在复杂的癌症手术后,大麻使用障碍和术后结果
Muhammad M Munir1, Selamawit Woldesenbet1, Yutaka Endo1
1Department of Surgery, Wexner Medical Center and James Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA.
Journal of surgical oncology
|April 12, 2024
概括
大麻使用障碍 (CUD) 在接受复杂癌症手术的患者中没有增加死亡或并发症的风险. 这项研究没有发现CUD和重大外科手术后的不良结果之间存在显著的关联.
科学领域:
- 在瘤学瘤学.
- 外科手术 手术手术
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 在美国,大麻使用量正在上升,特别是在癌症患者中.
- 大麻使用障碍 (CUD) 对复杂的癌症手术后结果的影响仍然不清楚.
研究的目的:
- 为了研究CUD与接受复杂癌症手术的患者的发病率/死亡率之间的联系.
- 为了评估患有或没有CUD的癌症患者的术后结果.
主要方法:
- 利用国家住院样本数据库 (2016-2019) 对接受复杂癌症手术的患者.
- 使用ICD-10代码定义了CUD,并使用1:1队列的倾向性得分匹配.
- 评估综合结果,包括住院死亡率和七个主要的术后并发症.
主要成果:
- 一组7507名患有CUD的患者与7507名对照进行了匹配.
- CUD显示术后损伤略有增加,但住院死亡率略有下降.
- 多变量分析显示,CUD与总体发病率或死亡率的增加没有显著关联 (aOR:1.06,p=0.158).
结论:
- 大麻使用障碍 (CUD) 与复杂的癌症手术后的术后发病率或死亡率的增加无关.
- 研究结果表明,CUD可能不是这种患者群体中不良结果的重要风险因素.
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