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膀和癌的预诊断处方模式:一项纵向链接数据研究
Garth Funston1, Marie Moullet2, Luke Mounce3
1Department of Public Health and Primary Care, University of Cambridge, Cambridge; Wolfson Institute of Population Health, Queen Mary University of London, London.
概括
增加尿路感染 (UTI) 处方可能是早期和膀癌的信号. 这一发现为早期癌症检测提供了潜在的窗口,特别是在膀癌的女性中.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 了解诊断前的处方模式可以识别早期癌症调查的机会.
- 及时诊断显著影响脏和膀癌患者的治疗结果.
研究的目的:
- 分析脏和膀癌诊断之前的泌尿病症状的处方趋势.
- 为了确定早期癌症检测的潜在诊断窗口.
主要方法:
- 使用电子健康记录和来自英格兰的癌症登记数据 (2012年4月 - 2015年12月) 的回顾性队列研究.
- 对五个临床特征组的初级保健处方分析,最多在诊断前两年.
- 用Poisson回归来确定增加处方率的拐点.
主要成果:
- 在诊断癌和膀癌前9个月,尿路感染 (UTI) 的处方率显著增加.
- 对于膀癌,女性的尿路感染处方率在11个月前增加,而男性的处方率在7个月前增加.
- 对于其他分析的临床特征,没有观察到显著的诊断前处方增加.
结论:
- 在诊断前尿路感染处方率的增加表明,脏和膀癌的早期检测有潜力.
- 准患有尿路感染症状的患者可能会加速癌症诊断.
- 患有膀癌的女性提供了基于尿路感染处方模式的早期干预机会.
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