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2型糖尿病不会增加从不吸烟者患肺癌的风险:一项全国性队列研究。

Type 2 diabetes mellitus does not increase the risk of lung cancer among never-smokers: a nationwide cohort study.

作者信息

Park Hyung Jun, Joh Hee-Kyung, Choi Seulggie, Park Sang Min

机构信息

Department of Family Medicine, SMG - SNU Boramae Medical Center, Seoul, Republic of Korea.

Department of Family Medicine, Seoul National University Health Service Center, Seoul, Republic of Korea.

出版信息

Transl Lung Cancer Res. 2019 Dec;8(6):1073-1077. doi: 10.21037/tlcr.2019.11.01.

Abstract

Previous studies have reported higher incidences of lung cancer among smokers diagnosed with diabetes than those without. Accordingly, this study investigated whether type 2 diabetes mellitus (T2DM) diagnosis alone can be associated with increased lung cancer incidences among never-smokers in the Korean population. Newly diagnosed never-smoking T2DM patients were identified from the nationwide longitudinal cohort of health examination data of South Korea (2002-2013). Cox proportional hazards regression model was employed to estimate the hazard ratios (HRs) and 95% confidence interval (CI) of lung cancer in the T2DM patient and abnormal fasting blood sugar (FBS) groups. T2DM (HR =0.91, 95% CI: 0.71 to 1.17) and abnormal FBS level are no significant association with lung cancer incidence based on the given HR. T2DM does not increase the risk of lung cancer among never-smokers. A large cohort study affirms minimal impact of T2DM on lung cancer development in the never-smoking Korean population.

摘要

以往研究报告称,被诊断患有糖尿病的吸烟者患肺癌的几率高于未患糖尿病的吸烟者。因此,本研究调查了仅2型糖尿病(T2DM)诊断是否与韩国非吸烟人群肺癌发病率增加有关。从韩国全国健康检查数据纵向队列(2002 - 2013年)中识别出新诊断的非吸烟T2DM患者。采用Cox比例风险回归模型估计T2DM患者和空腹血糖(FBS)异常组中肺癌的风险比(HRs)和95%置信区间(CI)。基于给定的HR,T2DM(HR = 0.91,95% CI:0.71至1.17)和FBS水平异常与肺癌发病率无显著关联。T2DM不会增加非吸烟者患肺癌的风险。一项大型队列研究证实,T2DM对韩国非吸烟人群肺癌发展的影响极小。

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Lung cancer in never smokers in the UK Million Women Study.英国百万女性研究中的非吸烟女性肺癌
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Lung cancer in never smokers: disease characteristics and risk factors.不吸烟人群中的肺癌:疾病特征和危险因素。
Crit Rev Oncol Hematol. 2013 Dec;88(3):494-503. doi: 10.1016/j.critrevonc.2013.06.011. Epub 2013 Aug 4.
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Cancer: diabetes therapy and lung cancer.
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