与代谢功能障碍相关的脂肪性肝病患者肝细胞癌的可修改风险因素:元分析
Shiyu Xiao1, Ya Liu1, Xiliang Fu2
1Department of Gastroenterology, Sichuan Provincial People's Hospital, Chengdu, China.
The American journal of medicine
|July 24, 2024
概括
吸烟,肥胖和糖尿病等生活方式和代谢因素增加了代谢功能障碍相关的脂肪性肝病 (MASLD) 患者患肝癌的风险. 甲福尔,他类药物和阿司匹林等药物可以降低这种风险.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 发病率在全球范围内正在上升.
- MASLD越来越多地与肝细胞癌 (HCC) 的发展有关.
- 在MASLD患者中确定可修改的HCC风险因素至关重要.
研究的目的:
- 进行系统审查和元分析.
- 调查MASLD患者可修改因素与发生的HCC风险之间的关联.
主要方法:
- 在PubMed,Embase和Cochrane图书馆数据库中进行系统搜索,截至2023年4月.
- 包括可修改风险因素和与MASLD相关的HCC的观察性研究.
- 使用随机效应模型计算风险比率 (95% CI) 的元分析.
主要成果:
- 分析了31项涉及100多万个人的研究.
- 吸烟和饮酒显著增加了MASLD-HCC的风险.
- 肥胖,糖尿病和高血压与更高的HCC风险有关;脂质不良症显示出负相关性.
- 甲胺,他类药物和阿司匹林的使用与降低HCC风险有关.
结论:
- 吸烟,酒精,肥胖,糖尿病和高血压是MASLD中HCC的重要危险因素.
- 甲胺,他类药物和阿司匹林可能在修改MASLD相关的HCC进展方面发挥作用.
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