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急性和慢性髓系白血病合并糖尿病患者的死亡率与血糖控制:一项病例对照研究

Mortality and glycemic control among patients with acute and chronic myeloid leukemia and diabetes: a case-control study.

作者信息

Wiedmeier Julia E, Mountjoy Luke J, Buras Matthew R, Kosiorek Heidi E, Coppola Kyle E, Verona Patricia M, Cook Curtiss B, Karlin Nina J

机构信息

Department of Internal Medicine, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA.

Division of Hematology & Medical Oncology, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA.

出版信息

Future Sci OA. 2020 Oct 26;7(1):FSO639. doi: 10.2144/fsoa-2020-0117.

DOI:10.2144/fsoa-2020-0117
PMID:33437503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7787137/
Abstract

AIM

We examined the association between diabetes and survival in patients with acute and chronic myeloid leukemia and the association of leukemia with glycemic control.

PATIENTS & METHODS: Patients with leukemia with and without diabetes (2007-2015) were retrospectively identified and matched 1:1 (n = 70 per group). Overall survival was estimated by the Kaplan-Meier method. Hemoglobin A and glucose levels the year after leukemia diagnosis were compared by mixed models.

RESULTS

Among 25 of 70 patients with diabetes, mean hemoglobin A during the year after leukemia diagnosis was 6.8%. Kaplan-Meier-estimated 3-year survival was 46% for diabetes patients versus 45% for controls (p = 0.79).

CONCLUSION

No associations were found between leukemia, diabetes, survival and glycemic control.

摘要

目的

我们研究了糖尿病与急性和慢性髓系白血病患者生存率之间的关联,以及白血病与血糖控制之间的关联。

患者与方法

回顾性确定2007年至2015年患有和未患有糖尿病的白血病患者,并按1:1进行匹配(每组n = 70)。采用Kaplan-Meier法估计总生存率。通过混合模型比较白血病诊断后一年的糖化血红蛋白和血糖水平。

结果

在70例糖尿病患者中的25例中,白血病诊断后一年的平均糖化血红蛋白为6.8%。Kaplan-Meier估计糖尿病患者的3年生存率为46%,而对照组为45%(p = 0.79)。

结论

未发现白血病、糖尿病、生存率和血糖控制之间存在关联。

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本文引用的文献

1
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2
Immune-related somatic mutation genes are enriched in PDACs with diabetes.免疫相关体细胞突变基因在患有糖尿病的胰腺导管腺癌中富集。
Transl Oncol. 2019 Sep;12(9):1147-1154. doi: 10.1016/j.tranon.2019.03.006. Epub 2019 Jun 13.
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Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus.
合并黑色素瘤和糖尿病患者的生存及血糖控制情况
Future Sci OA. 2019 Mar 7;5(3):FSO368. doi: 10.4155/fsoa-2018-0084. eCollection 2019 Mar.
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Future Sci OA. 2018 Aug 15;4(9):FSO335. doi: 10.4155/fsoa-2018-0044. eCollection 2018 Oct.
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Subversion of Systemic Glucose Metabolism as a Mechanism to Support the Growth of Leukemia Cells.颠覆系统性葡萄糖代谢以支持白血病细胞生长的机制。
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Survival and glycemic control outcomes among patients with coexisting pancreatic cancer and diabetes mellitus.同时患有胰腺癌和糖尿病的患者的生存及血糖控制结果。
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Patient outcomes from lung cancer and diabetes mellitus: a matched case-control study.肺癌与糖尿病患者的预后:一项配对病例对照研究。
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Association between type 2 diabetes and risk of cancer mortality: a pooled analysis of over 771,000 individuals in the Asia Cohort Consortium.2型糖尿病与癌症死亡风险之间的关联:亚洲队列联盟中超过77.1万人的汇总分析。
Diabetologia. 2017 Jun;60(6):1022-1032. doi: 10.1007/s00125-017-4229-z. Epub 2017 Mar 7.
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Reprogramming glucose metabolism in cancer: can it be exploited for cancer therapy?重编程癌症中的葡萄糖代谢:能否将其用于癌症治疗?
Nat Rev Cancer. 2016 Oct;16(10):635-49. doi: 10.1038/nrc.2016.77. Epub 2016 Sep 16.
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