JCO:DTC患者或增心血管死亡风险

2013-11-20 中国医学论坛报 中国医学论坛报

荷兰一项回顾性研究发现,分化型甲状腺癌(DTC)患者发生心血管疾病 的死亡风险增加,较低水平促甲状腺激 素(TSH)与此相关。研究纳入 524 例 DTC 患者和 1572 例对照者,平均年龄 为 49±14 岁。中位随访时间 DTC 患者 为 8.5 年,对照人群为 10.5 年。结果显 示 ,在 已 死 亡 的 100 例 DTC 患 者 中 , 4.2%(22 例)死于心血管疾病,对


荷兰一项回顾性研究发现,分化型甲状腺癌(DTC)患发生心血管疾病 的死亡风险增加,较低水平促甲状腺激 素(TSH)与此相关。【原文下载】

研究纳入 524 例 DTC 患者和 1572 例对照者,平均年龄 为 49±14 岁。中位随访时间 DTC 患者 为 8.5 年,对照人群为 10.5 年。

结果显 示 ,在 已 死 亡 的 100 例 DTC 患 者 中 , 4.2%(22 例)死于心血管疾病,对照组85 例死亡中,1.5%(24 例)死于心血管 疾病;DTC患者发生心血管疾病和其他 原因死亡的风险增加(HR 分别为 3.35 和 4.40);TSH 水平可预测 DTC 患者心 血管死亡率(HR为3.08)。 该研究在线发表于10月7日《临床肿瘤学杂志》(J Clin Oncol)。

原文出处:

Klein Hesselink EN, Klein Hesselink MS, de Bock GH, Gansevoort RT, Bakker SJ, Vredeveld EJ, van der Horst-Schrivers AN, van der Horst IC, Kamphuisen PW, Plukker JT, Links TP, Lefrandt JD.Long-term cardiovascular mortality in patients with differentiated thyroid carcinoma: an observational study.J Clin Oncol. 2013 Nov 10;31(32):4046-53. doi: 10.1200/JCO.2013.49.1043. Epub 2013 Oct 7.【原文下载】

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