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本文引用的文献

1
Predictors of Incident Serrated Polyps: Results from a Large Multicenter Clinical Trial.锯齿状息肉发病的预测因素:一项大型多中心临床试验的结果。
Cancer Epidemiol Biomarkers Prev. 2022 May 4;31(5):1058-1067. doi: 10.1158/1055-9965.EPI-21-1226.
2
Low Prevalence of Screen-Detected Colorectal Cancer in an Average-Risk Population: The New Normal.低风险人群中经筛查发现的结直肠癌患病率较低:新常态。
Clin Gastroenterol Hepatol. 2022 Nov;20(11):2650-2652.e1. doi: 10.1016/j.cgh.2021.09.013. Epub 2021 Sep 20.
3
Terminology, Molecular Features, Epidemiology, and Management of Serrated Colorectal Neoplasia.锯齿状结直肠肿瘤的术语、分子特征、流行病学和处理。
Gastroenterology. 2019 Oct;157(4):949-966.e4. doi: 10.1053/j.gastro.2019.06.041. Epub 2019 Jul 16.
4
Association Between Risk Factors for Colorectal Cancer and Risk of Serrated Polyps and Conventional Adenomas.结直肠癌危险因素与锯齿状息肉和传统腺瘤风险的关系。
Gastroenterology. 2018 Aug;155(2):355-373.e18. doi: 10.1053/j.gastro.2018.04.019. Epub 2018 Apr 24.
5
Lifestyle Risk Factors for Serrated Colorectal Polyps: A Systematic Review and Meta-analysis.生活方式相关结直肠锯齿状息肉风险因素:系统评价和荟萃分析。
Gastroenterology. 2017 Jan;152(1):92-104. doi: 10.1053/j.gastro.2016.09.003. Epub 2016 Sep 14.
6
Smoking-associated risks of conventional adenomas and serrated polyps in the colorectum.吸烟与结直肠常规腺瘤及锯齿状息肉的相关风险。
Cancer Causes Control. 2015 Mar;26(3):377-86. doi: 10.1007/s10552-014-0513-0. Epub 2014 Dec 24.
7
Risk factors for serrated polyps of the colorectum.结直肠锯齿状息肉的危险因素。
Dig Dis Sci. 2014 Dec;59(12):2874-89. doi: 10.1007/s10620-014-3277-1. Epub 2014 Jul 17.
8
Risk factors for sessile serrated adenomas.无蒂锯齿状腺瘤的危险因素。
J Clin Gastroenterol. 2011 Sep;45(8):694-9. doi: 10.1097/MCG.0b013e318207f3cf.
9
The association of lifestyle and dietary factors with the risk for serrated polyps of the colorectum.生活方式和饮食因素与结肠锯齿状息肉风险的关联。
Cancer Epidemiol Biomarkers Prev. 2009 Aug;18(8):2310-7. doi: 10.1158/1055-9965.EPI-09-0211.
10
Tobacco smoking and colorectal hyperplastic and adenomatous polyps.吸烟与结直肠增生性息肉和腺瘤性息肉
Cancer Epidemiol Biomarkers Prev. 2006 May;15(5):897-901. doi: 10.1158/1055-9965.EPI-05-0883.

锯齿状息肉的危险因素:一项基于结肠镜检查的大型多中心研究结果

Risk Factors for Serrated Polyps: Results From a Large, Multicenter Colonoscopy-Based Study.

作者信息

Crockett Seth D, Shaukat Aasma, Delau Olivia, Stoffel Elena M, Church Timothy R, Syngal Sapna, Bresalier Robert

机构信息

Division of Gastroenterology and Hepatology, Oregon Health & Science University and Portland VA Medical Center, Portland, Oregon, USA.

Division of Gastroenterology, NYU Grossman School of Medicine, New York, New York, USA.

出版信息

Am J Gastroenterol. 2024 Dec 1;119(12):2532-2539. doi: 10.14309/ajg.0000000000003035. Epub 2024 Sep 4.

DOI:10.14309/ajg.0000000000003035
PMID:39382983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12217339/
Abstract

INTRODUCTION

Risk factors for serrated polyps (SPs) are not well understood.

METHODS

Multivariable analyses of data from a multicenter colonoscopy-based study estimated odds ratios for having either a sessile serrated lesion or traditional serrated adenoma according to participant characteristics.

RESULTS

Six thousand seventy-eighty participants were included in the analyses (565 with either a sessile serrated lesion or traditional serrated adenoma). White race was associated with a higher risk of SPs compared with Black race (adjusted odds ratio 4.64, 95% confidence interval 1.89-11.41). Obesity and current smoking were also associated with a higher risk of SPs.

DISCUSSION

White race, smoking, and obesity are risk factors for precancerous SPs.

摘要

引言

锯齿状息肉(SPs)的风险因素尚未完全明确。

方法

基于一项多中心结肠镜检查研究的数据进行多变量分析,根据参与者特征估计患有无蒂锯齿状病变或传统锯齿状腺瘤的比值比。

结果

6078名参与者纳入分析(565名患有无蒂锯齿状病变或传统锯齿状腺瘤)。与黑人相比,白人患SPs的风险更高(调整后的比值比为4.64,95%置信区间为1.89 - 11.41)。肥胖和当前吸烟也与患SPs的风险较高有关。

讨论

白人、吸烟和肥胖是癌前SPs的风险因素。