结直肠癌死亡率的男女差异尽管查结直肠镜检查
Elisabeth Waldmann1, Lena Jiricka2, Jasmin Zessner-Spitzenberg1
1Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria; Quality Certificate for Screening Colonoscopy, Austrian Society for Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Gastrointestinal endoscopy
|January 6, 2024
概括
男人患结肠直肠癌的死亡风险明显更高,特别是当在查结肠镜检查期间检测到腺瘤时. 这凸显了需要针对性别的查建议和个性化监测指南的需要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 结肠直肠腺瘤的患病率在55-59岁的女性和10岁以下的男性中类似.
- 结肠直肠癌 (CRC) 查旨在通过早期检测来降低死亡率.
- 在CRC死亡率和腺瘤关联中,性别特异性差异需要研究.
研究的目的:
- 确定结直肠癌死亡率的性别特异性.
- 在查结肠镜患者中估计腺瘤和CRC死亡率之间的关联.
主要方法:
- 对323139名接受结肠镜检查的人进行了回顾性分析.
- 来自奥地利国家CRC查计划 (2007-2020) 收集的数据.
- 性别之间的腺瘤检测率和CRC死亡率的比较.
主要成果:
- 男性的腺瘤,息肉和CRC检测的几率明显更高 (OR 1.83).
- 男性与腺瘤的CRC死亡风险增加2倍 (HR 1.67) 和高风险息肉的4倍 (HR 4.14) 相关.
- 在60岁的男性中,CRC死亡率是女性的8.5倍,这个差距随着年龄的增长而缩小.
结论:
- 这些发现支持了针对性别的CRC查建议的必要性.
- 需要对瘤生物学中的性别差异进行进一步的前性研究.
- 建议基于性别和多发现的个性化监测指南.
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