Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Eur J Neurol. 2011 Mar;18(3):387-95. doi: 10.1111/j.1468-1331.2010.03187.x. Epub 2010 Aug 16.
We evaluated the association between allergic conditions and the risk of glioma in case-control and cohort studies published so far on this issue. A total of 12 studies (10 case-control and 2 cohort studies) were included in the analysis, involving 61 090 participants, of whom 6408 had glioma. When compared with non-allergic conditions, the pooled odds ratio (OR) with any allergic conditions for glioma was 0.60 (95% CI: 0.52-0.69, P<0.001), suggesting a significant negative association (protective effect) between allergy and glioma. Subgroup analysis showed that the ORs were 0.70 (95% CI: 0.62-0.79, P<0.001), 0.69 (95% CI: 0.62-0.78, P<0.001), and 0.78 (95% CI: 0.70-0.87, P<0.001) for asthma, eczema, and hay fever, respectively. The significant association remained even after excluding the bias of proxy reporting (OR=0.61; 95% CI: 0.50-0.75, P<0.001). We conclude that allergic conditions may significantly reduce the risk of glioma.
我们评估了过敏性疾病与迄今在该问题上发表的病例对照和队列研究中脑胶质瘤风险之间的关联。共有 12 项研究(10 项病例对照和 2 项队列研究)纳入了分析,共涉及 61090 名参与者,其中 6408 人患有脑胶质瘤。与非过敏性疾病相比,任何过敏性疾病的脑胶质瘤合并优势比(OR)为 0.60(95%CI:0.52-0.69,P<0.001),表明过敏与脑胶质瘤之间存在显著的负相关(保护作用)。亚组分析显示,哮喘、湿疹和花粉热的 OR 分别为 0.70(95%CI:0.62-0.79,P<0.001)、0.69(95%CI:0.62-0.78,P<0.001)和 0.78(95%CI:0.70-0.87,P<0.001)。即使排除代理报告的偏倚(OR=0.61;95%CI:0.50-0.75,P<0.001),这种显著关联仍然存在。我们的结论是,过敏性疾病可能显著降低脑胶质瘤的风险。