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瑞典酿酒工人的癌症发病率。

Cancer incidence among Swedish brewery workers.

作者信息

Carstensen J M, Bygren L O, Hatschek T

机构信息

Department of Oncology, University Hospital, Linköping, Sweden.

出版信息

Int J Cancer. 1990 Mar 15;45(3):393-6. doi: 10.1002/ijc.2910450302.

Abstract

In order to examine the risks of cancer, particularly of rectal cancer, among Swedish brewery workers, 6,230 men employed in the brewery industry in 1960 were followed-up during 1961-79 by the Swedish Cancer Registry. Using all Swedish men as a reference group, relative risks (RR) were computed with standardization for year of birth, year of follow-up, and geographic region. A total of 712 new cases of cancer were observed compared to 570.7 expected (p less than 0.001). Significantly increased risks were seen for several cancer sites, e.g. esophagus (RR = 2.5, 95% confidence interval (Cl) = 1.5-3.8), rectum (RR = 1.7, Cl = 1.3-2.3), pancreas (RR = 1.7, Cl = 1.2-2.3), and lung (RR = 1.4, Cl = 1.1-1.7). An excess risk of liver cancer was almost significant (p = 0.053, RR = 1.7, Cl = 1.0-2.8). The risk of colon cancer was not significantly increased (RR = 1.2, Cl = 0.9-1.5), and the difference between the relative risk of colon cancer and that of rectum cancer was nearly significant (p = 0.07). Our results support the hypothesis that high beer consumption is associated with an increased risk of rectal cancer.

摘要

为了调查瑞典啤酒厂工人患癌症尤其是直肠癌的风险,瑞典癌症登记处在1961年至1979年期间对1960年受雇于啤酒酿造行业的6230名男性进行了随访。以所有瑞典男性作为参照组,计算出生年份、随访年份和地理区域标准化后的相对风险(RR)。共观察到712例新癌症病例,而预期为570.7例(p<0.001)。在几个癌症部位观察到风险显著增加,如食管(RR=2.5,95%置信区间(Cl)=1.5 - 3.8)、直肠(RR=1.7,Cl=1.3 - 2.3)、胰腺(RR=1.7,Cl=1.2 - 2.3)和肺(RR=1.4,Cl=1.1 - 1.7)。肝癌的额外风险几乎具有统计学意义(p=0.053,RR=1.7,Cl=1.0 - 2.8)。结肠癌风险未显著增加(RR=1.2,Cl=0.9 - 1.5),结肠癌相对风险与直肠癌相对风险之间的差异接近显著(p=0.07)。我们的结果支持高啤酒消费量与直肠癌风险增加相关的假设。

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