在百万妇女研究中,类风湿性关节炎和癌症风险在百万妇女研究中
TienYu Owen Yang1, Sarah Floud1, Gillian K Reeves1
1Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
International journal of epidemiology
|February 29, 2024
概括
风湿性关节炎 (RA) 与肺癌,血液癌症和与感染有关的癌症风险增加有关. 然而,在考虑到共同的风险因素后,RA与女性结直肠癌风险降低有关.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 类风湿病学 类风湿病学
背景情况:
- 以前的类风湿性关节炎 (RA) 和癌症风险研究往往忽略了混因素.
- 这项研究调查了英国大量女性队列中与RA相关的癌症风险,控制了共同的风险因素.
研究的目的:
- 检查类风湿性关节炎与患20种不同类型癌症的风险之间的关联.
- 为了考虑到RA与癌症风险关系中的生活方式和肥胖等潜在的混变量.
主要方法:
- 利用了来自百万女性研究的数据,招募了大约130万名年龄在50-64岁的女性.
- 采用考克斯回归分析计算20种癌症的危险比率 (HR),调整10个特征,包括吸烟和肥胖.
主要成果:
- 在最初的分析中,类风湿性关节炎 (RA) 与20种癌症中的13种癌症有关.
- 在调整后,RA仍然与肺癌,淋巴细胞癌,骨髓癌,宫癌和口腔癌的风险增加密切相关.
- 关节炎与子宫内膜癌和结直肠癌风险相反相关.
结论:
- 风湿性关节炎 (RA) 与肺癌,某些血液癌症和与感染有关的癌症有关,并且与结直肠癌相反,在调整了共享风险因素后.
- 这些发现支持了将RA与免疫反应,感染易感性和慢性炎症联系起来的假设.
- 关节炎和子宫内膜癌之间的反向关联需要进一步研究.
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