长期使用他类药物和癌症风险:一个向试验仿真研究
Wanchun Xu1, Linda Chan2, Goodarz Danaei3
1Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Journal of clinical epidemiology
|June 16, 2024
概括
长期使用他类药物不会增加癌症风险. 这项为期10年的研究发现,在不同患者群体中,他类药物开始与总体癌症发病率或特定癌症亚型之间没有显著的关联.
科学领域:
- 心血管医学 心血管医学
- 在瘤学瘤学.
- 药学流行病学 药学流行病学
背景情况:
- 与长期的他类药物治疗相关的潜在癌症风险引起争议.
- 现实世界的数据对于调查这些关联至关重要.
研究的目的:
- 在10年的时间内调查持续使用他类药物与癌症发病率之间的关联.
- 利用现实世界的数据进行可靠的流行病学分析.
主要方法:
- 模拟了使用香港 (2009-2011) 电子医疗记录的目标试验.
- 匹配了119,715名他类药物发起者与119,715名非发起者 (1:1比率).
- 应用了聚合后勤回归和反向概率权重,用于治疗意图和每条协议分析.
主要成果:
- 总体癌症发病率的估计危险比为0.96 (0.87,1.05) 超过10年.
- 对整体癌症的标准化10年风险差异为-0.4% (-1.3%,0.4%).
- 对于特定的癌症亚型或患者亚组 (性别,年龄,并发症,征兆) 没有观察到显著的风险变化.
结论:
- 达丁类药物使用在十年内对癌症发病率没有影响.
- 这些发现适用于各种癌症亚型和患者人口统计学,包括患有并发症的患者.
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