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无线电话使用与成人胶质瘤风险:一项荟萃分析的证据

Wireless Phone Use and Risk of Adult Glioma: Evidence from a Meta-Analysis.

作者信息

Wang Peng, Hou Chongxian, Li Yanwen, Zhou Dong

机构信息

Department of Neurosurgery, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.

Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.

出版信息

World Neurosurg. 2018 Jul;115:e629-e636. doi: 10.1016/j.wneu.2018.04.122. Epub 2018 Apr 28.

Abstract

BACKGROUND

Wireless phone use has been increasing rapidly and is associated with the risk of glioma. Many studies have been conducted on this association without reaching agreement. The aim of this meta-analysis was to determine the possible association between wireless phone use and risk of adult glioma.

METHODS

Eligible studies were identified by searching PubMed and Embase up to July 2017. Random-effects or fixed-effects model was used to combine the results depending on the heterogeneity of the analysis. Publication bias was evaluated using Begg's funnel plot and Egger's regression asymmetry test. Subgroup analysis was performed to evaluate possible influence of these variables.

RESULTS

Ten studies on the association of wireless phone use and risk of glioma were included. The combined odds ratio of adult gliomas associated with ever use of wireless phones was 1.03 (95% confidence interval [CI], 0.92-1.16) with high heterogeneity (I = 54.2%, P = 0.013). In subgroup analyses, no significant association was found between tumor location in the temporal lobe and adult glioma risk, with odds ratios of 1.26 (95% CI, 0.87-1.84), 0.93 (95% CI, 0.69-1.24), and 1.61 (95% CI, 0.78-3.33). A significant association with risk of glioma was found in long-term users (≥10 years) with odds ratio of 1.33 (95% CI, 1.05-1.67).

CONCLUSIONS

Ever use of wireless phones was not significantly associated with risk of adult glioma, but there could be increased risk in long-term users.

摘要

背景

无线电话的使用一直在迅速增加,并且与胶质瘤风险相关。关于这种关联已经进行了许多研究,但尚未达成共识。本荟萃分析的目的是确定无线电话使用与成人胶质瘤风险之间的可能关联。

方法

通过检索截至2017年7月的PubMed和Embase来确定符合条件的研究。根据分析的异质性,使用随机效应或固定效应模型合并结果。使用Begg漏斗图和Egger回归不对称检验评估发表偏倚。进行亚组分析以评估这些变量的可能影响。

结果

纳入了10项关于无线电话使用与胶质瘤风险关联的研究。曾经使用无线电话与成人胶质瘤相关的合并比值比为1.03(95%置信区间[CI],0.92 - 1.16),异质性较高(I = 54.2%,P = 0.013)。在亚组分析中,未发现颞叶肿瘤位置与成人胶质瘤风险之间存在显著关联,比值比分别为1.26(95% CI,0.87 - 1.84)、0.93(95% CI,0.69 - 1.24)和1.61(95% CI,0.78 - 3.33)。在长期使用者(≥10年)中发现与胶质瘤风险存在显著关联,比值比为1.33(95% CI,1.05 - 1.67)。

结论

曾经使用无线电话与成人胶质瘤风险无显著关联,但长期使用者的风险可能会增加。

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