在日本的超短段巴雷特食道中存在不成比例的癌症担忧
Sho Fukuda1, Kenta Watanabe1, So Takahashi1
1Department of Gastroenterology Akita University Graduate School of Medicine Akita Japan.
DEN open
|January 15, 2024
概括
巴雷特食道 (BE) 诊断导致类似的癌症担忧,无论BE的长度如何. 与非USSBE相比,超短段BE (USSBE) 可能会引起不成比例的担忧,尽管癌症风险较低.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 心理医学 心理医学
背景情况:
- 巴雷特食道 (BE) 在日本经常被诊断出,特别是超短段BE (USSBE).
- 在被诊断为BE后,对心理的影响,特别是对癌症的担忧,尚不清楚.
研究的目的:
- 为了前性地调查被诊断为BE的个体的癌症担忧.
- 为了比较USSBE (<1厘米) 和非USSBE (≥1厘米) 组之间的癌症担忧.
- 为了确定与BE患者癌症担忧相关的因素.
主要方法:
- 这是一项前性研究,涉及日本的325名BE患者 (229名USSBE,96名非USSBE).
- 使用癌症担忧量级 (CWS) 对癌症担忧的定量评估.
- 后勤回归分析以确定与CWS相关的因素.
主要成果:
- 癌症担忧量表 (CWS) 在USSBE和非USSBE组之间是相似的 (CWS中位数为12.5对12.7).
- 积极的反流症状与较高的CWS (OR1.3;95% CI 0.75-2.2) 有显著的关联.
- BE长度与CWS没有显著的关联.
结论:
- 无论BE的长度如何,BE的诊断引起了类似的癌症担忧.
- 与非USSBE相比,USSBE可能会引起不成比例的癌症担忧,尽管癌症风险较低.
- 反流症状是影响BE患者对癌症担忧的关键因素.
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