中山醫學大學機構典藏 CSMUIR:Item 310902500/21074
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    题名: Risk of Cancer after Lower Urinary Tract Infection: A Population-Based Cohort Study
    作者: Chia-Hung Huang;Ying-Hsiang Chou;Han-Wei Yeh;Jing-Yang Huang;Shun-Fa Yang;Chao-Bin Yeh
    贡献者: 醫學影像暨放射科學系暨碩士班
    关键词: urinary tract infection, genitourinary organs cancer, retrospective cohort study
    日期: 2019-01-30
    上传时间: 2020-08-10T13:11:15Z (UTC)
    出版者: Int. J. Environ. Res. Public Health
    摘要: Abstract
    To investigate the association among lower urinary tract infection (UTI), the type and timing of antibiotic usage, and the subsequent risk of developing cancers, especially genitourinary cancers (GUC), in Taiwan. This retrospective population-based cohort study was conducted using 2009–2013 data from the Longitudinal Health Insurance Database. This study enrolled patients who were diagnosed with a UTI between 2010 and 2012. A 1:2 propensity score-matched control population without UTI served as the control group. Multivariate analysis with a multiple Cox regression model was applied to analyze the data. A total of 38,084 patients with UTI were included in the study group, and 76,168 participants without UTI were included in the control group. The result showed a higher hazard ratio of any cancer in both sexes with UTI (for males, adjusted hazard ratio (aHR) = 1.32; 95% confidence interval (CI) = 1.12–1.54; for females, aHR = 1.21; 95% CI = 1.08–1.35). Patients with UTI had a higher probability of developing new GUC than those without UTI. Moreover, the genital organs, kidney, and urinary bladder of men were significantly more affected than those of women with prior UTI. Furthermore, antibiotic treatment for more than 7 days associated the incidence of bladder cancer in men (7–13 days, aHR = 1.23, 95% CI = 0.50–3.02; >14 days, aHR = 2.73, CI = 1.32–5.64). In conclusion, UTI is significantly related to GUC and may serve as an early sign of GUC, especially in the male genital organs, prostate, kidney, and urinary bladder. During UTI treatment, physicians should cautiously prescribe antibiotics to patients.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/21074
    關聯: Int. J. Environ. Res. Public Health 2019, 16, 390
    显示于类别:[醫學影像暨放射科學系暨碩士班] 期刊論文

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