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高尿酸血症是结肠癌患者的不良预后因素。

Hyperuricemia is a Adverse Prognostic Factor for Colon Cancer Patients.

作者信息

Yan Jiang, Zhu Chuming

机构信息

Department of General Surgery, Liyang People's Hospital Affiliated to Nantong University, Liyang, 213300, People's Republic of China.

出版信息

Int J Gen Med. 2021 Jun 29;14:3001-3006. doi: 10.2147/IJGM.S314834. eCollection 2021.

DOI:10.2147/IJGM.S314834
PMID:34234529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8254611/
Abstract

OBJECTIVE

Hyperuricemia is linked to the prognosis of a number of cancers; however, its association with colon cancer survival has not been fully elucidated. To investigate whether hyperuricemia affects the prognosis of colon cancer, we conducted a retrospective study.

METHODS

The study included age- and sex-matched colon cancer patients, of whom 60 patients were diagnosed with hyperuricemia, and 120 patients did not have hyperuricemia. The overall survival (OS) and disease-free survival (DFS) of these patients were evaluated by Kaplan-Meier (K-M) analysis. The association between the survival of colon cancer patients and hyperuricemia was analyzed using the Cox regression method after adjusting for tumor stage and grade and vascular infiltration.

RESULTS

The K-M survival analysis supported that patients with hyperuricemia had poor OS ( for the Log rank test = 0.0008) and DFS. As demonstrated by the univariate analysis, the presence of hyperuricemia was correlated with decreased OS (HR = 2.09, = 0.002). Tumor grade and tumor stage were also found to be independent predictors for the prognosis of colon cancer patients. In addition, poor OS among patients with hyperuricemia was also confirmed in the adjusted analysis (HR = 1.94, = 0.005).

CONCLUSION

Hyperuricemia has an adverse effect on the prognosis and survival of patients with colon cancer. Further studies evaluating the cellular and molecular mechanisms are needed to validate the prognostic value of hyperuricemia in colon cancer.

摘要

目的

高尿酸血症与多种癌症的预后相关;然而,其与结肠癌生存的关联尚未完全阐明。为了研究高尿酸血症是否影响结肠癌的预后,我们进行了一项回顾性研究。

方法

该研究纳入了年龄和性别匹配的结肠癌患者,其中60例被诊断为高尿酸血症,120例没有高尿酸血症。通过Kaplan-Meier(K-M)分析评估这些患者的总生存期(OS)和无病生存期(DFS)。在调整肿瘤分期、分级和血管浸润后,使用Cox回归方法分析结肠癌患者生存与高尿酸血症之间的关联。

结果

K-M生存分析支持高尿酸血症患者的OS(对数秩检验=0.0008)和DFS较差。单因素分析表明,高尿酸血症的存在与OS降低相关(HR=2.09,=0.002)。还发现肿瘤分级和肿瘤分期是结肠癌患者预后的独立预测因素。此外,在调整分析中也证实了高尿酸血症患者的OS较差(HR=1.94,=0.005)。

结论

高尿酸血症对结肠癌患者的预后和生存有不利影响。需要进一步研究评估细胞和分子机制,以验证高尿酸血症在结肠癌中的预后价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2230/8254611/b09f9d329173/IJGM-14-3001-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2230/8254611/56d50e9eb1a3/IJGM-14-3001-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2230/8254611/b09f9d329173/IJGM-14-3001-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2230/8254611/56d50e9eb1a3/IJGM-14-3001-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2230/8254611/b09f9d329173/IJGM-14-3001-g0002.jpg

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