[1]杨霞）,王建坡）,崔纪丽）,等.家族史、BMI、吸烟、饮酒与贲门癌发病风险及预后的关系*[J].郑州大学学报(医学版),2013,(01):124.
　YANG Xia,WANG Jianpo,CUI Jili,et al.Influence of family history,BMI,smoking，and alcohol drinking on risk and prognosis of gastric cardia cancer[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2013,(01):124.
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家族史、BMI、吸烟、饮酒与贲门癌发病风险及预后的关系*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2013年01期
页码:
124
栏目:
应用研究
出版日期:
2013-01-20

文章信息/Info

Title:
Influence of family history,BMI,smoking，and alcohol drinking on risk and prognosis of gastric cardia cancer
作者:
杨霞1）; 王建坡2）; 崔纪丽1; 3）; 蔺红丽1; 3）; 侯志超1）; 朱文亮1）; 宋昕1）; 李学民4）; 王心东5）;  李吉林6）; 王立东1）#
1)郑州大学第一附属医院河南省食管癌重点开放实验室 郑州 450052 2)安阳市肿瘤医院胸外科 安阳 455000 3)新乡医学院癌症研究中心 新乡453003 4)磁县医院病理科 磁县056500 5)新野县中医院病理科 新野 473500 6)林州食管癌医院病理科 林州 456592
Author(s):
YANG Xia1）; WANG Jianpo2）; CUI Jili1; 3）; LIN Hongli1; 3）; HOU Zhichao1）; ZHU Wenliang1）; SONG Xin1）; LI Xuemin4）; WANG Xindong5）; LI Jilin6）; WANG Lidong1）
1)Henan Key Laboratory for Esophageal Cancer Research，the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052 2)Department of Thoracic Surgery,Anyang Cancer Hospital,Anyang 455000 3）Cancer Research Center,Xinxiang Medical University,Xinxiang 453003 4）Department of Pathology,Cixian Hospital,Cixian 056500 5）Department of Pathology,Xinye Hospital of Traditional Chinese Medicine,Xinye 473500 6）Department of Pathology,Linzhou Esophageal Cancer Hospital,Linzhou 456592
关键词:
贲门癌; 家族史; BMI; 吸烟; 饮酒; 生存期
Keywords:
gastric cardia cancer;  family history;  body mass index;  smoking;  alcohol drinking;  survival
分类号:
R735.2
摘要:
目的：探讨家族史、BMI、吸烟、饮酒与贲门癌发病风险及预后的关系。方法：采用问卷调查记录16 605例贲门癌患者和26 053例非癌就诊者的家族史、吸烟、饮酒情况，并测量其身高和体质量。对贲门癌患者中电话或住址明确的2 000例进行电话或入户随访，以死亡或搬迁为随访中止事件。生存分析及死亡风险评估采用KaplanMeier法和Cox 模型。结果：家族史阳性明显增加贲门癌的发病风险（P＜0.001，OR=2.012，95%CI =1.874~2.160）；不同BMI患癌风险有较大差异，低体质量组的患癌风险是正常组的近4倍（OR=3.864，95%CI=3.459~4.317），超重组的患癌风险低于正常组（OR=0.323,95%CI=0.293~0.357）；吸烟明显提升贲门癌的发病风险（P＜0.001，OR=1.979，95%CI=1.785~2.194），而饮酒对贲门癌发病风险的影响较小（P＜0.001，OR=0.749，95%CI=0.678~0.827）。家族史阳性患者生存期优于阴性者（P=0.010，RR=0.677，95%CI=0.502~0.912）。结论：家族史阳性、吸烟和低体质量均提示较高的贲门癌发病风险，而饮酒的作用较弱；家族史阳性可能是贲门癌患者预后较好的独立影响因素。
Abstract:
Aim:To explore the influence of family history (FH),body mass index (BMI),smoking,and alcohol drinking on the risk and prognosis of gastric cardia cancer(GCC).Methods:A total of 16 605 patients with GCC and 26 053 controls were enrolled for retrospective investigation on FH,smoking,alcohol drinking,and BMI.Out of the 16 605 cases,2 000 subjects were followedup by telephone or interviewed at home until November 2011.Survival analysis and hazard ratio(HR) estimated using KaplanMeier and multivariate Cox proportional hazard regression model were perfomed.Results:Positive FH was strikingly related with the high risk for GCC(P<0.001,OR=2.012,95%CI =1.874~2.160); the underweight group had nearly 4folds elevated GCC risk than the normal weight group (OR=3.864,95%CI=3.459~4.317)，and it was noteworthy that overweight was a protective factor for GCC(OR=0.323,95%CI=0.293~0.357);smoking was closely related with high risk for GCC(P<0.001,OR=1.979,95%CI=1.785~2.194); otherwise,the role of alcohol drinking was weak for GCC risk (P<0.001,OR=0.749,95%CI=0.678~0.827).Further analysis of the relationship between FH,BMI,smoking,alcohol drinking and survival showed that only FH was related with longer survival of patients with GCC(P=0.010,RR=0.677,95%CI=0.502~0.912).Conclusion:Positive FH,smoking and underweight are related with the higher risk for GCC,while alcohol drinking is a weak risk factor for GCC;positive FH could be an independent factor for better prognosis of GCC.

