首页膀胱肿瘤治疗及预后证据详情

Antimicrobial Prophylaxis for Postoperative Urinary Tract Infections in Transurethral Resection of Bladder Tumors: A Systematic Review and Meta-Analysis

原文: 2021 年 发布于 Eur J Epidemiol 72 卷 第 3 期 158 浏览量:149次

作者: Bausch K. Halbeisen F. S. Aghlmandi S. Sutter S. U. Ewald H. Appenzeller-Herzog C. Roth J. A. Widmer A. F. Seifert H. H.

作者单位: Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, China. Department of Clinical Medicine, Dalian Medical University, Dalian, China. Department of Pathology, Dalian Friendship Hospital, Dalian, China. Department of Urology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Shenyang, China. Department of Clinical Laboratory, Second Affiliated Hospital of Dalian Medical University, Dalian, China.

归属分类: 膀胱肿瘤治疗及预后证据

DOI: 10.1007/s00345-020-03345-2

关键词: 长链非编码RNA 尿路上皮癌相关1基因 膀胱癌 诊断 Meta分析

文献简介

Bladder cancer is three to four times more common among men than women. The objectives of this study were to explore the association between reproductive and hormonal factors and risk of bladder cancer among women using data from the Prostate, Lung, Colorectal and Ovarian (PLCO) cohort, and to perform a meta-analysis based on cohort studies. After a median of 11.6 years of follow-up, 237 incident bladder cancer cases were identified in PLCO cohort. Compared with menopause at 50-54 years, earlier menopause (< 45 years) was positively but not significantly associated with bladder cancer risk (HR 1.25, 95% CI 0.91-1.71; p = 0.176). In the meta-analysis, parous women had significantly lower bladder cancer risk than nulliparous women (pooled HR 0.79, 95% CI 0.73-0.86). In addition, menopause at an earlier age was significantly associated with a higher risk of bladder cancer (pooled HR 1.22, 95% CI 1.06-1.40). In conclusion, this study indicated a greater risk in bladder cancer among nulliparous women and among women with early menopause. Further studies are needed to understand the underlying mechanisms.

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