Zhu Guangwei, Hua Jin, Wang Zhijian, She Feifei, Chen Yanling
Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, P.R. China ; Key Laboratory of Ministry of Education for Gastrointestinal Cancer and Key Laboratory of Tumor Microbiology, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, Fujian 350001, P.R. China.
The First Clinic Medical College and The First Hospital, Fujian Medical University, Fuzhou, Fujian 350001, P.R. China.
Mol Clin Oncol. 2015 May;3(3):613-618. doi: 10.3892/mco.2015.489. Epub 2015 Jan 21.
Previous epidemiological studies investigating the association between tea consumption and the risk of gallbladder cancer have yielded inconsistent results. Therefore, we aimed to assess this association by conducting a meta-analysis of all available studies. A search was conducted through Pubmed, Embase, Chinese Biomedical literature Database and China Knowledge Resource Integrated Database to identify relevant studies on tea consumption and the risk of gallbladder cancer. A random-effects model was used to calculate the overall combined risk estimates. Six studies (4 case-control and 2 cohort studies), involving a total of 753 patients and 115,349 controls, were included in this meta-analysis. The overall combined odds ratio (OR) for tea consumption and gallbladder cancer was 0.67 [95% confidence interval (CI): 0.40-1.12, P=0.13]. Similar results were obtained for the high or moderate tea consumption vs. the low/non-consumption groups. However, our meta-analysis identified a significant association between tea consumption and reduced gallbladder cancer risk in women (OR=0.46, 95% CI: 0.26-0.81, P=0.008), but not in men (OR=0.43, 95% CI: 0.12-1.59, P=0.21). Therefore, the results of the present meta-analysis suggest that, according to the currently available epidemiological studies, tea consumption may reduce the risk of gallbladder cancer in women, but not in men. Further epidemiological studies are required to determine the association between tea consumption and the risk of gallbladder cancer.
以往关于饮茶与胆囊癌风险之间关联的流行病学研究结果并不一致。因此,我们旨在通过对所有现有研究进行荟萃分析来评估这种关联。通过PubMed、Embase、中国生物医学文献数据库和中国知网数据库进行检索,以确定有关饮茶与胆囊癌风险的相关研究。采用随机效应模型计算总体合并风险估计值。本荟萃分析纳入了6项研究(4项病例对照研究和2项队列研究),共涉及753例患者和115349例对照。饮茶与胆囊癌的总体合并比值比(OR)为0.67[95%置信区间(CI):0.40 - 1.12,P = 0.13]。高/中度饮茶组与低/不饮茶组相比也得到了类似结果。然而,我们的荟萃分析发现,饮茶与女性胆囊癌风险降低之间存在显著关联(OR = 0.46,95%CI:0.26 - 0.8l,P = 0.008),但在男性中未发现这种关联(OR = 0.43,95%CI:0.12 - 1.59,P = 0.21)。因此,本荟萃分析结果表明,根据目前可得的流行病学研究,饮茶可能降低女性患胆囊癌的风险,但对男性则不然。需要进一步的流行病学研究来确定饮茶与胆囊癌风险之间的关联。