Cancers of the urinary tract among American Indians and Alaska Natives in the United States, 1999-2004.
Cancers of the urinary tract among American Indians and Alaska Natives in the United States, 1999-2004.
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DOI：
10.1002/cncr.23733
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发表时间：
2008-09-01
期刊：
影响因子：
6.2
通讯作者：
Lanier, Anne P.
中科院分区：
文献类型：
--
作者：
Wilson, Robin Taylor;Richardson, Lisa C.;Kelly, Janet J.;Kaur, Judith;Jim, Melissa A.;Lanier, Anne P.
关键词：
对美洲印第安人和阿拉斯加原住民（AI/AN）的肾实质（“肾”）和膀胱（“膀胱”）癌症负担的评估有限。使用AI/AN改进分类的数据库，作者描述了美国AI/AN和非西班牙裔白人（NHW）中这两种癌症的模式。1999年至2004年期间诊断的病例是通过国家癌症登记方案和监测、流行病学和最终结果方案确定的，并与印度卫生服务局的登记记录相联系。根据IHS合同卫生服务提供区（CHSDA）县对经统计学调整的发病率、率比（RR）、年百分比变化和诊断时的分期进行分层，以调整错误分类。CHSDA县AI/AN的肾癌发病率超过NHW（RR，1.51; 95%置信区间[CI]，1.42-1.61），并且在北方平原、南方平原、阿拉斯加和西南部的AI/AN中最高。20至49岁的人工智能/人工智能（5.9%）和新保健（5.9%）男性的平均年增长率最高，尽管只有新保健具有统计学意义。相反，AI/AN的膀胱癌发病率显著低于NHW（RR，0.40; 95%CI，0.37-0.44）。对于这两个网站，AI/AN显着不太可能在早期诊断比NHW。AI/AN患肾癌的风险比NHW高50%，患膀胱癌的风险比NHW高一半。虽然这些神秘模式的原因尚不清楚，但通过戒烟和预防肥胖进行持续的一级预防工作是必要的。
Assessment of the kidney parenchyma (“kidney”) and urinary bladder (“bladder”) cancer burden among American Indians and Alaska Natives (AI/AN) has been limited. Using a database with improved classification for AI/AN, the authors described patterns of these 2 cancers among AI/AN and non-Hispanic whites (NHW) in the United States. Cases diagnosed during 1999 to 2004 were identified through National Program of Cancer Registries and the Surveillance, Epidemiology and End Results program and linked to the Indian Health Service (IHS) registration records. Age-adjusted incidence rates, rate ratios (RR), annual percent change, and stage at diagnosis were stratified by IHS Contract Health Service Delivery Area (CHSDA) counties to adjust for misclassification. Kidney cancer incidence among AI/AN in CHSDA counties exceeded that among NHW (RR, 1.51; 95% confidence interval [CI], 1.42-1.61), and was highest among AI/AN in the Northern Plains, Southern Plains, Alaska, and Southwest. Average annual increases were highest among AI/AN (5.9%) and NHW (5.9%) males aged 20 to 49 years, although statistically significant only among NHW. Conversely, bladder cancer incidence was significantly lower among AI/AN than NHW (RR, 0.40; 95% CI, 0.37-0.44). For both sites, AI/AN were significantly less likely to be diagnosed at an earlier stage than NHW. AI/AN have about 50% greater risk of kidney cancer and half the risk of bladder cancer than NHW. Although reasons for these enigmatic patterns are not known, sustained primary prevention efforts through tobacco cessation and obesity prevention are warranted.
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DOI：
10.1159/000095319
发表时间：
2006-01-01
期刊：
OBESITY AND THE KIDNEY
影响因子：
--
作者：
Kalantar-Zadeh, Kamyar;Kopple, Joel D.
通讯作者：
Kopple, Joel D.
影响因子：
5.8
作者：
Hayat, Matthew J.;Howlader, Nadia;Edwards, Brenda K.
通讯作者：
Edwards, Brenda K.
影响因子：
1.7
作者：
Cohen, D;Zhou, M
通讯作者：
Zhou, M
影响因子：
5.8
作者：
Bunt, JC;Tataranni, PA;Salbe, AD
通讯作者：
Salbe, AD
影响因子：
8.8
作者：
Lambe, M;Lindblad, P;Hsieh, CC
通讯作者：
Hsieh, CC