系统性红斑狼患者住院患者的癌症发展:一个人口级数据链接研究
Warren David Raymond1, David Brian Preen2, Helen Isobel Keen1,3
1Rheumatology Group, Medical School, University of Western Australia, Perth, Western Australia, Australia.
International journal of rheumatic diseases
|June 20, 2023
概括
系统性红斑狼 (SLE) 患者面临患上特定癌症的风险更高,诊断后5年死亡率增加. 改善癌症预防和监测对SLE患者至关重要.
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:
- 系统性红斑狼 (SLE) 是一种自身免疫性疾病,可能与癌症有关.
- 了解SLE患者的癌症风险和死亡率对于临床管理至关重要.
研究的目的:
- 调查SLE与癌症发病风险之间的关联.
- 评估癌症诊断后SLE患者随后的5年死亡风险.
主要方法:
- 在西澳大利亚 (1980-2014) 进行的人口级数据链接研究.
- 匹配的SLE患者 (n=2111) 和一般人群对照者 (n=21110).
- 使用Cox比例危险回归来分析癌症风险和死亡率.
主要成果:
- SLE患者患口腔,阴道,皮肤,肌肉骨和血液癌症的风险增加.
- 年轻的SLE患者 (<40岁) 和早期 (1980-1999) 诊断的患者患癌症的风险更高.
- 在癌症诊断后,SLE患者的5年死亡风险增加了31%,特别是50岁以下的患者.
结论:
- 住院的SLE患者对几种癌症亚型的风险较高.
- 患有SLE的癌症幸存者面临更高的后续5年死亡风险.
- 对于SLE患者,建议加强癌症预防和监测策略.
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