患有非功能性垂体腺瘤的患者的过度死亡率:系统性审查和元分析
F Bioletto1, M Sibilla2, V Gasco2
1Endocrinology, Diabetes and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, Turin, 10126, Italy. fabio.bioletto@unito.it.
Journal of endocrinological investigation
|March 20, 2024
概括
患有非功能性垂体腺瘤 (NFPA) 的患者死亡风险增加. 这种过度死亡率在女性和在较年轻时被诊断出来的人群中尤为明显,不论垂体功能如何.
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:
- 非功能性垂体腺瘤 (NFPA) 存在由于质量效应和垂体缺陷的各种临床问题.
- 对于NFPA对整体患者死亡率的影响尚不完全理解.
研究的目的:
- 系统地审查和对NFPA患者死亡率的现有文献进行元分析.
- 为了确定NFPA是否与与普通人群相比增加的死亡率有关.
主要方法:
- 在PubMed/Medline,EMBASE和Cochrane图书馆数据库中进行系统搜索,直到2023年5月.
- 包括报告NFPA患者标准化死亡率 (SMR) 或死亡预测因素的研究.
- 用于聚合效应大小的随机效应模型;在PROSPERO.注册的元分析.
主要成果:
- 包括11项研究,其中5项报告SMR,并对约13万人年进行联合随访.
- 在NFPA患者中,死亡风险显著增加 (SMR = 1.57,p < 0.01).
- 在较年轻的患者 (≤40岁) 中观察到较高的死亡率,并且在女性中显示出趋势,不管垂体功能如何.
结论:
- 在被诊断为NFPA的患者中存在显著的过度死亡率.
- 较年轻的诊断年龄和女性性别与NFPA患者的较高死亡风险有关.
- 垂体功能状态没有显著改变观察到的过度死亡率趋势.
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