癌症幸存者的中风风险:元分析和元回归
Francisco Cezar Aquino de Moraes1, Gustavo Tadeu Freitas Uchôa Matheus2, Maria Eduarda Cavalcanti Souza3
1Federal University of Pará, Belém, Pará, 66073-005, Brazil. francisco.cezar2205@gmail.com.
概括
癌症幸存者面临高风险的中风,特别是那些患有特定类型的癌症,如胰腺癌或中枢神经系统癌症. 这一元分析证实,与对照组相比,各种癌症幸存者的中风发病率增加.
科学领域:
- 在瘤学瘤学.
- 心血管流行病学心血管流行病学
- 临床研究 临床研究
背景情况:
- 癌症幸存者被认为有更高的中风风险.
- 之前的研究表明,某些癌症与中风风险增加之间存在联系,但具有显著的异质性和统计问题.
研究的目的:
- 系统地评估和量化癌症幸存者的中风风险与非癌症对照组相比.
- 解决有关癌症和中风风险的现有文献中的异质性和统计问题.
主要方法:
- 在Medline,Embase和Cochrane数据库中进行系统的文献搜索,截至2024年2月18日.
- 使用Mantle-Haenszel方法的元分析,使用95%的置信区间 (CI).
- 使用I2统计数据评估异质性;使用Rstudio进行分析.
主要成果:
- 包括18项研究,比较癌症患者和对照者的中风事件.
- 在乳腺,中枢神经系统,宫,头,肺,多发性骨髓瘤,鼻,食道,卵巢,胰腺和直肠癌的幸存者中观察到显著的中风风险增加.
- 胰腺癌 (HR 2.70) 和中枢神经系统癌症 (HR 2.47) 显示最高的中风风险增加.
结论:
- 在幸存者的多种癌症类型中,中风风险显著增加.
- 这一元分析提供了关于癌症幸存者中风风险的长期临床不确定性的可靠数据.
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