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乳腺癌患者原发性肺癌发生风险的系统评价和Meta分析

Risk of Primary Lung Cancer in Breast Cancer Patients: A Systematic Review and Meta-analysis

  • 摘要:
    目的 系统评价乳腺癌患者发生原发性肺癌的风险。
    方法 通过计算机检索Medline、Scopus以及Embase数据库中有关乳腺癌患者发生原发性肺癌风险的英文文献。由两位研究者独立完成筛选文献、提取资料以及评估偏倚风险后,采用Stata 15.5软件进行统计分析。
    结果 共纳入7篇文献,女性乳腺癌患者发生原发性肺癌的总体风险稍高于一般人群(SIR: 1.18, 95%CI: 1.09~1.27)。亚组分析显示,乳腺癌确诊年龄<50岁的女性发生肺癌的风险显著升高(SIR: 1.99, 95%CI: 1.48~2.69)。
    结论 与一般人群相比,女性乳腺癌患者患原发性肺癌的风险有所增加,尤其是年轻乳腺癌女性发生原发性肺癌的风险更显著。

     

    Abstract:
    Objective To systematically evaluate the risk of primary lung cancer in breast cancer patients.
    Methods A computer-based search was conducted for the English literatures about the risk of primary lung cancer in breast cancer patients in Medline, Scopus and Embase databases. Two researchers independently screened the literatures, extracted the data and assessed the risk of bias. The statistical analysis was performed using the Stata 15.5 software.
    Results A total of 7 references were included, and the overall risk of primary lung cancer in female breast cancer patients was slightly higher than that in the general population (SIR: 1.18, 95%CI: 1.09-1.27). Subgroup analysis showed that the risk of lung cancer was significantly increased in women aged < 50 years after diagnosis of breast cancer (SIR: 1.99, 95%CI: 1.48-2.69).
    Conclusion Compared with the general population, the risk of primary lung cancer is increased in female breast cancer patients, especially in young women with breast cancer.

     

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