Overview of epidemiology of bile duct and gallbladder cancer focusing on the JACC Study.
Overview of epidemiology of bile duct and gallbladder cancer focusing on the JACC Study.
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DOI：
10.2188/jea.15.s150
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发表时间：
2005-06
影响因子：
4.7
通讯作者：
JACC Study Group
中科院分区：
文献类型：
--
作者：
Matsuba T;Qiu D;Kurosawa M;Lin Y;Inaba Y;Kikuchi S;Yagyu K;Motohashi Y;Tamakoshi A;JACC Study Group
背景技术背景：本文就日本胆管胆囊癌的流行病学特征进行综述，重点介绍日本文部科学省（文部省）发起的“癌症风险评估日本协作队列研究”（JACC研究）的结果，并与其他研究结果进行比较。方法：检索《美国胆管癌与胆囊癌研究杂志》收录的有关胆管癌与胆囊癌的论文，进行综述。Hirayama的队列研究是一项代表性的流行病学研究，Kato等人在日本进行的一项关于胆管癌和胆囊癌的大规模病例对照研究也被考虑在内。小规模横断面研究或生态学研究以及在日本境外进行的研究通过网络上的文献参考服务收集，如Pub Med或日本Centra Revuo Medicina（Igaku- Chuo- Zasshi），仅限于1980年以后发表的，并使用关键词胆管癌、胆囊癌和流行病学。研究结果：在JACC研究中，大量摄入油炸食品被认为是显著增加疾病风险的因素（男性风险比[HR] = 2.58，95%置信区间[CI]：1.08-6.16;女性风险比[HR]= 2.98，95% CI：1.28-6.86）。JACC研究表明，女性多食煮豆对疾病有显著的预防作用（相对危险度[RR] = 0.50，95% CI：0.26-0.98）。高消费鱼类对男性胆管癌（RR = 0.53，95%CI：0.26-0.98）和女性胆囊癌（RR = 0.43，95%CI：0.24-0.79）也有显著的预防关系。输血史也有显著相关性（HR = 2.27，95% CI：1.29-3.98），因为这会增加风险。JACC研究确定排便是一个危险因素。排便少于每6天1次的组的风险比显著升高（HR = 5.21，95% CI：1.25-21.68）。结论：关于JACC研究揭示的胆管癌和胆囊癌的最新流行病学特征，与其他研究的结果相比，其轮廓变得明显。JACC研究贡献的证据是强有力的，因为它提供了一些关于胆管癌和胆囊癌流行病学的重要发现。
BACKGROUND: This review discusses the epidemiologic features of bile duct and gallbladder cance in Japan, mainly focusing on results of Japan Collaborative Cohort Study (JACC Study) for Evaluation of Cancer Risk Sponsored by the Ministry of Education, Science, Sports and Culture of Japan (Monbusho) in comparison with results of other studies. METHODS: The theses and papers derived from JACC Study on bile duct and gallbladder cancer were all collected for this review. Hirayama’s cohort study, which is a representative epidemiologic study, and a large scale case-control study on bile duct and gallbladder cancer in Japan by Kato et al. were also taken into consideration. Small scale cross-sectional studies or ecological studies and the studies conducted outside Japan were collected by the literature reference services on the web net such as Pub Med or Japan Centra Revuo Medicina (Igaku- Chuo- Zasshi) limited to the published after 1980 and use key words bile duct cancer, gallbladder cancer and epidemiology. RESULTS: In the JACC Study, high intake of fried food was regarded as a factor that significantly elevated the risk of the diseases (hazard ratio [HR] = 2.58, 95% confidence interval [CI]: 1.08-6.16 in males; HR = 2.98, 95% CI: 1.28-6.86 in females). The JACC Study indicated that a high intake of boiled beans had a significant preventive relation to the diseases in females (relative risk [RR] = 0.50, 95% CI: 0.26-0.98). High consumption of fish also had a significant preventive relationship to bile duct cancer in males (RR = 0.53, 95% CI: 0.26-0.98) and gallbladder cancer in females (RR = 0.43, 95% CI: 0.24-0.79). A history of blood transfusion also had a significant relationship (HR = 2.27, 95% CI: 1.29-3.98) as which elevated the risk. The JACC Study determined bowel movement as a risk factor. The group with bowel movements less than once per six days had a significantly elevated hazard ratio (HR = 5.21, 95% CI: 1.25-21.68). CONCLUSION: As to recent epidemiologic features of bile duct and gallbladder cancer revealed by the JACC Study, its outline became obvious in comparison with the results of other studies. Evidence for the contribution of the JACC Study is strong because it provides some important findings on the epidemiology of bile duct and gallbladder cancer.
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DOI：
10.1111/j.1349-7006.1989.tb01629.x
发表时间：
1989-10-01
期刊：
JAPANESE JOURNAL OF CANCER RESEARCH
影响因子：
--
作者：
KATO, K;AKAI, S;KATO, I
通讯作者：
KATO, I
影响因子：
10.3
作者：
Zatonski, WA;Lowenfels, AB;Walker, AM
通讯作者：
Walker, AM
影响因子：
6.4
作者：
Serra, I;Yamamoto, M;Tajima, K
通讯作者：
Tajima, K
影响因子：
5.1
作者：
MOERMAN, CJ;DEMESQUITA, HBB;RUNIA, S
通讯作者：
RUNIA, S
影响因子：
6.4
作者：
ZATONSKI, WA;LAVECCHIA, C;BOYLE, P
通讯作者：
BOYLE, P