代谢综合征与乳腺癌死亡率有关:系统性审查和元分析
Sixten Harborg1,2, Helene Borup Larsen1, Stine Elsgaard1
1Department of Oncology, Aarhus University Hospital/Aarhus University, Aarhus, Denmark.
Journal of internal medicine
|January 8, 2025
概括
代谢综合征显著增加了乳腺癌幸存者的复发风险,死亡率和较短的无病生存期. 对代谢综合征的查对于改善这一群体的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 代谢健康 代谢健康
- 流行病学 流行病学
背景情况:
- 代谢综合征是一组增加心脏病,中风和2型糖尿病风险的疾病.
- 它对幸存者的乳腺癌 (BC) 结果的影响尚未完全理解.
研究的目的:
- 系统地审查和元分析代谢综合征与幸存者的乳腺癌结局之间的关联.
- 评估代谢综合征对复发,死亡率和无病存活率的影响.
主要方法:
- 对PubMed和Embase进行了系统的搜索.
- 来自17项观察性研究和涉及42,135名BC幸存者的RCT的数据使用随机效应模型进行了聚合.
- 代谢综合征是根据美国心脏协会的标准定义的 (5个危险因素中≥3个).
主要成果:
- 代谢综合征与乳腺癌复发风险显著增加有关 (HR 1.69).
- 患有代谢综合征的BC幸存者面临更高的BC死亡率 (HR 1.83).
- 在患有代谢综合征的幸存者中,无病生存时间明显较短 (HR 1.57).
结论:
- 代谢综合征与幸存者的乳腺癌结果较差有关.
- 临床指南应包括对乳腺癌幸存者的代谢查.
- 需要进一步的研究来开发这种人群中代谢综合征的干预措施.
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