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甲状腺功能障碍和非甲状腺癌的风险:一项基于丹麦登记的长期随访研究
Thea Riis1, Steen Joop Bonnema1, Thomas Heiberg Brix1
1Department of Endocrinology, Odense University Hospital, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.
European thyroid journal
|February 17, 2024
概括
甲状腺功能障碍与患癌症,特别是肺癌,前列腺癌和乳腺癌的风险更高有关. 需要进一步的研究来确认这种甲状腺功能障碍是否是癌症的直接原因.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 癌症是全球主要的死亡原因.
- 甲状腺功能障碍作为可修改的癌症风险因素的作用正在调查中.
- 甲状腺功能障碍是一种常见的内分泌疾病,具有潜在的全身影响.
研究的目的:
- 为了研究甲状腺功能障碍和患各种癌症的风险之间的关联.
- 为了确定特定类型的甲状腺功能障碍或癌症是否更强烈地联系在一起.
主要方法:
- 进行了一项全国性的基于登记册的队列研究.
- 95,469名甲状腺功能障碍患者与364,494名参考患者进行了匹配.
- 精细和灰色竞争风险回归模型被用于分析癌症风险,调整伴随性疾病.
主要成果:
- 甲状腺功能障碍与所有原因癌症的风险增加有关 (SHR: 1.12).
- 乳腺癌 (SHR: 1.07),肺癌 (SHR: 1.20) 和前列腺癌 (SHR: 1.10) 的风险增加.
- 对于结直肠癌,没有发现显著的关联 (SHR:1.04).
结论:
- 患有甲状腺功能障碍的患者患癌症的风险较高,尤其是肺癌,前列腺癌和乳腺癌.
- 这些发现表明甲状腺功能障碍和癌症发展之间存在潜在的联系.
- 甲状腺功能障碍和癌症之间的因果关系需要进一步调查.
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