大规模的真实世界数据分析,分析了风湿性关节炎患者的癌症风险
Feicheng Wang1, Nathan Palmer2, Kathe Fox2
1Department of Statistics, Harvard University, Cambridge, Massachusetts, USA.
International journal of cancer
|May 29, 2023
概括
类风湿性关节炎患者面临患癌症的风险更高,特别是淋巴瘤和肺癌. 这种增加的风险似乎与疾病本身有关,而不是其治疗方法.
科学领域:
- 类风湿病学 类风湿病学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 风湿性关节炎 (RA) 影响全球数百万人,并与癌症风险增加有关.
- 这些癌症风险的具体原因,无论是RA病理生理学还是治疗方法,仍然不清楚.
研究的目的:
- 调查类风湿性关节炎和随后的癌症发展之间的关联.
- 为了区分RA病理生理学与RA治疗对癌症风险的贡献.
主要方法:
- 利用8年来8597万名注册医疗保险申请人的全国医疗保险索赔数据.
- 确定并将68415名没有癌症的RA患者与没有RA的对照进行匹配.
- 使用统计分析,比较RA患者和匹配的对照人群之间的癌症发病率.
主要成果:
- 关节炎患者在诊断后12个月内患上任何癌症的可能性增加了1.21倍.
- 淋巴瘤 (2.08倍高) 和肺癌 (1.69倍高) 的风险明显增加.
- 常用的RA药物与患者的癌症风险增加无关.
结论:
- 类风湿性关节炎的病理生理学,而不是其治疗方法,与随后癌症的风险增加有关.
- 研究方法可适应在规模上探索药物,疾病和并发症连接.
相关概念视频
Genome-wide Association Studies-GWAS
13.7K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.7K
Cancer Survival Analysis
402
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
402
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
150
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
150
The JAK-STAT Signaling Pathway
9.0K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
9.0K
Statistical Methods for Analyzing Epidemiological Data
434
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
434
Comparing the Survival Analysis of Two or More Groups
229
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
229


