Alsinni Hussain I, Alwasiyah Bashair, Alwagdani Ashwag, Namenkani Mohammed, Althomali Raghad, Alsulami Ahmed S, Alsehly Areej, Khan Sultana
Otolaryngology - Head and Neck Surgery, Al-Jabr Eye and ENT Hospital, Al-Ahsa, SAU.
Otolaryngology - Head and Neck Surgery, King Fahad General Hospital, Jeddah, SAU.
Cureus. 2024 Aug 2;16(8):e65998. doi: 10.7759/cureus.65998. eCollection 2024 Aug.
The increasing incidence of papillary thyroid carcinoma (PTC), particularly among women, has prompted an investigation into possible associated factors. The effect of oral contraceptive pill (OCP) usage is debatable, with varying and often conflicting results. It is not confirmed whether OCPs have a protective effect against thyroid cancer or an increased risk.
The objective of this study is to investigate the prevalence of OCP usage among females diagnosed with PTC at a tertiary hospital in Saudi Arabia.
The study included females aged 18 and above diagnosed with PTC. An OCP user was defined as a female exposed to OCPs for at least one month. Data collection involved chart reviews and phone interviews, and statistical analyses were conducted using Excel and SPSS.
Among 58 female patients diagnosed with PTC, 29.3% (n=17) reported using OCPs, and 70.7% (n=41) were non-users. The ages of OCP users ranged from 26 to 56 years, with a median age of 44 years. The duration of OCP usage varied from 1 to 72 months, with a median duration of seven months. Additionally, for the non-users of OCPs, the age range was from 21 to 85 years, with a mean age of 46.4 years. The median ages for the total sample, OCP users, and non-users were 43.5, 44, and 43 years respectively. The timing of OCP usage among users varied from 1 to 35, with a mean timing of 13.
The study found about one-third 29.3% (n=17) of patients diagnosed with PTC reported using OCPs. These results contribute to the ongoing debate within epidemiological studies regarding the association between PTC and various reproductive factors, including OCP use. Further research is needed to clarify this relationship and its implications on public health.
甲状腺乳头状癌(PTC)的发病率不断上升,尤其是在女性中,这促使人们对可能的相关因素进行调查。口服避孕药(OCP)的使用效果存在争议,结果各异且常常相互矛盾。OCPs是否对甲状腺癌有保护作用或增加风险尚未得到证实。
本研究的目的是调查沙特阿拉伯一家三级医院中被诊断为PTC的女性中OCP的使用情况。
该研究纳入了18岁及以上被诊断为PTC的女性。OCP使用者被定义为接触OCPs至少一个月的女性。数据收集包括病历审查和电话访谈,并使用Excel和SPSS进行统计分析。
在58例被诊断为PTC的女性患者中,29.3%(n = 17)报告使用OCPs,70.7%(n = 41)为非使用者。OCP使用者的年龄范围为26至56岁,中位年龄为44岁。OCP使用时间从1个月到72个月不等,中位时间为7个月。此外,对于非OCP使用者,年龄范围为21至85岁,平均年龄为46.4岁。总样本、OCP使用者和非使用者的中位年龄分别为43.5岁、44岁和43岁。使用者中OCP使用时间从1至35不等,平均时间为13。
该研究发现,约三分之一(29.3%,n = 17)被诊断为PTC的患者报告使用OCPs。这些结果有助于流行病学研究中关于PTC与包括OCP使用在内的各种生殖因素之间关联的持续辩论。需要进一步研究来阐明这种关系及其对公共卫生的影响。