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卵巢癌的存在与后续开角型青光眼的发病率:一项基于人群的队列研究。

The Presence of Ovarian Cancer and the Incidence of Subsequent Open-Angle Glaucoma: A Population-Based Cohort Study.

作者信息

Lee Chia-Yi, Yang Shun-Fa, Chang Yu-Ling, Huang Jing-Yang, Chang Chao-Kai

机构信息

Institute of Medicine, Chung Shan Medical University, Taichung 402, Taiwan.

Nobel Eye Institute, Taipei 100, Taiwan.

出版信息

Cancers (Basel). 2024 Aug 12;16(16):2828. doi: 10.3390/cancers16162828.

Abstract

We aim to explore the possible association between ovarian cancer and the subsequent development of open-angle glaucoma (OAG) using the Taiwan Longitudinal Health Insurance Database (LHID) 2000. A retrospective cohort study was executed, and individuals with ovarian cancer were enrolled and age-matched (with a 1:4 ratio) to non-ovarian cancer individuals. A total of 4990 and 19,960 patients were put into the ovarian cancer and control groups. The main outcome was the presence of OAG according to the LHID 2000 codes. The Cox proportional hazard regression was adopted to demonstrate the adjusted hazard ratio (aHR) and 95% confidence interval (CI) of OAG between the ovarian cancer and control groups. There were a total of 241 and 1029 OAG cases observed in the ovarian cancer group and the control group, respectively. The incidence of OAG was significantly higher in the ovarian cancer group than in the control group according to multivariable analysis (aHR: 1.18, 95% CI: 1.02-1.37, = 0.022). The ovarian cancer patients older than 60 years showed a significantly higher risk of OAG compared to the non-ovarian cancer individuals of the same age (aHR: 1.39, 95% CI: 1.16-1.63, = 0.001). Additionally, ovarian cancer individuals with a disease interval of more than two years presented a significantly higher incidence of OAG than the non-ovarian cancer group ( < 0.05). In conclusion, ovarian cancer positively correlates with a high rate of subsequent OAG, especially in elderly persons with a long disease interval.

摘要

我们旨在利用台湾纵向健康保险数据库(LHID)2000探讨卵巢癌与开角型青光眼(OAG)后续发病之间的可能关联。开展了一项回顾性队列研究,纳入卵巢癌患者并与非卵巢癌患者进行年龄匹配(比例为1:4)。卵巢癌组和对照组分别纳入了4990例和19960例患者。主要结局是根据LHID 2000编码确定是否存在OAG。采用Cox比例风险回归来呈现卵巢癌组和对照组之间OAG的调整风险比(aHR)和95%置信区间(CI)。卵巢癌组和对照组分别观察到241例和1029例OAG病例。多变量分析显示,卵巢癌组OAG的发病率显著高于对照组(aHR:1.18,95%CI:1.02 - 1.37,P = 0.022)。60岁以上的卵巢癌患者与同年龄段的非卵巢癌个体相比,发生OAG的风险显著更高(aHR:1.39,95%CI:1.16 - 1.63,P = 0.001)。此外,疾病间隔超过两年的卵巢癌患者OAG的发病率显著高于非卵巢癌组(P < 0.05)。总之,卵巢癌与后续OAG的高发生率呈正相关,尤其是在疾病间隔长的老年人中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f998/11352733/3754bfa503ee/cancers-16-02828-g001.jpg

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