Am J Gastroenterol:免疫抑制剂疗法与IBD患者肿瘤风险

2019-05-29 MedSci MedSci原创

研究认为,免疫抑制剂疗法不会增加炎症性肠病肿瘤风险

免疫抑制剂疗法(IMTS;如巯嘌呤类抗肿瘤坏死因子药物)可能影响肿瘤的免疫控制,导致肿瘤发生、扩散和复发。本研究评估使用IMTS对炎症性肠病(IBD)患者肿瘤风险的影响。

IBD患者参与名为Eneida的研究,基线无肿瘤史,对其进行了确认和回顾性分析,用对数秩检验法检验IMTs对肿瘤风险的影响。

520例在癌症诊断前未接受IMTS治疗患者参与研究,其中146人随后接受了IMTS治疗,374人未接受治疗。暴露组(16%)和未暴露组(18%)的癌症发病率相似(p=0.53)。暴露后1、2、5年无癌生存率分别为99%、98%和97%,非暴露患者分别为97%、96%和92%(p=0.03)。仅对癌症诊断前5年接受IMTS的患者进行考察时,在组间肿瘤风险无显著差异。

研究认为,免疫抑制剂疗法不会增加炎症性肠病肿瘤风险。

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    2019-07-17 jklm09
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    2019-05-31 bnurmamat
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