类药物和妇科癌症风险:挪威基于人口的队列研究
Leif Lukas Löfling1,2, Nathalie C Støer1, Edoardo Botteri1,3
1Department of Research, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
International journal of epidemiology
|July 27, 2025
概括
静止剂的使用与子宫内膜癌的风险降低有关,特别是在脂友性静止剂. 然而,在这项研究中,对于卵巢或宫癌风险没有发现显著的关联.
科学领域:
- 妇科瘤学 妇科瘤学
- 心血管药理学心血管药理学
- 流行病学 流行病学
背景情况:
- 子宫内膜,卵巢和宫癌是全球重要的健康问题.
- 通常用于心血管疾病的他类药物已被研究其在妇科癌症风险中的潜在作用,但证据仍然不确.
研究的目的:
- 调查他类药物使用与患子宫内膜,卵巢和宫癌的风险之间的关联.
- 根据他类药物类型 (脂性与水性) 和患者人口统计学来探索风险差异.
主要方法:
- 一项基于人口的队列研究,利用挪威的健康登记册从2004年到2018年.
- 包括50岁及以上的100多万名女性.
- 考克斯的比例危险模型被用来分析他类药物使用与癌症发病率之间的关联.
主要成果:
- 静止剂使用与子宫内膜癌的风险降低有关 (目前使用HR 0.90,过去使用HR 0.79),主要是由脂性静止剂驱动的.
- 在使用他类药物和患卵巢或宫癌的风险之间没有观察到显著的关联.
- 对于任何研究的妇科癌症,没有发现剂量反应或时间停止趋势.
结论:
- 立方体使用,特别是脂友性立方体,与子宫内膜癌的风险降低有关.
- 该研究没有发现证据支持使用他类药物与卵巢或宫癌风险降低之间的关联.
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