糖尿病患者中晚期结直肠瘤的风险预测:一个导出和验证研究
Martin Cs Wong1,2,3,4, Eman Ym Leung1, Harry Hx Wang5,6
1The Jockey Club School of Public Health and Primary Care, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR China.
概括
一个新的临床评分系统有助于预测糖尿病患者的晚期结直肠瘤 (ACN). 该工具可以识别高风险个体,指导结肠镜评估的决策,并改善癌症查.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 预防医学 预防医学
背景情况:
- 结肠直肠癌 (CRC) 是一个重要的全球健康问题.
- 糖尿病患者是需要有针对性的查策略的人群.
- 晚期结直肠瘤 (ACN) 需要有效的风险分层,以便及时进行干预.
研究的目的:
- 开发和验证用于预测ACN风险的临床评分系统.
- 为了指导糖尿病患者的结肠镜评估决定.
- 在这个群体中确定ACN的独立风险因素.
主要方法:
- 利用一个大型的中国人口数据库,对糖尿病患者进行结肠镜检查 (2008-2018).
- 采用二进制物流回归分析来确定ACN的独立风险因素.
- 根据调整的几率比率 (aORs) 设计了一个风险评分,并在一个独立的队列中验证了它.
主要成果:
- 在导出和验证队列中,ACN患病率为2.0%.
- 风险评分有效地将患者分为平均风险 (AR) 和高风险 (HR) 组.
- 与平均风险人群相比,高风险人群的ACN患病率增加了2.78倍,一致性统计数据为0.70.
结论:
- 开发了一种结合年龄,性别,吸烟,高血压和阿司匹林使用的临床风险评分系统.
- 这种评分系统在预测糖尿病患者中ACN风险方面具有实用性.
- 经过验证的风险评分有助于分层分类那些可以从结肠镜检查中受益的人.
相关概念视频
Psychoneuroimmunology: Diabetes and Cancer
28
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
28
Diabetes: Symptoms, Diagnosis, and Complications
526
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
526
Barrett Esophagus-I: Introduction
86
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
86
Tumor Progression
6.3K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.3K


