结性脊柱炎患者的癌症风险和生物药物的作用:一个基于人口的研究
Sang-Yong Eom1, Hyun-A Jang2, Yo Han Im3
1Department of Preventive Medicine, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea.
Rheumatology (Oxford, England)
|December 12, 2023
概括
患有结性脊柱炎 (AS) 的患者患上上部胃肠道癌症和血液恶性瘤的风险更高. 总体癌症风险没有显著增加,但特定的癌症类型需要在AS患者中进一步调查.
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:
- 化脊柱炎 (AS) 是一种慢性炎症性疾病.
- 了解与AS相关的长期恶性瘤风险对于患者管理至关重要.
研究的目的:
- 在被诊断患有结性脊柱炎 (AS) 的患者中对恶性瘤风险进行基于人口的分析.
主要方法:
- 从韩国国家医疗保险服务-国家样本队列数据库 (2002-2019) 中确定了一组1796名AS患者和7184名匹配对照.
- 数据分析基于国际疾病分类 (ICD) 第10版对AS和癌症诊断的代码.
- 危险比率 (HR) 的计算是根据潜在的混因素进行调整的.
主要成果:
- 在AS患者中,整体癌症发病率为9.3%.
- 与对照组相比,AS患者的整体癌症风险没有显著增加 (调整HR:1.1).
- 在AS患者中,上部胃肠道 (GI) 癌症 (调整HR: 1.51) 和血液恶性瘤 (调整HR: 2.36) 的风险显著增加.
结论:
- 虽然整体癌症风险没有升高,但AS患者面临特定恶性瘤的风险增加,特别是上肠道癌和血液恶性瘤.
- 非类固醇抗炎药物 (NSAID) 对AS患者上部肠道癌症风险的潜在作用需要进一步研究.
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