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Associations of diabetes mellitus with site-specific cancer mortality in the Asia-Pacific region

Identifieur interne : 006D17 ( Main/Exploration ); précédent : 006D16; suivant : 006D18

Associations of diabetes mellitus with site-specific cancer mortality in the Asia-Pacific region

Auteurs : E. K. K. Lam [Royaume-Uni, Australie, Canada] ; G. D. Batty [Australie, Royaume-Uni] ; R. R. Huxley [Australie, États-Unis] ; A. L. C. Martiniuk [Australie] ; F. Barzi [Australie] ; T. H. Lam [Hong Kong] ; C. M. M. Lawes [Nouvelle-Zélande] ; G. G. Giles [Australie] ; T. Welborn [Australie] ; H. Ueshima [Japon] ; A. Tamakoshi [Japon] ; J. Woo [Hong Kong] ; H. C. Kim [Corée du Sud] ; X. Fang [Australie, République populaire de Chine] ; S. Czernichow [Australie, France] ; M. Woodward [Australie, États-Unis]

Source :

RBID : Pascal:11-0175039

Descripteurs français

English descriptors

Abstract

Background: Owing to the increasing prevalence of obesity and diabetes in Asia, and the paucity of studies, we examined the influence of raised blood glucose and diabetes on cancer mortality risk. Materials and methods: Thirty-six cohort Asian and Australasian studies provided 367 361 participants (74% from Asia); 6% had diabetes at baseline. Associations between diabetes and site-specific cancer mortality were estimated using time-dependent Cox models, stratified by study and sex, and adjusted for age. Results: During a median follow-up of 4.0 years, there were 5992 deaths due to cancer (74% Asian; 41% female). Participants with diabetes had 23% greater risk of mortality from all-cause cancer compared with those without: hazard ratio (HR) 1.23 [95% confidence interval (CI) 1.12, 1.35]. Diabetes was associated with mortality due to cancer of the liver (HR 1.51; 95% CI 1.19, 1.91), pancreas (HR 1.78; 95% CI 1.20, 2.65), and, less strongly, colorectum (HR 1.32; 95% CI 0.98, 1.78). There was no evidence of sex- or region-specific differences in these associations. The population attributable fractions for cancer mortality due to diabetes were generally higher for Asia compared with non-Asian populations. Conclusion: Diabetes is associated with increased mortality from selected cancers in Asian and non-Asian populations.


