韩国与免疫媒介炎症疾病相关的全因和因特定死亡风险
Oh Chan Kwon1, See Young Lee2, Jaeyoung Chun2
1Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Frontiers in medicine
|July 6, 2023
概括
免疫媒介性炎症性疾病 (IMIDs) 与较低的死亡率有关,与此前的假设相反. 这项研究发现,IMID与降低癌症风险和心血管疾病死亡率有关.
科学领域:
- 免疫学 免疫学 免疫学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 免疫媒介性炎症性疾病 (IMIDs) 与死亡风险增加有关.
- IMIDs与并发症对这种死亡风险的贡献仍然不清楚.
研究的目的:
- 调查IMID是否会使死亡风险更高,而不依赖于并发症.
- 分析IMID患者的全因和因特定死亡率.
主要方法:
- 基于人口的队列研究,使用韩国国家医疗保险服务数据 (2007-2019).
- 包括25,736名新诊断的IMID患者和128,680名匹配的对照.
- 多变量考克斯回归分析,根据年龄,性别和并发症进行调整.
主要成果:
- 患有IMID的患者具有显著较低的全因死亡风险 (aHR,0.890;95% CI,0.841-0.942).
- 观察到癌症特异性 (aHR,0.788;95% CI,0.712-0.872) 和心血管疾病特异性死亡率 (aHR,0.798;95% CI,0.701-0.908) 的较低风险.
- 对于特定器官的IMID (肠道,关节,皮肤) 发现了类似的趋势.
结论:
- 在调整并发症后,IMID与所有原因死亡风险较低有关.
- 这种保护作用归因于癌症和心血管疾病死亡率的风险降低.
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