Cancer following hip and knee arthroplasty: record linkage study.

Cancer following hip and knee arthroplasty: record linkage study.
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DOI:
10.1038/sj.bjc.6602511
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发表时间:
2005-04-11
影响因子:
8.8
通讯作者:
--
中科院分区:
医学1区
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--
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人们担心髋关节和膝关节置换术中使用的植入物的降解可能会导致某些癌症的风险增加,特别是造血系统、淋巴系统和泌尿系统的癌症。我们使用住院和死亡的关联统计记录来比较接受髋关节或膝关节置换术的人群与对照组的癌症发生率。总体而言,我们没有发现髋部或膝部队列或两者组合(两者组合的比率为 0.99;95% 置信区间 0.95-1.02)或造血系统、淋巴系统或泌尿系统癌症的癌症风险升高。关节置换术后 10 多年,患癌症的风险也没有升高。我们的研究结果进一步证明关节置换术在癌症风险方面是安全的。
Concerns have been raised that degradation of implants used in hip and knee arthroplasty may lead to an increased risk of some cancers, particularly those of the haematopoietic, lymphatic and urinary systems. We used linked statistical records of hospital admissions and deaths to compare cancer rates in cohorts of people who had undergone hip or knee arthroplasty with a comparison cohort. We did not find an elevated risk for cancer, overall, in either the hip or knee cohort or in both combined (rate ratio for both combined 0.99; 95% confidence intervals 0.95–1.02), or for haematopoietic, lymphatic or urinary system cancers. There was also no elevation in risk of cancer more than 10 years after arthroplasty. Our findings add to the evidence that arthroplasty is safe in respect of cancer risk.
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