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<title xml:lang="en" level="a">Associations of diabetes mellitus with site-specific cancer mortality in the Asia-Pacific region</title>
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<settlement type="city">Sydney</settlement>
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<settlement type="city">Sydney</settlement>
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<settlement type="city">Sydney</settlement>
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<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
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<orgName type="university">Université de Sydney</orgName>
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<wicri:noRegion>Auckland</wicri:noRegion>
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<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
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</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Victoria</wicri:noRegion>
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<s1>Department of Epidemiology and Preventive Medicine, Monash University</s1>
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<s3>AUS</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Australie</country>
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<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
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<sZ>8 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
<settlement type="city">Melbourne</settlement>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
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</author>
<author>
<name sortKey="Welborn, T" sort="Welborn, T" uniqKey="Welborn T" first="T." last="Welborn">T. Welborn</name>
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<s1>Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital</s1>
<s2>Nedlands, Western Australia</s2>
<s3>AUS</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Nedlands, Western Australia</wicri:noRegion>
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</author>
<author>
<name sortKey="Ueshima, H" sort="Ueshima, H" uniqKey="Ueshima H" first="H." last="Ueshima">H. Ueshima</name>
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<inist:fA14 i1="12">
<s1>Department of Health Science, Shiga University of Medical Science</s1>
<s2>Shiga</s2>
<s3>JPN</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Shiga</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tamakoshi, A" sort="Tamakoshi, A" uniqKey="Tamakoshi A" first="A." last="Tamakoshi">A. Tamakoshi</name>
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<inist:fA14 i1="13">
<s1>Department of Public Health, Aichi Medical University School of Medicine</s1>
<s2>Aichi-gun</s2>
<s3>JPN</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Aichi-gun</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Woo, J" sort="Woo, J" uniqKey="Woo J" first="J." last="Woo">J. Woo</name>
<affiliation wicri:level="4">
<inist:fA14 i1="14">
<s1>Department of Medicine and Therapeutics, The Chinese University of Hong Kong</s1>
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<sZ>12 aut.</sZ>
</inist:fA14>
<country>Hong Kong</country>
<placeName>
<settlement type="city">Sha Tin</settlement>
</placeName>
<orgName type="university">Université chinoise de Hong Kong</orgName>
</affiliation>
</author>
<author>
<name sortKey="Kim, H C" sort="Kim, H C" uniqKey="Kim H" first="H. C." last="Kim">H. C. Kim</name>
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<inist:fA14 i1="15">
<s1>Department of Preventive Medicine, Yonsei University College of Medicine</s1>
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</inist:fA14>
<country>Corée du Sud</country>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Fang, X" sort="Fang, X" uniqKey="Fang X" first="X." last="Fang">X. Fang</name>
<affiliation wicri:level="4">
<inist:fA14 i1="02">
<s1>The George Institute for International Health, University of Sydney</s1>
<s2>Sydney</s2>
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<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="16">
<s1>Department of Epidemiology and Social Medicine, Capital Medical University</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>République populaire de Chine</country>
<placeName>
<settlement type="city">Pékin</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Czernichow, S" sort="Czernichow, S" uniqKey="Czernichow S" first="S." last="Czernichow">S. Czernichow</name>
<affiliation wicri:level="4">
<inist:fA14 i1="02">
<s1>The George Institute for International Health, University of Sydney</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
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<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="17">
<s1>Nutritional Epidemiology Research Unit, Public Health Department, Hôpital Avicenne & University Paris 13, Faculté SMBH</s1>
<s2>Bobigny</s2>
<s3>FRA</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Bobigny</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Woodward, M" sort="Woodward, M" uniqKey="Woodward M" first="M." last="Woodward">M. Woodward</name>
<affiliation wicri:level="4">
<inist:fA14 i1="02">
<s1>The George Institute for International Health, University of Sydney</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
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<country>Australie</country>
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<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="18">
<s1>Department of Epidemiology, Johns Hopkins University</s1>
<s2>Baltimore</s2>
<s3>USA</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Baltimore</settlement>
<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
<imprint>
<date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Asia</term>
<term>Diabetes mellitus</term>
<term>Epidemiology</term>
<term>Human</term>
<term>Malignant tumor</term>
<term>Mortality</term>
<term>Public health</term>
<term>Site specificity</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Diabète</term>
<term>Site spécifique</term>
<term>Tumeur maligne</term>
<term>Mortalité</term>
<term>Asie</term>
<term>Epidémiologie</term>
<term>Santé publique</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Diabète</term>
<term>Mortalité</term>
<term>Santé publique</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Background: Owing to the increasing prevalence of obesity and diabetes in Asia, and the paucity of studies, we examined the influence of raised blood glucose and diabetes on cancer mortality risk. Materials and methods: Thirty-six cohort Asian and Australasian studies provided 367 361 participants (74% from Asia); 6% had diabetes at baseline. Associations between diabetes and site-specific cancer mortality were estimated using time-dependent Cox models, stratified by study and sex, and adjusted for age. Results: During a median follow-up of 4.0 years, there were 5992 deaths due to cancer (74% Asian; 41% female). Participants with diabetes had 23% greater risk of mortality from all-cause cancer compared with those without: hazard ratio (HR) 1.23 [95% confidence interval (CI) 1.12, 1.35]. Diabetes was associated with mortality due to cancer of the liver (HR 1.51; 95% CI 1.19, 1.91), pancreas (HR 1.78; 95% CI 1.20, 2.65), and, less strongly, colorectum (HR 1.32; 95% CI 0.98, 1.78). There was no evidence of sex- or region-specific differences in these associations. The population attributable fractions for cancer mortality due to diabetes were generally higher for Asia compared with non-Asian populations. Conclusion: Diabetes is associated with increased mortality from selected cancers in Asian and non-Asian populations.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Canada</li>
<li>Corée du Sud</li>
<li>France</li>
<li>Hong Kong</li>
<li>Japon</li>
<li>Nouvelle-Zélande</li>
<li>Royaume-Uni</li>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Londres</li>
<li>Maryland</li>
<li>Nouvelle-Galles du Sud</li>
<li>Région capitale de Séoul</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Baltimore</li>
<li>Bobigny</li>
<li>Londres</li>
<li>Melbourne</li>
<li>Pékin</li>
<li>Sha Tin</li>
<li>Sydney</li>
<li>Séoul</li>
</settlement>
<orgName>
<li>Université chinoise de Hong Kong</li>
<li>Université de Melbourne</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Lam, E K K" sort="Lam, E K K" uniqKey="Lam E" first="E. K. K." last="Lam">E. K. K. Lam</name>
</region>
<name sortKey="Batty, G D" sort="Batty, G D" uniqKey="Batty G" first="G. D." last="Batty">G. D. Batty</name>
</country>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Lam, E K K" sort="Lam, E K K" uniqKey="Lam E" first="E. K. K." last="Lam">E. K. K. Lam</name>
</region>
<name sortKey="Barzi, F" sort="Barzi, F" uniqKey="Barzi F" first="F." last="Barzi">F. Barzi</name>
<name sortKey="Batty, G D" sort="Batty, G D" uniqKey="Batty G" first="G. D." last="Batty">G. D. Batty</name>
<name sortKey="Czernichow, S" sort="Czernichow, S" uniqKey="Czernichow S" first="S." last="Czernichow">S. Czernichow</name>
<name sortKey="Fang, X" sort="Fang, X" uniqKey="Fang X" first="X." last="Fang">X. Fang</name>
<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
<name sortKey="Huxley, R R" sort="Huxley, R R" uniqKey="Huxley R" first="R. R." last="Huxley">R. R. Huxley</name>
<name sortKey="Martiniuk, A L C" sort="Martiniuk, A L C" uniqKey="Martiniuk A" first="A. L. C." last="Martiniuk">A. L. C. Martiniuk</name>
<name sortKey="Welborn, T" sort="Welborn, T" uniqKey="Welborn T" first="T." last="Welborn">T. Welborn</name>
<name sortKey="Woodward, M" sort="Woodward, M" uniqKey="Woodward M" first="M." last="Woodward">M. Woodward</name>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Lam, E K K" sort="Lam, E K K" uniqKey="Lam E" first="E. K. K." last="Lam">E. K. K. Lam</name>
</noRegion>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Huxley, R R" sort="Huxley, R R" uniqKey="Huxley R" first="R. R." last="Huxley">R. R. Huxley</name>
</noRegion>
<name sortKey="Woodward, M" sort="Woodward, M" uniqKey="Woodward M" first="M." last="Woodward">M. Woodward</name>
</country>
<country name="Hong Kong">
<noRegion>
<name sortKey="Lam, T H" sort="Lam, T H" uniqKey="Lam T" first="T. H." last="Lam">T. H. Lam</name>
</noRegion>
<name sortKey="Woo, J" sort="Woo, J" uniqKey="Woo J" first="J." last="Woo">J. Woo</name>
</country>
<country name="Nouvelle-Zélande">
<noRegion>
<name sortKey="Lawes, C M M" sort="Lawes, C M M" uniqKey="Lawes C" first="C. M. M." last="Lawes">C. M. M. Lawes</name>
</noRegion>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Ueshima, H" sort="Ueshima, H" uniqKey="Ueshima H" first="H." last="Ueshima">H. Ueshima</name>
</noRegion>
<name sortKey="Tamakoshi, A" sort="Tamakoshi, A" uniqKey="Tamakoshi A" first="A." last="Tamakoshi">A. Tamakoshi</name>
</country>
<country name="Corée du Sud">
<region name="Région capitale de Séoul">
<name sortKey="Kim, H C" sort="Kim, H C" uniqKey="Kim H" first="H. C." last="Kim">H. C. Kim</name>
</region>
</country>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="Fang, X" sort="Fang, X" uniqKey="Fang X" first="X." last="Fang">X. Fang</name>
</noRegion>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Czernichow, S" sort="Czernichow, S" uniqKey="Czernichow S" first="S." last="Czernichow">S. Czernichow</name>
</region>
</country>
</tree>
</affiliations>
</record>

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