糖尿病进展及其对癌风险的影响:来自韩国纵向队列研究的见解
Jin Yu1, Bongseong Kim2, Kyungdo Han2
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
The Journal of clinical endocrinology and metabolism
|June 3, 2025
概括
糖尿病的进展显著增加了癌的风险. 晚期糖尿病,以较长的持续时间,慢性病或糖尿病视网膜病变为标志,增加癌症风险,强调需要有针对性的查.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 在韩国,癌发病率正在上升.
- 生活方式和代谢因素有助于这种趋势.
研究的目的:
- 评估糖尿病进展与癌风险之间的关系.
主要方法:
- 利用了韩国国家健康信息数据库的数据,来自2,365,294名2型糖尿病患者.
- 通过基于降糖药物,持续时间,胰岛素使用和并发症 (CKD,DR,CVD) 的得分 (0-6) 评估糖尿病进展.
- 在2022年之前监测癌发病率的患者 (ICD-10代码C64).
主要成果:
- 糖尿病持续时间长,慢性病 (CKD) 和糖尿病视网膜病变 (DR) 与较高的癌风险比率 (HRs) 有关.
- 随着糖尿病进展得分的提高,癌风险逐渐增加.
- 针对癌的调整HR为1.21至1.73分,得分为1-4+,而得分为0.
结论:
- 糖尿病的进展与癌风险的增加密切相关.
- 强调针对晚期糖尿病患者进行查癌的重要性.
- 强调需要在晚期糖尿病患者中开展癌意识教育计划.
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