结石和泌尿器官癌症之间的关联:来自NHANES 2007-2020年和门德尔随机化研究的结果
Jinghua Zhong1,2,3,4, Jiahao Cheng1,2,3,4,5, Zhijian Zhao1,2,3,4
1Department of Urology, The First Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510230, Guangdong Province, China.
Discover oncology
|April 24, 2025
概括
结石与更高的细胞癌,膀癌和前列腺癌的风险有关. 然而,基因分析并未证实结石与这些泌尿癌之间的因果关系.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 结石代表了一个普遍的泌尿病状况,其全球发病率正在增加.
- 结石和泌尿器官癌症之间的联系尚未完全理解,仍然是争论的主题.
研究的目的:
- 调查结石病史与患细胞癌,膀癌和前列腺癌的风险之间的关联.
- 用孟德尔随机化 (MR) 分析评估结石和这些泌尿癌之间的潜在因果关系.
主要方法:
- 利用了国家健康和营养检查调查 (NHANES) 2007-2020年期间的数据.
- 使用多变量逻辑回归来评估关联和MR方法 (IVW,加权中位数,MR-Egger) 来探索因果关系.
- 进行了分层和敏感性分析,以确保调查结果的可靠性.
主要成果:
- 对13013名参与者的分析显示,结石与细胞癌 (OR=1.92),膀癌 (OR=2.749) 和前列腺癌 (OR=2.03) 的风险增加之间存在显著的关联.
- 门德尔的随机化分析没有支持结石和研究的泌尿癌之间的遗传因果关系.
- 敏感性分析证实了MR结果的稳定性.
结论:
- 结石与美国人口中细胞癌,膀癌和前列腺癌的风险增加有关.
- 通过MR分析,在欧洲人口中,结石和这些癌症之间没有确立任何遗传因果关系.
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