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人乳头瘤病毒(HPV)与膀胱癌诊断之间的关联:系统评价和荟萃分析。

The association between the human papillomavirus (HPV) and the diagnosis of bladder cancer: systematic review and meta-analysis.

机构信息

UROGIV Research Group, Universidad del Valle, Cali, Colombia.

UROGIV Research Group, Universidad del Valle, Cali, Colombia; Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia.

出版信息

Actas Urol Esp (Engl Ed). 2024 Jul-Aug;48(6):427-436. doi: 10.1016/j.acuroe.2024.05.002. Epub 2024 May 9.

DOI:10.1016/j.acuroe.2024.05.002
PMID:38734068
Abstract

BACKGROUND

Bladder cancer (BC) is the seventh most common cancer worldwide. Not every infection ends as cancer, although the HPV-induced carcinogenesis is a complex process consequence of inflammation. To determine the association between human papillomavirus (HPV) and the diagnosis of bladder cancer.

METHODS

We carried out a systematic review according to Cochrane and PRISMA recommendations. We searched in EMBASE, Medline (Ovid), and The Cochrane Central Register of Controlled Trials (CENTRAL), from inception to nowadays. We included case-control studies. The risk of bias assessment was performed based on QUADAS2. We performed a random effect Meta-analysis.

RESULTS

We included 14 studies in qualitative and quantitative analysis. There was mainly a low risk of bias. We finally found a strong association between the presence of HPV and bladder cancer diagnosis (OR 4.18 95%CI 2.63-6.66; I2 = 40%).

CONCLUSIONS

HPV is currently associated with the diagnosis of bladder cancer.

摘要

背景

膀胱癌(BC)是全球第七大常见癌症。并非每一次感染都会发展成癌症,尽管 HPV 引起的癌变是炎症导致的复杂过程。为了确定人乳头瘤病毒(HPV)与膀胱癌诊断之间的关联。

方法

我们根据 Cochrane 和 PRISMA 建议进行了系统评价。我们从建库开始至今在 EMBASE、Medline(Ovid)和 Cochrane 中央对照试验注册库(CENTRAL)中进行了检索。我们纳入了病例对照研究。基于 QUADAS2 对偏倚风险进行了评估。我们进行了随机效应 Meta 分析。

结果

我们对 14 项研究进行了定性和定量分析。偏倚风险主要较低。我们最终发现 HPV 的存在与膀胱癌诊断之间存在很强的关联(OR 4.18,95%CI 2.63-6.66;I2=40%)。

结论

目前 HPV 与膀胱癌的诊断相关。

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