analysis according to sex.
Results:
We included 9 cohort studies with 10,544,609 individuals. We found a significantly increased risk for CRC in patients with psoriasis (hazard ratio [HR], 1.16; 95% confidence interval [CI], 1.08-1.24). Subgroups analysis according to sex found significantly increased risk for CRC in female patients with psoriasis (HR, 1.41; 95% CI, 1.16-1.72) but not in male patients (HR, 1.18; 95% CI, 0.92-1.50).
Limitations:
No data on psoriatic arthritis.
Conclusions:
Patients with psoriasis have an increased risk for CRC. Gastroenterology consultation and colonoscopic examination are indicated for patients with psoriasis presenting with bowel symptoms.
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