50-64岁测试史对晚期宫癌风险的影响:基于人口的病例对照研究
Henric Kultalahti1,2, Sirpa Heinävaara1,2, Tytti Sarkeala1
1Finnish Cancer Registry, Helsinki, Finland.
Cancer research communications
|September 13, 2023
概括
50-64岁女性的宫癌查史显著影响了以后的癌症风险. 定期检测,即使有异常结果,也会降低子宫癌的几率,强调在计划开发中需要考虑查史.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 增加预期寿命需要重新评估老年人群宫癌查的有效性.
- 以前的宫癌查史,包括组织计划内外的测试,可能会影响晚年风险.
研究的目的:
- 调查50-64岁的宫测试史对65-79岁妇女患入侵性宫癌的风险的影响.
- 评估测试和异常结果对随后的宫癌风险的影响.
主要方法:
- 来自芬兰癌症登记处的229名65-79岁的患有侵袭性宫癌的女性 (2010-2019) 的病例控制研究.
- 根据出生年份和医院地区匹配的对照组 (每例10人).
- 条件后勤回归分析调整为自我选择,以评估测试历史的影响.
主要成果:
- 在50-64岁之间进行测试与患子宫癌的几率降低了75% (aOR=0.25).
- 与正常结果 (aOR=4.86) 的女性相比,未经测试的女性患子宫癌的几率高4.9倍.
- 至少有一个异常的测试结果增加了与正常结果相比的概率2.5,但与未经测试的女性相比是保护性的.
结论:
- 对于老年女性来说,宫癌查史至关重要;测试显著降低了癌症风险.
- 不参加和异常结果的患者需要在未来的查计划开发中特别考虑.
- 这项研究强调了考虑所有宫检测的重要性,而不仅仅是有组织的计划,以评估老年人群的风险.
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