心血管疾病和乳腺癌在诊断时的阶段
Ivan Angelov1,2, Allen M Haas3, Elizabeth Brock1
1Department of Epidemiology, University of Texas MD Anderson Cancer Center, Houston.
JAMA network open
|January 2, 2025
概括
患有晚期乳腺癌的个体更有可能患有流行心血管疾病 (CVD). 这种关联似乎特异于激素受体阳性疾病,因此需要进一步研究个性化查和干预措施.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 心血管疾病 (CVD) 和癌症是导致死亡的主要原因.
- 机理学研究表明,心血管疾病加速瘤生长,特别是在乳腺癌中.
研究的目的:
- 为了确定晚期乳腺癌患者是否比早期患者更有可能患有先前存在的心血管疾病.
主要方法:
- 使用SEER-Medicare数据 (2009-2020) 进行基于人口的病例控制研究.
- 参与的66岁以上的女性患者被诊断患有侵袭性乳腺癌,根据阶段和倾向得分进行匹配.
- 在乳腺癌诊断之前分析了流行的心血管疾病.
主要成果:
- 在19292名参与者中,近一半 (49.1%) 患有心血管疾病.
- 晚期或转移性乳腺癌与患有心血管疾病的概率明显增加 (OR,1.10;95% CI,1.03-1.17) 相关.
- 这种关联在激素受体阳性乳腺癌中是显著的,但在激素受体阴性乳腺癌中并非显著.
结论:
- 被诊断为更晚期乳腺癌的个人更有可能患有流行心血管疾病.
- 这种关联可能特定于激素受体阳性和ERBB2-阴性疾病.
- 建议进行进一步的研究和个性化查,以改善患者的治疗结果.
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