末期病透析患者的癌症:一项国际合作研究
P Maisonneuve1, L Agodoa, R Gellert
1Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy. pmaison@ieo.it
Lancet (London, England)
|July 17, 1999
概括
末期病患者 (ESRD) 的整体癌症风险增加,尤其是年轻人. 和膀等特定癌症更为常见,可能是由于病毒因素和功能丧失.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 之前的研究表明,末期病 (ESRD) 患者的癌症发病率较高.
- 关于特定的癌症类型和受影响的患者子组存在不确定性.
研究的目的:
- 在大量未移植透析患者中调查癌症风险.
- 识别特定的癌症和与风险增加相关的患者人口统计数据.
主要方法:
- 汇集了从1980年至1994年接受透析的831,804名ESRD患者的队列.
- 癌症发病率与2,045,035人年背景人群进行了比较.
主要成果:
- 总体癌症风险较高 (标准化发病率1.18).
- 年轻患者 (<35岁) 的风险显著增加 (3.68).
- 对脏 (3.60),膀 (1.50) 和内分泌器官癌症 (2.28) 观察到较高的风险.
结论:
- 患有ESRD的患者面临整体癌症风险增加,其模式与移植后患者类似.
- 过度风险与脏/尿路疾病和病毒致癌易感性有关.
- 年轻患者的风险最高,随着年龄的增长而降低.
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