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Risks of alcohol an...
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Crump, CaseyIcahn Sch Med Mt Sinai, Dept Family Med & Community Hlth & Populat Hlth Sc, New York, NY USA.;Icahn Sch Med Mt Sinai, Dept Family Med & Community Hlth & Populat Hlth Sc, One Gustave L Levy Pl,Box 1077, New York, NY 10029 USA.,Icahn School of Medicine at Mount Sinai,Virginia Commonwealth University
(författare)
Risks of alcohol and drug use disorders in prostate cancer survivors : a national cohort study
- Artikel/kapitelEngelska2023
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Oxford University Press (OUP),2023
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LIBRIS-ID:oai:DiVA.org:uu-509286
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-509286URI
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https://doi.org/10.1093/jncics/pkad046DOI
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https://lup.lub.lu.se/record/33de05d3-e863-439a-95a9-35a7a2495802URI
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Språk:engelska
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Background: Prostate cancer (PC) survivors may potentially use substances to cope with psychological distress or poorly controlled physical symptoms. Little is known, however, about the long-term risks of alcohol use disorder (AUD) or drug use disorders in men with PC.Methods: A national cohort study was conducted in Sweden of 180 189 men diagnosed with PC between 1998 and 2017 and 1 801 890 age-matched population-based control men. AUD and drug use disorders were ascertained from nationwide records through 2018. Cox regression was used to compute hazard ratios (HRs) while adjusting for sociodemographic factors and prior psychiatric disorders. Subanalyses examined differences by PC treatment from 2005 to 2017.Results: Men with high-risk PC had increased risks of both AUD (adjusted HR = 1.44, 95% confidence interval [CI] = 1.33 to 1.57) and drug use disorders (adjusted HR = 1.93, 95% CI = 1.67 to 2.24). Their AUD risk was highest in the first year and was no longer significantly elevated 5 years after PC diagnosis, whereas their drug use disorders risk remained elevated 10 years after PC diagnosis (adjusted HR = 2.26, 95% CI = 1.45 to 3.52), particularly opioid use disorder (adjusted HR = 3.07, 95% CI = 1.61 to 5.84). Those treated only with androgen-deprivation therapy had the highest risks of AUD (adjusted HR = 1.91, 95% CI = 1.62 to 2.25) and drug use disorders (adjusted HR = 2.23, 95% CI = 1.70 to 2.92). Low- or intermediate-risk PC was associated with modestly increased risks of AUD (adjusted HR = 1.38, 95% CI = 1.30 to 1.46) and drug use disorders (adjusted HR = 1.19, 95% CI = 1.06 to 1.34).Conclusions: In this large cohort, men with PC had significantly increased risks of both AUD and drug use disorders, especially those with high-risk PC and treated only with androgen-deprivation therapy. PC survivors need long-term psychosocial support and timely detection and treatment of AUD and drug use disorders.
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Stattin, PärUppsala University,Uppsala universitet,Urologkirurgi(Swepub:uu)parst892
(författare)
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Brooks, James D.Stanford Univ, Dept Urol, Sch Med, Stanford, CA USA.,Stanford University School of Medicine
(författare)
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Sundquist, JanLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Family Medicine and Clinical Epidemiology,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Icahn School of Medicine at Mount Sinai(Swepub:lu)med-jsu
(författare)
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Edwards, Alexis C.Virginia Commonwealth Univ, Dept Psychiat, Richmond, VA USA.
(författare)
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Sieh, WeivaUniv Texas MD Anderson Canc Ctr, Dept Epidemiol, Houston, TX USA.,University of Texas
(författare)
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Sundquist, KristinaLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Family Medicine and Clinical Epidemiology,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Icahn School of Medicine at Mount Sinai(Swepub:lu)med-ksq
(författare)
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Icahn Sch Med Mt Sinai, Dept Family Med & Community Hlth & Populat Hlth Sc, New York, NY USA.;Icahn Sch Med Mt Sinai, Dept Family Med & Community Hlth & Populat Hlth Sc, One Gustave L Levy Pl,Box 1077, New York, NY 10029 USA.Icahn School of Medicine at Mount Sinai
(creator_code:org_t)
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Ingår i:JNCI CANCER SPECTRUM: Oxford University Press (OUP)7:42515-5091
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