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DOI | 10.3109/21678421.2013.775309 |
Amyotrophic lateral sclerosis and cancer: A register-based study in Sweden | |
Fang, Fang1; Al-Chalabi, Ammar3; Ronnevi, Lars-Olof2; Turner, Martin R.4; Wirdefeldt, Karin1,2; Kamel, Freya5; Ye, Weimin1 | |
发表日期 | 2013-09-01 |
ISSN | 2167-8421 |
卷号 | 14期号:5-6页码:362-368 |
英文摘要 | Comorbidity of cancer with ALS has been studied previously. Detailed description of the temporal relationship between cancer and ALS is, however, lacking. We conducted a nested case-control study of ALS in Sweden during 1987-2009, including 5481 cases of ALS identified from the Swedish Patient Register and 27,405 controls randomly selected from the general Swedish population. Odds ratios (ORs) for association of ALS with previous cancer diagnosis and incidence rate ratios (IRRs) of cancer after diagnosis were calculated to compare ALS patients with ALS-free individuals. Overall, a previous cancer diagnosis was not associated with subsequent risk of ALS (OR 1.00; 95% CI 0.91-1.10). No overall association was observed for any specific cancer type. An increased risk of ALS was observed during the first year after cancer diagnosis (OR 1.50; 95% CI 1.17-1.92). In contrast, a lower risk of cancer was observed in ALS patients after diagnosis compared with ALS-free individuals (IRR 0.84; 95% CI 0.69-1.02). The risk reduction was seen primarily two or more years after ALS diagnosis (IRR 0.64; 95% CI 0.45-0.88). Our results provide no evidence for comorbidity of cancer and ALS overall. Surveillance biases seem the most likely explanation for the limited associations detected. |
英文关键词 | Amyotrophic lateral sclerosis;cancer;melanoma;odds ratio;relative risk |
语种 | 英语 |
WOS记录号 | WOS:000322782800007 |
来源期刊 | AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION |
来源机构 | 美国环保署 |
文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/61149 |
作者单位 | 1.Karolinska Inst, Dept Med Epidemiol & Biostat, S-17177 Stockholm, Sweden; 2.Karolinska Inst, Dept Clin Neurosci, S-17177 Stockholm, Sweden; 3.Kings Coll London, Inst Psychiat, MRC, Ctr Neurodegenerat Res, London, England; 4.Univ Oxford, Nuffield Dept Clin Neurosci, Oxford, England; 5.Natl Inst Environm Hlth Sci, Epidemiol Branch, Res Triangle Pk, NC USA |
推荐引用方式 GB/T 7714 | Fang, Fang,Al-Chalabi, Ammar,Ronnevi, Lars-Olof,et al. Amyotrophic lateral sclerosis and cancer: A register-based study in Sweden[J]. 美国环保署,2013,14(5-6):362-368. |
APA | Fang, Fang.,Al-Chalabi, Ammar.,Ronnevi, Lars-Olof.,Turner, Martin R..,Wirdefeldt, Karin.,...&Ye, Weimin.(2013).Amyotrophic lateral sclerosis and cancer: A register-based study in Sweden.AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION,14(5-6),362-368. |
MLA | Fang, Fang,et al."Amyotrophic lateral sclerosis and cancer: A register-based study in Sweden".AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION 14.5-6(2013):362-368. |
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