维生素D缺乏的人群中癌症发病率和死亡率的决定因素:使用真实世界人口数据库的流行病学研究
Yi-Chen Lai1, Yu-Han Chen2, Fu-Wen Liang3,4,5
1Department of Emergency Medicine, An Nan Hospital, China Medical University, Tainan, Taiwan.
Frontiers in nutrition
|December 22, 2023
概括
维生素D缺乏会增加癌症的风险,特别是在老年人和患有糖尿病或肝脏疾病的人群中. 痴呆病史显著增加了维生素D缺乏的癌症患者的死亡风险.
科学领域:
- 内分泌学和新陈代谢学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 维生素D缺乏是一个全球性的健康问题,可能与各种慢性疾病有关.
- 了解维生素D缺乏对癌症发病率和死亡率的影响,对于公共卫生战略至关重要.
研究的目的:
- 研究维生素D缺乏与癌症发病率之间的关系.
- 为了确定与患有维生素D缺乏症的患者癌症死亡率相关的因素.
主要方法:
- 利用现实世界的人口数据库,通过ICD-9 (268) 和ICD-10 (E55) 代码识别维生素D缺乏.
- 采用考克斯回归模型来分析整体死亡率,并确定癌症患者的风险因素.
主要成果:
- 在5242名维生素D缺乏患者中,确定了229种新发癌症 (4.37%);结肠癌是最常见的.
- 在老年人群 (50-65岁和65岁以上) 和患有糖尿病或肝病的人群中观察到癌症发病率增加.
- 痴呆病史与维生素D缺乏的癌症患者的死亡风险显著增加有关.
结论:
- 维生素D缺乏与癌症发病率的增加有关,特别是在老年人和患有肝脏疾病等并发症的人群中.
- 痴呆症是维生素D缺乏的癌症患者死亡的一个重要风险因素.
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