Modifiable risk factors to reduce renal cell carcinoma incidence: Insight from the PLCO trial
| Autor: | Kevan Iffrig, Michael A. Liss, Osamah Al-Bayati, Aashish Kabra, Jonathan Gelfond, Dharam Kaushik |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Oncology
Male medicine.medical_specialty Lung Neoplasms Urology 03 medical and health sciences 0302 clinical medicine Renal cell carcinoma Risk Factors Internal medicine Diabetes mellitus Medicine Humans 030212 general & internal medicine Obesity Carcinoma Renal Cell Aged Ovarian Neoplasms business.industry Proportional hazards model Incidence (epidemiology) Incidence Smoking Cancer Prostatic Neoplasms Middle Aged medicine.disease Prognosis Kidney Neoplasms United States Blood pressure 030220 oncology & carcinogenesis Hypertension Female business Colorectal Neoplasms Body mass index Kidney cancer Follow-Up Studies |
| Zdroj: | Urologic oncology. 36(7) |
| ISSN: | 1873-2496 |
| Popis: | Identify modifiable factors contributing to renal cell carcinoma in the PCLO to target disease prevention and reduce health care costs.The prostate, lung, colorectal, and ovarian database were queried for the primary outcome of kidney cancer. Demographics were investigated, specifically focusing on modifiable risk factors. Statistical analysis includes the Student t-test for continuous variables, chi-squared or Fisher's exact tests for dichotomous and categorical variables for bivariate analysis. The Cox proportional hazards model was used in a multivariate time-to-event analysis.We investigate existing data relating specifically to renal cancer. After missing data were excluded, we analyzed 149,683 subjects enrolled in the prostate, lung, colorectal, and ovarian trial and noted 0.5% (n = 748) subjects developed renal cancer. Age, male gender, body mass index, diabetes, and hypertension were all significant associated with renal cancer in bivariate analysis (P0.05). Men have a significant increased risk of kidney cancer over women (hazard ratio [HR] = 1.85; 95% CI: 1.58-2.16; P0.0001). Nonmodifiable risk factors that are associated with kidney cancer include age (HR = 1.05; 95% CI: 1.01; 1.05, P = 0.001). Modifiable risk factors include obesity measured by body mass index (HR = 1.05; 95% CI: 1.02-1.07; P0.0001), hypertension (HR = 1.32; 95% CI: 1.13-1.54; P = 0.0004), and smoking in pack-years (HR = 1.04; 95% CI: 1.02-1.07; P = 0.0002).Obesity, hypertension, and smoking are the 3 modifiable risk factors that could aggressively be targeted to reduce renal cell carcinoma. |
| Databáze: | OpenAIRE |
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