参考文献/References:

［1］王立东.河南食管癌研究的理解和思考［J］.郑州大学学报：医学版,2006,41(1):1
[2]周北凡.我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究［J］.中华流行病学杂志,2002,23(1):5
[3]Crew KD,Neugut AI.Epidemiology of gastric cancer［J］.World J Gastroenterol,2006,12(3):354
[4]Reynolds JV,Ravi N,Muldoon C,et al.Differential pathologic variables and outcomes across the spectrum of adenocarcinoma of the esophagogastric junction［J］.World J Surg,2010,34(12):2821
[5]Schuhmacher C,Gretschel S,Lordick F,et al.Neoadjuvant chemotherapy compared with surgery alone for locally advanced cancer of the stomach and cardia: European Organisation for Research and Treatment of Cancer randomized trial 40954［J］.J Clin Oncol,2010,28(35):5210
[6]MedinaFranco H,Heslin MJ,CortesGonzalez R.Clinicopathological characteristics of gastric carcinoma in young and elderly patients: a comparative study［J］.Ann Surg Oncol,2000,7(7):515
[7]Ghadimi M,Mahmoodi M,Mohammad K,et al.Family history of the cancer on the survival of the patients with gastrointestinal cancer in northern Iran,using frailty models［J］.BMC Gastroenterol,2011,11:104
[8]Gao Y,Hu N,Han X,et al.Family history of cancer and risk for esophageal and gastric cancer in Shanxi,China［J］.BMC Cancer,2009,9:269
[9]Birgisson H,Ghanipour A,Smedh K,et al.The correlation between a family history of colorectal cancer and survival of patients with colorectal cancer［J］.Fam Cancer,2009,8(4):555
[10]Humpel N,Magee C,Jones SC.The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends［J］.Support Care Cancer,2007,15(6):621
[11]Patterson F,Wileyto EP,Segal J,et al.Intention to quit smoking: role of personal and family member cancer diagnosis［J］.Health Educ Res,2010,25(5):792
[12]Renault B,Calistri D,Buonsanti G,et al.Microsatellite instability and mutations of p53 and TGFbeta RⅡ genes in gastric cancer［J］.Hum Genet,1996,98(5):601
[13]Palli D,Russo A,Ottini L,et al.Red meat,family history,and increased risk of gastric cancer with microsatellite instability［J］.Cancer Res,2001,61(14):5415
[14]王炘,詹志刚,吴晓锐,等.胃食管反流病的流行病学研究进展［J］.临床消化病杂志,2011,23(6):380
[15]Gerson LB,Kahrilas PJ,Fass R.Insights into gastroesophageal reflux diseaseassociated dyspeptic symptoms［J］.Clin Gastroenterol Hepatol,2011,9(10):824
[16]陈志峰,张艳,宋国慧，等.贲门高级别上皮内瘤变与体质指数病例队列研究［J］.中国肿瘤,2008,17(12):1007

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备注/Memo

备注/Memo:
*国家科技部863重大项目2012AA02A503 #通讯作者，男，1958年8月生，博士，教授，研究方向：食管/贲门癌变机制和防治，Email：ldwang2007@126.com
更新日期/Last Update: 2013-04-19