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在老年乳腺癌幸存者中,糖尿病和随后恶性瘤风险之间的关联
Kaitlyn N Lewis Hardell1,2, Sara J Schonfeld1, Cody Ramin3
1Radiation Epidemiology Branch, Division of Cancer Epidemiology, National Cancer Institute, Bethesda, MD, USA.
二型糖尿病增加了乳腺癌幸存者的随后癌症的风险,包括肝脏,大脑和甲状腺癌. 需要进一步的研究来探索糖尿病药物.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 二型糖尿病与一般人群的癌症风险有关.
- 关于糖尿病作为癌症幸存者随后恶性瘤的危险因素的研究有限.
研究的目的:
- 在老年乳腺癌幸存者中调查II型糖尿病和随后的癌症风险之间的联系.
主要方法:
- 使用了链接的监测流行病学和最终结果 (SEER) -医疗保险数据库.
- 分析了133324名66-84岁妇女的数据,乳腺癌诊断后1年.
- 采用考克斯回归分析来计算危险比率 (HR) 和95%置信区间 (95%CI).
主要成果:
- 29.3%的幸存者在乳腺癌之前或同时被诊断出患有糖尿病.
- 10,452名妇女在4.3年的中位随访期内发展出随后的恶性瘤.
- 糖尿病与肝脏 (HR=2.35),大脑 (HR=1.94) 和甲状腺癌 (HR=1.38) 的风险增加有统计学意义的关联.
结论:
- 二型糖尿病是乳腺癌幸存者随后发展肝脏,大脑和甲状腺癌的重要危险因素.
- 需要进一步的研究,以了解与糖尿病相关的癌症范围以及糖尿病药物对癌症风险的影响.
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