透析患者和脏移植患者的癌症风险:加泰罗尼亚队列研究,2003-21
Laia Oliveras1,2,3, Laura Pareja4,5, Josepa Ribes4,6,7
1Hospital Universitari de Bellvitge, Nephrology Department, L'Hospitalet de Llobregat, Spain.
Clinical kidney journal
|April 14, 2025
概括
患有功能衰竭的个体面临着显著增加的癌症风险,对于透析患者来说是两倍以上,对于移植患者来说是近四倍. 这凸显了针对这一群体的癌症监测的迫切需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 与普通人群相比,患有功能衰竭的人患癌症的风险增加.
- 关于南欧功能衰竭人口中癌症发病率的数据有限.
- 这项研究调查了加泰罗尼亚脏衰竭队列中的癌症发生率.
研究的目的:
- 为了确定加泰罗尼亚脏衰竭患者的癌症发病率.
- 将透析患者和移植患者的癌症风险与普通人群进行比较.
- 在这个队列中确定特定的癌症部位和风险因素.
主要方法:
- 来自加泰罗尼亚脏注册局和癌症注册局的数据链接.
- 针对全部位和特定部位的癌症计算标准化发病率 (SIR).
- 分析了21595名透析患者和8037名脏移植接受者的数据 (2003-2021年).
主要成果:
- 透析患者的癌症风险是透析患者的2.11倍,移植患者的3.82倍.
- 在透析患者中观察到脏和甲状腺癌的风险增加;在移植接受者中观察到皮肤癌.
- 在较年轻的患者,患有淋巴细胞疾病的患者和移植后最长时间的患者中发现风险最高.
结论:
- 衰竭患者,特别是移植后的患者,面临着相当大的癌症负担.
- 了解功能衰竭中的癌症流行病学对于公共卫生政策至关重要.
- 加强癌症查和预防策略对于这一高风险群体是有必要的.
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