在被诊断患有泌尿生殖系统癌症的患者中饮酒量
Aidan Weitzner1, Carlos Rivera Lopez1, Joseph Cheaib1
1Department of Urology, Brady Urological Institute Johns Hopkins University School of Medicine Baltimore MD USA.
BJUI compass
|September 22, 2025
概括
在患有生殖尿路癌的人和匹配的对照人之间,酒精消耗和暴饮暴饮的模式是相似的. 这凸显了癌症幸存者护理中生活方式干预的必要性.
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:
- 生殖尿路 (GU) 癌症,包括前列腺癌,脏癌,膀癌和丸癌,影响着大量人群.
- 酒精消费是一种普遍的行为,具有已知的健康影响,但其与GU癌症诊断的特定关联需要进一步描述.
- 了解癌症患者的饮酒模式对于开发有针对性的生存护理策略至关重要.
研究的目的:
- 为了比较GU癌症患者的酒精消费和狂饮行为,与没有癌症的倾向匹配的队列相比.
- 调查GU癌症诊断与饮酒频率,狂饮频率和酒精使用障碍指标之间的关联.
主要方法:
- 一项回顾性,横截面研究,使用来自美国国立卫生研究院"我们所有人研究计划"的数据.
- 倾向性得分匹配用于控制诸如年龄,性别,吸烟状态,并发症和社会经济因素等混因素.
- 自我报告的饮酒频率,过度饮酒频率和酒精使用障碍识别测试 (AUDIT-C) 分数是主要和次要结局.
主要成果:
- 在GU癌症队列 (N=11,522) 和匹配的对照队列 (N=47,747) 之间,饮酒和过度饮酒的患病率相似.
- 在GU癌症诊断和增加饮酒频率 (OR:0.99),狂饮频率 (OR:0.85) 或AUDIT-C评分 (OR:0.99) 之间没有发现显著的关联.
- 与对照人群相比,患有癌的个体的酒精使用率较高 (OR:0.76) 和AUDIT-C得分较低 (OR:0.83) 的几率较低.
结论:
- 在患有GU恶性瘤的个体中,酒精消费非常普遍,饮酒行为反映了无癌症个体的饮酒行为.
- 结果表明,GU癌症诊断本身与酒精消费模式的改变无关,除了癌患者的减少.
- 这项研究强调了将生活方式干预措施,特别是那些解决酒精使用等可修改行为的干预措施,纳入GU癌症患者的生存护理的重要性.
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