状况和甲状腺癌的发生:系统审查和元分析
Aline Alves Soares1,2, Yasmin Guerreiro Nagashima1, Grasiela Piuvezam3,4
1Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, RN, Brazil.
Nutrients
|September 13, 2025
概括
这次审查发现甲状腺癌患者和健康人群之间血清水平没有显著差异. 需要更严格的研究来证实不平衡与甲状腺癌风险之间的任何潜在联系.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 营养科学 营养科学
背景情况:
- 甲状腺癌 (TC) 是最常见的内分泌瘤,发病率正在上升.
- 微量元素失衡,特别是 (Zn),与甲状腺功能和病原发生有关.
- 对于甲状腺激素的作用至关重要,并且可能在TC发育中发挥作用.
研究的目的:
- 系统地审查和元分析低血清度与TC发生之间的关联.
- 综合目前关于在甲状腺癌发病过程中的作用的证据.
主要方法:
- 在主要数据库 (PubMed,Scopus,Embase,LILACS,Web of Science) 进行系统搜索,直到2024年12月.
- 包括10个观察性研究 (7个病例控制,3个横截面).
- 使用随机效应模型进行元分析,评估I2统计数据的异质性.
主要成果:
- 在TC患者和健康对照人群之间,血清含量没有显著差异 (平均差异:-251.77).
- 高异质性 (I2 = 100%) 表明发现的确定性非常低.
- 包括的研究样本规模小 (44-294人).
结论:
- 目前的证据不支持血清含量低与甲状腺癌之间的显著关联.
- 进一步的高质量的观测研究,使用更大,更具代表性的样本是必不可少的.
- 改善对混变量的控制对于未来的研究至关重要.
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