晚上工作与前列腺癌之间的关联:系统性审查和元分析
Alexander Jahn1, Mathilde Lumbye Nielsen2, Marianne Kyndi3
1Danish Ramazzini Centre, Department of Occupational Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus N, Denmark. ALEXJN@rm.dk.
International archives of occupational and environmental health
|January 4, 2024
概括
这次系统性审查发现,夜间工作与前列腺癌之间没有联系. 为了证实这些发现,需要进行进一步的研究,使用一致的定义和客观数据.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 在瘤学瘤学.
背景情况:
- 晚上工作在现代社会中越来越普遍.
- 前列腺癌在全球范围内是一个重大的公共卫生问题.
- 之前关于夜间工作和前列腺癌风险的研究已经产生了不一致的结果.
研究的目的:
- 系统地审查和元分析现有的队列研究.
- 调查夜间工作暴露与前列腺癌发展之间的关联.
主要方法:
- 在主要数据库 (CINAHL,Embase,MEDLINE,Web of Science) 进行系统的文献搜索.
- 包括基于PECOS标准 (人口,暴露,比较器,结果,研究设计) 的队列研究.
- 使用随机效应模型进行元分析,并进行灵敏度和偏差分析;使用GRADE对证据进行分级.
主要成果:
- 包括8项涉及528篇文章的队列研究;总体而言,偏差风险中等至高.
- 整体元分析显示,夜间工作和前列腺癌之间没有显著的关联 (汇总HR 1.0;95%CI 0.6-1.7).
- 敏感性分析和GRADE评估表明证据不足和不一致.
结论:
- 晚上工作和患前列腺癌的风险之间没有发现任何关联.
- 目前的证据有限且不一致,强调需要更强大的研究.
- 未来的研究应该使用一致的夜间工作定义,并纳入客观的暴露测量.
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