التفاصيل البيبلوغرافية
| العنوان: |
Risk factors for second primary cancer in a prospective cohort of endometrial cancer survivors: an Alberta Endometrial Cancer Cohort Study. |
| المؤلفون: |
Kokts-Porietis, Renée L, O'Sullivan, Dylan E, Nelson, Gregg, Courneya, Kerry S, Cook, Linda S, Friedenreich, Christine M |
| المصدر: |
American Journal of Epidemiology; Dec2024, Vol. 193 Issue 12, p1701-1711, 11p |
| مصطلحات موضوعية: |
BREAST tumor risk factors, RISK assessment, RESEARCH funding, PRESUMPTIONS (Law), DISEASE management, COLORECTAL cancer, CARBOHYDRATE content of food, EVALUATION of medical care, DESCRIPTIVE statistics, ENDOMETRIAL tumors, LONGITUDINAL method, LUNG tumors, CANCER patient psychology, GLYCEMIC index, CONFIDENCE intervals, ALCOHOL drinking, SURVIVAL analysis (Biometry), DATA analysis software, SECONDARY primary cancer, DIET, DISEASE risk factors |
| مصطلحات جغرافية: |
ALBERTA |
| مستخلص: |
We examined associations between modifiable and nonmodifiable cancer-related risk factors measured at endometrial cancer diagnosis and during early survivorship (~3 years postdiagnosis) with second primary cancer (SPC) risk among 533 endometrial cancer survivors in the Alberta Endometrial Cancer Cohort using Fine and Gray subdistribution hazard models. During a median follow-up of 16.7 years (IQR, 12.2-17.9), 89 (17%) participants developed an SPC; breast (29%), colorectal (13%), and lung (12%) cancers were the most common. Dietary glycemic load before endometrial cancer diagnosis (≥90.4 vs < 90.4 g/day: subhazard ratio [sHR] = 1.71; 95% CI, 1.09-2.69), as well as older age (≥60 vs < 60 years: sHR = 2.48; 95% CI, 1.34-4.62) and alcohol intake (≥2 drinks/week vs none: sHR = 3.81; 95% CI, 1.55-9.31) during early survivorship, were associated with increased SPC risk. Additionally, reductions in alcohol consumption from prediagnosis to early survivorship significantly reduced SPC risk (sHR = 0.34; 95% CI, 0.14-0.82). With 1 in 6 survivors developing an SPC, further investigation of SPC risk factors and targeted surveillance options for high-risk survivors could improve long-term health outcomes in this population. Reductions in dietary glycemic load and alcohol intake from prediagnosis to early survivorship showed promising risk reductions for SPCs and could be important modifiable risk factors to target among endometrial cancer survivors. This article is part of a Special Collection on Gynecological Cancer. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |