牛皮患者全因和因特定死亡率:系统性审查和元分析
Yi Yang1, Qin Zhang1, Anning Huang1
1Graduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in immunology
|August 8, 2025
概括
牛皮患者面临更高的全因,心血管,感染和自杀死亡风险. 加强监测和干预至关重要,特别是在严重病例中.
科学领域:
- 皮肤病学和公共卫生
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 牛皮是一种慢性炎症性疾病,具有潜在的全身影响.
- 越来越多的证据表明牛皮与死亡风险增加之间存在关联.
研究的目的:
- 进行元分析,评估牛皮患者的全因和因特定死亡率.
- 通过综合系统性审查量化与牛皮相关的死亡风险.
主要方法:
- 按照PRISMA的指导方针,对PubMed,EMBASE和Cochrane图书馆进行系统搜索.
- 包括20个队列研究 (8,825,989名参与者),比较患有牛皮的成年人的死亡率与对照.
- 随机效应对危险比率 (HRs) 的元分析,包括灵敏度和子组分析.
主要成果:
- 显著增加所有原因 (HR=1.19),心血管 (HR=1.32),感染相关 (HR=1.24) 和自杀死亡率 (HR=1.50) 的风险.
- 瘤死亡率的风险增加,但没有统计学意义 (HR=1.05).
- 在欧洲和亚洲观察到更高的死亡风险,并增加了疾病的严重程度.
结论:
- 牛皮与所有原因,心血管,感染相关和自杀死亡率的风险增加有关.
- 这些发现强调了主动管理和对牛皮患者的干预的重要性.
- 由于死亡风险较高,中度至重度牛皮患者需要特别注意.
相关概念视频
Skin Diseases and Disorders
4.1K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
4.1K
Comparing the Survival Analysis of Two or More Groups
287
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
287
Cancer Survival Analysis
455
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
455
Skin Cancer
4.5K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.5K
Psychoneuroimmunology: Cardiovascular Disease
78
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
78
T Cell Types and Functions
1.4K
When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
1.4K


