硒与前列腺癌的关联:一项系统评价与荟萃分析

The association between Selenium and Prostate Cancer: a Systematic Review and Meta-Analysis.

作者信息

Sayehmiri Kourosh, Azami Milad, Mohammadi Younes, Soleymani Ali, Tardeh Zainab

机构信息

Department of Biostatistics, Psychosocial Injuries Research Center, Ilam University of Medical Sciences، Ilam, Iran.Email:

出版信息

Asian Pac J Cancer Prev. 2018 Jun 25;19(6):1431-1437. doi: 10.22034/APJCP.2018.19.6.1431.

Abstract

Background: Evidence of relationship between selenium and prostate cancer has been inconsistent. The present metaanalysis was conducted to determine relationship between selenium and prostate cancer. Methods: A systematic review and meta-analysis was carried out using preferred reporting items for systematic reviews and meta-analysis (PRISMA). We searched PubMed, Scopus, Web of Science, ScienceDirect, Embase, CINAHL, Cochrane Library, EBSCO and Google scholar search engines and the reference lists of the retrieved papers for relevant data, without any limitation regarding language or time until 2016. Heterogeneity among studies was evaluated using Q test and I2 Index. Finally, a random effects model was used for combining results using STATA software version 11.1. P<0.05 was considered significant. Results: Thirty-eight studies including 36,419 cases and 105,293 controls were included in the final analysis. The pooled relative risk (RR) of relation between selenium and prostate cancer was 0.86 (95% Confidence Interval [CI]:0.78-0.94). Sub-group analyses based on case-control, cohort, and RCT studies gave values of 0.89 (95% CI: 0.80-1.00), 0.77 (95% CI: 0.52-1.14) and 0.90 (95% CI: 0.74-1.09), respectively. RRs based on serum, plasma and nail samples were 0.69 (95% CI: 0.51-0.95), 0.85 (95% CI: 0.61-1.17), 0.66 (95% CI: 0.41-1.05), respectively. According to 10 studies, investigated the relation between advanced prostate cancer and selenium in which the RR was 0.67 (95% CI: 0.52-0.87). Conclusions: This meta-analysis indicated that selenium most probably has a protective role against development of prostate cancer and its progression to advanced stages. Therefore, selenium supplementation can be proposed for prevention of prostate cancer.

摘要

背景

硒与前列腺癌之间关系的证据并不一致。本荟萃分析旨在确定硒与前列腺癌之间的关系。方法:采用系统评价与荟萃分析的首选报告项目(PRISMA)进行系统评价和荟萃分析。我们检索了PubMed、Scopus、Web of Science、ScienceDirect、Embase、CINAHL、Cochrane图书馆、EBSCO和谷歌学术搜索引擎以及检索论文的参考文献列表以获取相关数据,截至2016年,对语言或时间没有任何限制。使用Q检验和I²指数评估研究间的异质性。最后,使用STATA软件11.1版的随机效应模型合并结果。P<0.05被认为具有统计学意义。结果:最终分析纳入了38项研究,包括36419例病例和105293例对照。硒与前列腺癌关系的合并相对风险(RR)为0.86(95%置信区间[CI]:0.78 - 0.94)。基于病例对照、队列和随机对照试验研究的亚组分析分别得出的值为0.89(95%CI:0.80 - 1.00)、0.77(95%CI:0.52 - 1.14)和0.90(95%CI:0.74 - 1.09)。基于血清、血浆和指甲样本的RR分别为0.69(95%CI:0.51 - 0.95)、0.85(95%CI:0.61 - 1.17)、0.66(95%CI:0.41 - 1.05)。根据10项研究,调查了晚期前列腺癌与硒之间的关系,其中RR为0.67(95%CI:0.52 - 0.87)。结论:这项荟萃分析表明,硒很可能对前列腺癌的发生及其进展至晚期具有保护作用。因此,可建议补充硒来预防前列腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c3/6103565/7772bfe4b384/APJCP-19-1431-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索