在中国上海的2500万公民中,癌症和心房的并发症:医疗保险数据库研究:医学保险数据库研究
Mu Chen1, Cheng Li1, Jiwei Zhang2
1Department of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
JMIR public health and surveillance
|October 17, 2023
概括
心房动 (AF) 与更高的癌症患病率有关,特别是在男性和年轻人中. 这项研究强调了对AF患者早期癌症查的进一步研究的需要.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 心脏病学 心脏病学
背景情况:
- 由于人口老龄化,癌症和心房 (AF) 的全球流行率不断上升.
- 在像中国这样的低收入和中等收入国家,癌症和AF同时发生的流行病学数据有限.
研究的目的:
- 调查中国人群中癌症和AF并发症的特定部位,性别和年龄特征.
- 评估AF患者与非AF患者之间的癌症患病率.
主要方法:
- 从上海居民 (2015-2020) 的医疗记录的查.
- 在AF患者和年龄/性别调整的非AF居民之间对癌症概况的比较分析.
- 评估性别分布和癌症诊断的高峰年龄.
主要成果:
- 在患有AF的患者中观察到更高的癌症患病率 (8.27%) 与没有AF的患者相比 (6.05%).
- AF与癌症患病率增加1.37倍相关,最显著的是非固体瘤,胸内恶性瘤和癌.
- 在AF患者中,癌症诊断发生在较年轻的高峰年龄,并且在大多数癌症部位显示男性占主导地位.
结论:
- 心房动与癌症患病率增加,男性占主导地位和早期诊断有关.
- 需要进一步的研究来探索AF患者群体早期癌症查的成本效益和益处.
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