人口数据研究显示,疼痛是癌症患者对脑血管疾病的可能保护因素
Yongbao Wei1, Deng Lin1, Yangpeng Lian2
1Shengli Clinical Medical College of Fujian Medical University, Department of Urology, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, No.134, Dong Street, Fuzhou, 350001, People's Republic of China.
Scientific reports
|November 28, 2024
概括
慢性疼痛,特别是疼痛评级II,可能会降低癌症患者的脑血管疾病 (CVD) 风险. 这一发现可能会为癌症幸存者提供新的心血管疾病预防策略.
科学领域:
- 在瘤学瘤学.
- 心血管疾病流行病学
- 疼痛医学 医学 疼痛医学
背景情况:
- 脑血管疾病 (CVD) 对癌症患者构成显著的死亡风险.
- 了解这一群体中心血管疾病死亡率的预测因素对于改善结果至关重要.
研究的目的:
- 调查慢性疼痛与癌症患者中脑血管疾病 (CVD) 死亡率之间的关联.
- 为癌症患者的心血管疾病风险开发一个预测模型,将疼痛作为一个因素.
主要方法:
- 一项使用监测,流行病学和最终结果 (SEER) 数据库 (1975-2019) 的病例控制研究.
- 分析包括16850名癌症患者与心血管疾病死亡率 (病例) 和710,729名对照.
- 机器学习算法,包括后勤回归,用于风险预测.
主要成果:
- 疼痛评级II的癌症患者表现出心血管疾病死亡率降低的风险.
- 年龄较大,男性性别,单身婚姻状况,非白人种族和缺乏全身治疗与心血管疾病死亡风险增加有关.
- 疼痛评级,生存时间和年龄被确定为开发的风险模型中的关键预测因素.
结论:
- 慢性疼痛,特别是疼痛评级II,可能作为癌症患者心血管疾病死亡率的保护因素.
- 一个基于疼痛的风险模型可以提高高风险个体的识别.
- 这项研究强调疼痛是瘤学中CVD预防策略的新因素.
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