Risk of Malignant Neoplasm of the Pancreas in Relation to Diabetes A population-based study in Taiwan

被引:35
作者
Chen, Hua-Fen [2 ,3 ]
Chen, Peter [4 ]
Li, Chung-Yi [1 ]
机构
[1] Natl Cheng Kung Univ, Coll Med, Dept Publ Hlth, Tainan 70101, Taiwan
[2] Far Eastern Mem Hosp, Dept Endocrinol, Taipei Cty, Taiwan
[3] Fujen Catholic Univ, Sch Med, Taipei Cty, Taiwan
[4] Cent Med Hosp Grp, Dept Gastroenterol, Taipei Cty, Taiwan
关键词
CIGARETTE-SMOKING; CANCER; MELLITUS; ENDOCRINE; COHORT;
D O I
10.2337/dc10-2006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE-We prospectively assessed the age- and sex-specific incidence and relative risk of malignant neoplasm of the pancreas in Taiwan's diabetic population. RESEARCH DESIGN AND METHODS-A total of 615,532 diabetic patients and 614,871 age- and sex-matched control subjects were linked to inpatient claims (2000-2006) to identify the admissions for malignant neoplasm of the pancreas (ICD-9: 157). The Cox proportional hazards regression model was used to estimate the age- and sex-specific relative risk of pancreatic neoplasm. RESULTS-Compared with the control group, the diabetic patients had a significantly increased risk of pancreatic cancer (hazard ratio [HR] 1.54 [95% CI 1.39-1.71]). The higher and significant age-specific HRs were observed in diabetic men (1.91) and women (1.80) aged 45-65 years. CONCLUSIONS-Middle-aged diabetic men and women were associated with the most increased risk of malignant neoplasm of the pancreas.
引用
收藏
页码:1177 / 1179
页数:3
相关论文
共 12 条
[1]   Risk of Malignant Neoplasms of Liver and Biliary Tract in Diabetic Patients With Different Age and Sex Stratifications [J].
Chen, Hua-Fen ;
Chen, Peter ;
Li, Chung-Yi .
HEPATOLOGY, 2010, 52 (01) :155-163
[2]   RISK OF PANCREATIC-CANCER FOLLOWING DIABETES-MELLITUS - A NATIONWIDE COHORT STUDY IN SWEDEN [J].
CHOW, WH ;
GRIDLEY, G ;
NYREN, O ;
LINET, MS ;
EKBOM, A ;
FRAUMENI, JF ;
ADAMI, HO .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1995, 87 (12) :930-931
[3]  
Chuang LM, 2001, DIABETES RES CLIN PR, V54, pS55
[4]   Insulin promotes pancreatic cancer: Evidence for endocrine influence on exocrine pancreatic tumors [J].
Fisher, WE ;
Boros, LG ;
Schirmer, WJ .
JOURNAL OF SURGICAL RESEARCH, 1996, 63 (01) :310-313
[5]   DIABETES AND THE RISK OF PANCREATIC-CANCER [J].
GULLO, L ;
PEZZILLI, R ;
MORSELLILABATE, AM ;
PRIORI, P ;
CAMPIONE, O ;
CASADEI, R ;
BRAMBATI, M ;
LESI, C ;
FRENA, A ;
MALESCI, A ;
ZERBI, A ;
ANDRIULLI, A ;
ACQUADRO, P ;
DAMBROSI, A ;
ALVISI, V ;
MONTALTO, G ;
CARROCCIO, A ;
DECONCA, V ;
MORNESE, A ;
MANSI, C ;
BATTISTINI, C ;
SPERTI, C ;
PASQUALI, C ;
GAETA, L ;
MAZZEO, M ;
FELDER, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (02) :81-84
[6]   THE PANCREAS AS A SINGLE ORGAN - THE INFLUENCE OF THE ENDOCRINE UPON THE EXOCRINE PART OF THE GLAND [J].
HENDERSON, JR ;
DANIEL, PM ;
FRASER, PA .
GUT, 1981, 22 (02) :158-167
[7]   Overall obesity, abdominal adiposity, diabetes and cigarette smoking in relation to the risk of pancreatic cancer in two Swedish population-based cohorts [J].
Larsson, SC ;
Permert, J ;
Håkansson, N ;
Näslund, I ;
Bergkvist, L ;
Wolk, A .
BRITISH JOURNAL OF CANCER, 2005, 93 (11) :1310-1315
[8]  
ROYAL RE, 2008, CANC PRINCIPLES PRAC, V1, P1086
[9]   Diabetes mellitus, other medical conditions and familial history of cancer as risk factors for pancreatic cancer [J].
Silverman, DT ;
Schiffman, M ;
Everhart, J ;
Goldstein, A ;
Lillemoe, KD ;
Swanson, GM ;
Schwartz, AG ;
Brown, LM ;
Greenberg, RS ;
Schoenberg, JB ;
Pottern, LM ;
Hoover, RN ;
Fraumeni, JF .
BRITISH JOURNAL OF CANCER, 1999, 80 (11) :1830-1837
[10]   Diabetes mellitus and pancreatic cancer in a population-based case-control study in the San Francisco Bay Area, California [J].
Wang, Furong ;
Gupta, Samir ;
Holly, Elizabeth A. .
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2006, 15 (08) :1458-1463