A systematic review of the epidemiological literature on the risk of urological cancers in systemic lupus erythematosus.

Autor: Huang, Hou-bao, Jiang, Shu-chuan, Han, Jie, Cheng, Qing-shui, Dong, Chang-bin, Pan, Cai-ming
Předmět:
Zdroj: Journal of Cancer Research & Clinical Oncology; Jul2014, Vol. 140 Issue 7, p1067-1073, 7p
Abstrakt: Purpose: A grow body of studies has evaluated the risk of development of urological cancer in systemic lupus erythematosus (SLE) with inconclusive results. To clarify the association, a meta-analysis approach was performed to assess the published evidence on urological cancers and SLE. Methods: Relevant English electronic databases were systematic searched for published studies characterizing the risk of developing urological cancer as a result of SLE. Standardized incidence rate (SIR) with its 95 % confidence interval (CI) of each study was combined using a fixed-/random-effect model in STATA software. Results: A total of 12 papers including 68366 SLE patients were suitable for meta-analysis. Of these, 9 reported the SIR for prostate cancer, 7 for bladder cancer and 6 for kidney cancer. Summary SIRs were 0.77 (95 % CI 0.69-0.87, P < 0.001); 1.75 (95 % CI 0.94-3.23, P = 0.075) and 2.29 (95 % CI 1.25-4.18, P = 0.007), respectively. Significant heterogeneity was noticed in subgroups of bladder and kidney cancer. No obvious publication bias was detected. Conclusions: Findings from this meta-analysis indicate that SLE is associated with a decreased risk of prostate cancer and an increased risk of kidney cancer. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index