原创力文档association between chronic viral hepatitis infection and breast cancer risk a nationwide population-based case-control study慢性病毒性肝炎感染和乳腺癌风险之间的关联一个全国性的以人群为基础的病例对照研究.pdfVIP
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association between chronic viral hepatitis infection and breast cancer risk a nationwide population-based case-control study慢性病毒性肝炎感染和乳腺癌风险之间的关联一个全国性的以人群为基础的病例对照研究
Su et al. BMC Cancer 2011, 11:495
/1471-2407/11/495
RESEARCH ARTICLE Open Access
Association between chronic viral hepatitis
infection and breast cancer risk: a nationwide
population-based case-control study
Fu-Hsiung Su1,2, Shih-Ni Chang3,4,5, Pei-Chun Chen5,6,7, Fung-Chang Sung5,8, Chien-Tien Su1,9 and
Chih-Ching Yeh1,7,8*
Abstract
Background: In Taiwan, there is a high incidence of breast cancer and a high prevalence of viral hepatitis. In this
case-control study, we used a population-based insurance dataset to evaluate whether breast cancer in women is
associated with chronic viral hepatitis infection.
Methods: From the claims data, we identified 1,958 patients with newly diagnosed breast cancer during the
period 2000-2008. A randomly selected, age-matched cohort of 7,832 subjects without cancer was selected for
comparison. Multivariable logistic regression models were constructed to calculate odds ratios of breast cancer
associated with viral hepatitis after adjustment for age, residential area, occupation, urbanization, and income. The
age-specific (50 years and ≥50 years) risk of breast cancer was also evaluated.
Results: There were no significant differences in the prevalence of hepatitis C virus (HCV) infection, hepatitis B virus
(HBV), or the prevalence of combined HBC/HBV infection between breast cancer patients and control subjects (p =
0.48). Multivariable logistic regression analysis, however, revealed that age 50 years was associated with a 2-fold
greater risk of developing breast cancer (OR = 2.03, 95% CI = 1.23-3.34).
Conclusions: HCV infection, but not HBV infection, appears to be associated with early onset risk of breast cancer
in areas endemic for HCV and HBV. This finding needs to be replicated in further studies.
Background
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