片使用和结直肠癌风险:伊朗多中心病例参考研究
Maryam Hadji1,2, Maryam Marzban3,4, Hamideh Rashidian2
1Health Sciences Unit, Faculty of Social Sciences, Tampere University, Tampere, Finland.
Acta oncologica (Stockholm, Sweden)
|November 7, 2023
概括
片使用通常不会增加结肠直肠癌 (CRC) 的风险. 然而,频繁的片消费,每天超过两次,可能会增加个体的CRC风险.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 片使用与肺癌,食道癌和胰腺癌的风险增加有关.
- 国际癌症研究机构将片归类为人类致癌物.
- 片使用与结直肠癌 (CRC) 风险之间的关联仍然不清楚.
研究的目的:
- 调查不同片消费模式与患结肠直肠癌 (CRC) 的风险之间的关系.
主要方法:
- 在伊朗七个省份进行了一项案例参考研究.
- 包括848个CRC案件和3215个参考书.
- 关于片使用 (持续时间,数量,频率) 和混因子的数据是通过采访收集的;多变量逻辑回归被用于分析.
主要成果:
- 定期片消费和CRC风险之间没有发现显著的关联 (OR 0.9,95% CI:0.7,1.2).
- 频繁使用片 (每天超过两次) 与CRC风险增加有关 (OR2.0,95%CI:1.1,3.8).
- 一个显著的二次趋势 (p=0.008) 表明了剂量-反应关系.
结论:
- 整体而言,片使用似乎与结直肠癌 (CRC) 风险无关.
- 高频率的片消费 (每天多次) 可能会增加CRC风险.
- 需要进一步的研究来澄清与不同片使用模式相关的特定风险.
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