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饮酒与胃癌风险:前瞻性队列研究的荟萃分析

Alcohol consumption and gastric cancer risk: a meta-analysis of prospective cohort studies.

作者信息

Han Xue, Xiao Li, Yu Yao, Chen Yu, Shu Hai-Hua

机构信息

Department of Anesthesiology, Guangdong Second Provincial General Hospital, Guangzhou, China.

Department of Anesthesiology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Oncotarget. 2017 Jul 12;8(47):83237-83245. doi: 10.18632/oncotarget.19177. eCollection 2017 Oct 10.

Abstract

We performed this meta-analysis to explore the precise quantification relationship between alcohol consumption and gastric cancer and to provide evidence for preventing gastric cancer. We searched PubMed, Embase, and Web of Science for articles published up to December 2016, and identified 23 cohort studies that included a total population of 5,886,792 subjects. We derived meta-analytic estimates using random-effects models, taking into account correlations between estimates. We also investigated the dose-response relationship between gastric cancer risk and alcohol consumption. We found that alcohol consumption increased gastric cancer risk, where the summary risk ratio was 1.17 (95% confidence interval (CI): 1.00-1.34; = 79.6%, < 0.05. The dose-response analysis showed that every 10 g/d increment in alcohol consumption was associated with 7% increased gastric cancer risk (95% CI 1.02-1.12; = 28.9%, = 0.002). This meta-analysis provides evidence that alcohol consumption is an important risk factor of the incidence of gastric cancer.

摘要

我们进行这项荟萃分析,旨在探究饮酒与胃癌之间精确的量化关系,并为预防胃癌提供依据。我们检索了截至2016年12月在PubMed、Embase和科学网发表的文章,确定了23项队列研究,这些研究共纳入5,886,792名受试者。我们使用随机效应模型得出荟萃分析估计值,同时考虑了估计值之间的相关性。我们还研究了胃癌风险与饮酒之间的剂量反应关系。我们发现饮酒会增加患胃癌的风险,汇总风险比为1.17(95%置信区间(CI):1.00 - 1.34;I² = 79.6%,P < 0.05)。剂量反应分析表明,饮酒量每增加10 g/d,患胃癌的风险就会增加7%(95% CI 1.02 - 1.12;I² = 28.9%,P = 0.002)。这项荟萃分析提供了证据,表明饮酒是胃癌发病的一个重要危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df91/5669963/c397cbb2399e/oncotarget-08-83237-g001.jpg

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