关于电子烟作为癌症风险因素的证据:系统性审查
Guilherme Guedes de Oliveira1, Rebeca Milka Lemos Magalhães Liberato1, Amaxsell Thiago Barros de Souza2
1Department of Medicine, Potiguar University, Natal, Brazil.
Journal of cancer policy
|July 22, 2025
概括
电子烟使用可能会增加某些癌症的风险,例如乳腺癌. 然而,目前的证据是不确定的,需要进一步研究蒸汽和癌症的关联.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 电子烟的使用或vaping已经广受欢迎,引发了人们对潜在的长期健康影响的担忧.
- 了解电子烟消费与癌症风险之间的关联对于公共卫生政策和个人决策至关重要.
研究的目的:
- 系统地审查和评估有关电子烟使用与癌症风险之间的关联的现有科学文献.
- 综合观察性研究的发现,以评估电子烟与各种癌症类型之间的潜在联系.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 优先报告项目指南的系统审查.
- 搜索了主要的数据库 (PubMed/MEDLINE,LILACS,Embase,Web of Science,Scopus) 到2024年9月为相关的观察研究.
- 评估偏差风险使用既有工具,如纽卡斯尔-太华尺度 (NOS) 和乔安娜·布里格斯研究所 (JBI) 批判性评估工具.
主要成果:
- 分析了10项涉及143975名患者的研究.
- 皮肤,乳腺,前列腺,黑色素瘤和结肠癌是最常见的癌症之一,尽管具体的相关性各不相同.
- 一项研究表明,电子烟使用与各种癌症,肺部疾病和其他健康问题之间存在联系;另一项研究表明,肺癌与乳腺癌和结直肠癌的晚期诊断之间存在潜在联系. 三项研究发现与非肌肉侵入性膀癌没有显著的关联.
结论:
- 电子烟使用可能与某些癌症的风险增加有关,例如宫癌和乳腺癌.
- 目前的证据并不是最终的,强调需要更强大的纵向研究.
- 需要进一步调查以确定明确的因果关系,并了解与vaping相关的健康风险的全部范围.
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