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  • Karamanis, GeorgiosUppsala universitet,Psykiatri, Akademiska sjukhuset (author)

Cancer incidence and mortality patterns in women with anorexia nervosa

  • Article/chapterEnglish2014

Publisher, publication year, extent ...

  • 2013-10-08
  • Wiley,2014
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:uu-209330
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-209330URI
  • https://doi.org/10.1002/ijc.28495DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:128073606URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Caloric restriction in animals is an effective way to reduce carcinogenesis. Anorexia nervosa (AN) is considered a model of extreme caloric restriction in humans. The aim of our study was to assess cancer incidence and mortality in women with AN. A total of 6,009 women with at least one inpatient treatment for AN during the period 1973-2003 were included in the study. Standardized incidence ratios (SIR) and standardized mortality ratios (SMR) were calculated. Overall, there was no statistically significant difference in cancer incidence compared to women in the general population. At a statistically significant or borderline significant level, a higher incidence for lung cancer and cancer of lymphoid, hematopoietic and related tissue was observed along with a reduced breast cancer incidence. Women with AN had twice as high mortality from cancer in general, and more specifically from melanoma, cancers of genital organs and cancers of ill-defined, secondary and unspecified sites. The increased lung cancer incidence may be due to smoking habits among women with AN. The worse prognosis with higher mortality from melanoma, cancers of genital organs and cancers of ill-defined, secondary and unspecified sites may be explained by AN-specific attitudes toward seeking medical care, adherence to treatment or worse biological precondition due to starvation and cachexia.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Skalkidou, Alkistis,1977-Uppsala universitet,Obstetrik & gynekologi,Reproduktiv hälsa/Sundström Poromaa(Swepub:uu)alksk607 (author)
  • Tsakonas, GeorgiosUppsala universitet,Enheten för onkologi(Swepub:uu)geots331 (author)
  • Brandt, LenaKarolinska Institutet (author)
  • Ekbom, AndersKarolinska Institutet (author)
  • Ekselius, LisaUppsala universitet,Psykiatri, Akademiska sjukhuset(Swepub:uu)lisaekse (author)
  • Papadopoulos, Fotios CUppsala universitet,Psykiatri, Akademiska sjukhuset(Swepub:uu)fotpa105 (author)
  • Uppsala universitetPsykiatri, Akademiska sjukhuset (creator_code:org_t)

Related titles

  • In:International Journal of Cancer: Wiley134:7, s. 1751-17570020-71361097-0215

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