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希腊卵巢癌的流行病学:一项病例对照研究。

The epidemiology of ovarian cancer in Greece: a case-control study.

作者信息

Tzonou A, Day N E, Trichopoulos D, Walker A, Saliaraki M, Papapostolou M, Polychronopoulou A

出版信息

Eur J Cancer Clin Oncol. 1984 Aug;20(8):1045-52. doi: 10.1016/0277-5379(84)90107-x.

Abstract

One hundred and fifty women with common malignant epithelial tumors of the ovary (cases) and 250 comparison women hospitalized for various orthopedic conditions were interviewed regarding demographic, reproductive, socio-economic and biomedical characteristics, including their use of coffee, tobacco, alcohol, drugs and exogenous estrogens. The data were analyzed with standard X2 procedures and by modelling relative risk (r) through multiple logistic regression. The main results are as follows: women with ovarian cancer had fewer liveborn children (one-tailed, P congruent to 0.13, for women with 4+ children, r = 0.6) and later menarche (P congruent to 0.02, for women with age at menarche 15+, r = 1.9) and menopause (P congruent to 0.07, for women with age at menopause 50+, r = 1.5); they were slightly taller and heavier (P congruent to 0.15 and 0.30 respectively); they belonged to smaller sibships (P congruent to 0.05); they reported more frequently than controls familial occurrence of ovarian, endometrial and breast cancer (P less than 0.05 in each instance); they were regular consumers of alcoholic beverages more frequently than controls, and the excess was both statistically significant (P congruent to 0.02) and dose-related; they were regular users of coffee slightly more frequently than controls (r = 1.2) but the excess was small and it was neither statistically significant nor dose-related (P congruent to 0.27); and they reported less frequently than controls the use of oral contraceptives (relative risk for users, 0.4; 95% confidence interval, 0.1-1.1).

摘要

研究人员对150名患有常见卵巢上皮性恶性肿瘤的女性(病例组)和250名因各种骨科疾病住院的对照女性进行了访谈,内容涉及人口统计学、生殖、社会经济和生物医学特征,包括她们对咖啡、烟草、酒精、药物和外源性雌激素的使用情况。数据采用标准的X²检验程序进行分析,并通过多元逻辑回归对相对风险(r)进行建模。主要结果如下:卵巢癌女性的活产子女较少(对于有4个及以上子女的女性,单尾检验,P≈0.13,r = 0.6),初潮较晚(对于初潮年龄在15岁及以上的女性,P≈0.02,r = 1.9),绝经也较晚(对于绝经年龄在50岁及以上的女性,P≈0.07,r = 1.5);她们略高且略重(分别为P≈0.15和0.30);她们的同胞数量较少(P≈0.05);她们报告卵巢癌、子宫内膜癌和乳腺癌家族病史的频率高于对照组(每种情况P均小于0.05);她们经常饮用酒精饮料的频率高于对照组,且差异具有统计学意义(P≈0.02)且与剂量相关;她们经常饮用咖啡的频率略高于对照组(r = 1.2),但差异较小,既无统计学意义也与剂量无关(P≈0.27);她们报告使用口服避孕药的频率低于对照组(使用者的相对风险为0.4;95%置信区间为0.1 - 1.1)。

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