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Sökning: onr:"swepub:oai:DiVA.org:oru-48975" > Risk of urinary tra...

Risk of urinary tract cancers following kidney or ureter stones

Chow, W. H. (författare)
Div. of Cancer Epidemiol. and Genet., National Cancer Institute, Bethesda, MD, United States; National Institutes of Health, Executive Plaza North, Bethesda, United States
Lindblad, Per, 1953- (författare)
Department of Medical Epidemiology, Karolinska Institute; Department of Urology, Sundsvall Hospital, Sundsvall, Sweden
Gridley, G. (författare)
Div. of Cancer Epidemiol. and Genet., National Cancer Institute, Bethesda, MD, United States
visa fler...
Nyren, O. (författare)
Department of Medical Epidemiology, Karolinska Institute, Sweden
McLaughlin, J. K. (författare)
International Epidemiology Institute, Rockville, MD, United States
Linet, M. S. (författare)
Div. of Cancer Epidemiol. and Genet., National Cancer Institute, Bethesda, MD, United States
Pennello, G. A. (författare)
Div. of Cancer Epidemiol. and Genet., National Cancer Institute, Bethesda, MD, United States
Adami, H. O. (författare)
Department of Medical Epidemiology, Karolinska Institute, Sweden; Department of Epidemiology, Harvard School of Public Health, Boston, MA, United States
Fraumeni, J. F. (författare)
Div. of Cancer Epidemiol. and Genet., National Cancer Institute, Bethesda, MD, United States
Clow, WH (författare)
Gridley, G (författare)
Adami, HO (författare)
Karolinska Institutet
Linet, MS (författare)
Nyren, O (författare)
Pennello, GA (författare)
McLaughlin, JK (författare)
Lindblad, P (författare)
Fraumeni, JF (författare)
visa färre...
Div of Cancer Epidemiol. and Genet., National Cancer Institute, Bethesda, MD, United States; National Institutes of Health, Executive Plaza North, Bethesda, United States Department of Medical Epidemiology, Karolinska Institute; Department of Urology, Sundsvall Hospital, Sundsvall, Sweden (creator_code:org_t)
Oxford, United Kingdom : Oxford University Press, 1997
1997
Engelska.
Ingår i: Journal of the National Cancer Institute. - Oxford, United Kingdom : Oxford University Press. - 0027-8874 .- 1460-2105. - 0027-8874 (Print) 0027-8874 (Linking) ; 89:19, s. 1453-1457
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: A relationship has been suggested between kidney or ureter stones and the development of urinary tract cancers. In this study, a population-based cohort of patients hospitalized for kidney or ureter stones in Sweden was followed for up to 25 years to examine subsequent risks for developing renal cell, renal pelvis/ureter, or bladder cancer.Methods: Data from the national Swedish In-patient Register and the national Swedish Cancer Registry were linked to follow 61,144 patients who were hospitalized for kidney or ureter stones from 1965 through 1983. Standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) were computed on the basis of nationwide cancer incidence rates, after adjustment for age, sex, and calendar year.Results: Risk of renal cell cancer was not elevated in this cohort. Significant excesses of renal pelvis/ureter cancer (SIR = 2.5; 95% CI = 1.8-3.3) and bladder cancer (SIR = 1.4; 95% CI = 1.3-1.6) were observed, but the SIRs for women were more than twice those for men. Risks varied little by age or duration of follow-up. Risks of renal pelvis/ureter cancer and bladder cancer among patients with an associated diagnosis of urinary tract infection were more than double those among patients without such infection, although the risks were significantly elevated in both groups.Conclusions: Individuals hospitalized for kidney or ureter stones are at increased risk of developing renal pelvis/ureter or bladder cancer, even beyond 10 years of follow-up. Chronic irritation and infection may play a role, since kidney or ureter stones were located on the same side of the body as the tumors in most patients with renal pelvis/ureter cancer evaluated in our study.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Adult
Age Factors
Aged
Carcinoma
Renal Cell/epidemiology
Cohort Studies
Confidence Intervals
Female
Follow-Up Studies
Humans
Incidence
Kidney Calculi/*complications
Kidney Neoplasms/epidemiology
Male
Middle Aged
Pelvic Neoplasms/epidemiology
Registries
Risk Factors
Sex Factors
Sweden/epidemiology
Time Factors
Ureteral Calculi/*complications
Ureteral Neoplasms/epidemiology
Urinary Bladder Neoplasms/epidemiology
Urologic Neoplasms/*epidemiology/etiology

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