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糖尿病与肝癌发生关系的前瞻性研究荟萃分析
作者:刘海行 王健松 张慧英 李红娟 郭来敬 
单位:北京大学首钢医院 北京 100144 
关键词:糖尿病 肝癌 前瞻性研究 荟萃分析 
分类号:
出版年,卷(期):页码:2014,31(6):621-623
摘要:

摘要:目的综合、定量评价糖尿病(DM)与肝癌发生的相关关系。方法全面检索Medline、Cochrane、Embase、CNKI和万方等中英文数据库,将符合研究标准的DM与肝癌发生相关的前瞻性研究文献进行荟萃分析,采用RevMan 5.1统计软件进行异质性检验和统计分析。结果共有8项研究文献入选,共获得945975例研究对象,其中DM患者190006例,发生肝癌1439例。荟萃分析结果显示,DM组发生肝癌的风险是非DM组的2.09倍(95%CI为 1.57~2.79);敏感性分析结果显示,在自然人群中,DM患者的肝癌发生风险较非DM者增加(RR=2.37,95%CI为2.03~2.77)。结论在自然人群中,DM是导致肝癌发生风险增加的危险因素。
关键词:糖尿病;肝癌;前瞻性研究;荟萃分析

Abstract:ObjectiveThe synthesis,quantitative evaluation diabetes mellitus(DM)and liver cancer occurs correlational dependence.Methodsa comprehensive search for medline,cochrane,embase,CNKI and Wanfang database in English,will meet the meta\|analysis of prospective research literature related to DM and liver cancer research standard,using RevMan 5.1 to count the software to carry on the non\|uniformity examination and the statistical analysis.ResultsA total of 8 literatures were selected,getting a total of 945975 subjects.190006 cases of DM patients,occurrence of liver cancer in 1439 cases of primary.Gathering together the analysis result demonstration,the risk of DM group had liver cancer is 2.09 times of the non DM group(95%CI=1.57 ~ 2.79);the sensitivity analysis results show,in natural populations,DM occurred in patients with liver cancer risk than non DM were increased(RR=2.37,95%CI=2.03 ~ 2.77).ConclusionIn natural populations,DM is a risk factor for increased risk of hepatocellular carcinoma.Key Words:Diabetes mellitus;Liver cancer;Prospective study;Meta analysis
 

基金项目:
首钢总公司科技项目;石景山区重点学科老年医学项目
作者简介:
参考文献:

\[1\]Lee MS,Hsu CC,Wahlqvist ML,et al.Type 2 diabetes increases and metformin reduces total,colorectal,liver and pancreatic cancer incidences in Taiwanese: a representative population prospective cohort study of 800,000 individuals\[J\].BMC Cancer,2011,11:20.
\[2\]Lai MS,Hsieh MS,Chiu YH,et al.Type 2 diabetes and hepatocellular carcinoma: A cohort study in high prevalence area of hepatitis virus infection\[J\].Hepatology,2006,43(6):1295\|1302.
\[3\]Tazawa J,Maeda M,Nakagawa M,et al.Diabetes mellitus may be associated with hepatocarcinogenesis in patients with chronic hepatitis C\[J\].Dig Dis Sci,2002,47(4):710\|715.
\[4\]Ohata K,Hamasaki K,Toriyama K,et al.Hepatic steatosis is a risk factor for hepatocellular carcinoma in patients with chronic hepatitis C virus infection\[J\].Cancer,2003,97(12):3036\|3043.
\[5\]El\|Serag HB,Tran T,Everhart JE.Diabetes increases the risk of chronic liver disease and hepatocellular carcinoma\[J\].Gastroenterology,2004,126(2):460\|468.
\[6\]N kontchou G,Paries J,Htar MT,et al.Risk factors for hepatocellular carcinoma in patients with alcoholic or viral C cirrhosis\[J\].Clin Gastroenterol Hepatol,2006,4(8):1062\|1068.
\[7\]Wang CS,Yao WJ,Chang TT,et al.The impact of type 2 diabetes on the development of hepatocellular carcinoma in different viral hepatitis statuses\[J\].Cancer Epidemiol Biomarkers Prev,2009,18(7):2054\|2060.
\[8\]Ogunleye AA,Ogston SA,Morris AD,et al.A cohort study of the risk of cancer associated with type 2 diabetes\[J\].Br J Cancer,2009,101(7):1199\|1201.
\[9\]Hung CH,Lee CM,Wang JH,et al.Impact of diabetes mellitus on incidence of hepatocellular carcinoma in chronic hepatitis C patients treated with interferon\|based antiviral therapy\[J\].Int J Cancer,2011,128(10):2344\|2352.
\[10\]LeRoith D.Can endogenous hyperinsulinaemia explain the increased risk of cancer development and mortality in type 2 diabetes: evidence from mouse models\[J\].Diabetes Metab Res Rev,2010,26(8):599\|601.

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