类风湿性关节炎和肺癌风险:一项全国性队列研究
Mi Hee Cho1, Jong Ho Cho2, Yeonghee Eun3
1Samsung C&T Medical Clinic, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
概括
风湿性关节炎 (RA) 患者面临更高的肺癌风险,特别是重度吸烟者和男性. RA 血清状况并没有显著改变这种风险,突出显示了 RA 患者戒烟和查的必要性.
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) 越来越多地与肺癌风险有关.
- 关键因素,如RA血清状态和吸烟状态需要调查.
研究的目的:
- 调查类风湿性关节炎与肺癌风险之间的关联.
- 分析RA血清状况和吸烟史等混因素的影响.
主要方法:
- 一项全国范围的数据库研究确定了51,899名RA患者 (2010-2017年).
- 根据性别和年龄,与259,495名非RA对照匹配.
- 考克斯回归分析,包括根据吸烟,性别,年龄和间歇性肺病进行分层分析.
主要成果:
- 在RA患者中,肺癌的调整风险比为1.49 (95% CI:1.34-1.66).
- 当前/以前重吸烟者与RA (相互作用p=0.046) 和男性 (相互作用p<0.001) 中风险增加更为明显.
- 根据RA血清状况,没有观察到风险的显著差异.
结论:
- 类风湿性关节炎与肺癌的风险增加有关.
- 建议在RA患者中戒烟和针对性肺癌查.
- 风险分层可能是必要的有效的查协议.
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