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Demographic and lifestyle factors and survival among patients with esophageal and gastric cancer : The Biobank Japan Project

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タイトル: Demographic and lifestyle factors and survival among patients with esophageal and gastric cancer : The Biobank Japan Project
著者: Okada, Emiko 著作を一覧する
Ukawa, Shigekazu 著作を一覧する
Nakamura, Koshi 著作を一覧する
Hirata, Makoto 著作を一覧する
Nagai, Akiko 著作を一覧する
Matsuda, Koichi 著作を一覧する
Ninomiya, Toshiharu 著作を一覧する
Kiyohara, Yutaka 著作を一覧する
Muto, Kaori 著作を一覧する
Kamatani, Yoichiro 著作を一覧する
Yamagata, Zentaro 著作を一覧する
Kubo, Michiaki 著作を一覧する
Nakamura, Yusuke 著作を一覧する
BioBank Japan Cooperative Hospital Group 著作を一覧する
Tamakoshi, Akiko 著作を一覧する
キーワード: Esophageal cancer
Gastric cancer
Survival
Cohort study
Japan
発行日: 2017年 3月
出版者: Elsevier
誌名: Journal of epidemiology
巻: 27
号: 3, Supplement
開始ページ: S29
終了ページ: S35
出版社 DOI: 10.1016/j.je.2016.12.002
抄録: Background: Several studies have evaluated associations between the characteristics of patients with esophageal and gastric cancer and survival, but these associations remain unclear. We described the distribution of demographic and lifestyle factors among patients with esophageal and gastric cancer in Japan, and investigated their potential effects on survival. Methods: Between 2003 and 2007, 24-to 95-year-old Japanese patients with esophageal and gastric cancer were enrolled in the BioBank Japan Project. The analysis included 365 patients with esophageal squamous cell carcinoma (ESCC) and 1574 patients with gastric cancer. Hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality were estimated using medical institution-stratified Cox proportional hazards models. Results: During follow-up, 213 patients with ESCC (median follow-up, 4.4 years) and 603 patients with gastric cancer (median follow-up, 6.1 years) died. Among patients with ESCC, the mortality risk was higher in ever drinkers versus never drinkers (multivariable HR = 2.37, 95% CI: 1.24, 4.53). Among patients with gastric cancer, the mortality risk was higher in underweight patients versus patients of normal weight (multivariable HR = 1.66, 95% CI: 1.34, 2.05). Compared to patients with gastric cancer with no physical exercise habit, those who exercised ≥3 times/week had a lower mortality risk (multivariate HR = 0.75, 95% CI = 0.61, 0.93). However, lack of stage in many cases was a limitation. Conclusions: Among patients with ESCC, alcohol drinkers have a poor prognosis. Patients with gastric cancer who are underweight also have a poor prognosis, whereas patients with physical exercise habits have a good prognosis.
資料タイプ: article
URI: http://hdl.handle.net/2115/65806
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 玉腰 暁子

 

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