Bahl Saira, Cotterchio Michelle, Kreiger Nancy, Klar Neil
Division of Preventive Oncology, Cancer Care Ontario, Toronto, Ontario, Canada.
Am J Epidemiol. 2004 Sep 15;160(6):566-75. doi: 10.1093/aje/kwh234.
Animal and human studies have suggested that antidepressant medications may be associated with several cancers. The authors evaluated the association between antidepressant medication use and the risk of non-Hodgkin's lymphoma using a Canadian population-based case-control study, the National Enhanced Cancer Surveillance Study. Non-Hodgkin's lymphoma cases (n=638) diagnosed in 1995-1996 were identified using the Ontario Cancer Registry, and controls (n=1,930) were identified from the Ontario Ministry of Finance Property Assessment Database. Antidepressant medication use was ascertained using a self-administered questionnaire. Multivariate logistic regression was used to estimate odds ratios. "Ever" use of antidepressant medications was not associated with non-Hodgkin's lymphoma risk. The odds ratio for non-Hodgkin's lymphoma with 25 or more months of tricyclic antidepressant medication use was 1.6; however, this was nonsignificant. Duration or history of use or individual types of antidepressant medications were not associated with non-Hodgkin's lymphoma risk. These findings do not support an increased risk of non-Hodgkin's lymphoma with antidepressant medication use.
动物和人体研究表明,抗抑郁药物可能与多种癌症有关。作者利用一项基于加拿大人群的病例对照研究——国家强化癌症监测研究,评估了使用抗抑郁药物与非霍奇金淋巴瘤风险之间的关联。1995年至1996年诊断出的非霍奇金淋巴瘤病例(n = 638)通过安大略癌症登记处确定,对照(n = 1930)从安大略省财政部财产评估数据库中确定。使用自行填写的问卷来确定抗抑郁药物的使用情况。采用多因素逻辑回归来估计比值比。“曾经”使用抗抑郁药物与非霍奇金淋巴瘤风险无关。使用三环类抗抑郁药物25个月或更长时间的非霍奇金淋巴瘤的比值比为1.6;然而,这并不显著。使用时间或使用史或个别类型的抗抑郁药物与非霍奇金淋巴瘤风险无关。这些发现不支持使用抗抑郁药物会增加非霍奇金淋巴瘤风险的观点。