Diabetes mellitus as a risk factor for gastrointestinal cancer among American veterans

作     者：M Mazen Jamal Eugene J Yoon Kenneth J Vega Mehrtash Hashemzadeh Kenneth J Chang 

作者机构：Division of GastroenterologyVeterans Affairs(VA) Medical CenterLong BeachCA 90822United States Division of GastroenterologyDepartment of Internal MedicineCollege of MedicineUniversity of CaliforniaIrvine Medical CenterOrangeCA 92868United States Division of GastroenterologyUniversity of Florida/JacksonvilleJacksonvilleFL 32207United States 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2009年第15卷第42期

页      面：5274-5278页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100214[医学-肿瘤学] 10[医学] 

主　　题：2型糖尿病 退伍军人 危险因素 恶性肿瘤 logistic回归 消化道 风险因素 美国 

摘      要：AIM:To assess the risk of biliary and pancreatic cancers in a large cohort of patients with type 2 diabetes mellitus(DM) .METHODS:Eligibility for this study included patients with type 2 DM(ICD-9 code 250.0) who were discharged from Department of Veteran Affairs hospitals between 1990 and ***-matched control patients without DM were selected from the same patient treatment files during the same *** information included age,sex and *** diagnoses included known risk factors based on their ICD-9 *** multivariate logistic regression,the occurrence of biliary and pancreatic cancer was compared between case subjects with DM and controls without ***:A total of 1172496 case and control subjects were *** mean age for study and control subjects was 65.8 ± 11.3 and 64.8 ± 12.6 years,*** frequency of pancreatic cancer in subjects with DM was increased(0.9%) in comparison to control subjects(0.3%) with an OR of 3.22(95% CI:3.03-3.42) .The incidence of gallbladder andextrahepatic biliary cancers was increased by twofold in diabetic patients when compared to *** OR and 95% CI were 2.20(1.56-3.00) and 2.10(1.61-2.53) ,***:Our study demonstrated that patients with DM have a threefold increased risk for developing pancreatic cancer and a twofold risk for developing biliary cancer.