探索手性与乳腺癌的关系:通过系统综述、荟萃分析和孟德尔随机法进行综合分析。

IF 4.3 2区 医学 Q2 ONCOLOGY
Therapeutic Advances in Medical Oncology Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI:10.1177/17588359241305096
Chi Young Oh, Eugene Kim, Kihun Kim, Hyeoncheol Oh, Jung-Pil Yoon, Tae Sik Goh, Eunjeong Son, Dai Sik Ko, Yun Hak Kim
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引用次数: 0

摘要

背景:鉴于乳腺癌作为一种全球恶性肿瘤的广泛流行,迫切需要深入研究其风险决定因素。目的:采用系统评价、荟萃分析和孟德尔随机化等方法,探讨左撇子与乳腺癌之间的潜在关系。设计:系统回顾和荟萃分析。方法:系统评价和荟萃分析,包括病例对照和队列设计,于2022年6月17日使用Medline和Embase进行数据库检索。对于孟德尔随机化分析,暴露变量,左撇子,来自英国生物银行。乳腺癌预后的数据来自两个队列:乳腺癌协会联盟和芬兰生物银行(Finngen)。结果:荟萃分析纳入了8项研究,以调查女性左撇子与乳腺癌的相关性。队列研究的分析显示,风险比(HR)为1.21(95%可信区间(CI): 1.01-1.45),而病例对照研究的风险比为0.81 (95% CI: 0.52-1.26)。亚组分析表明绝经前左撇子妇女HR升高。然而,孟德尔随机化并没有证实有显著的关联。结论:我们的研究结果表明,左撇子与乳腺癌之间存在潜在的相关性,特别是在绝经前妇女中。然而,由于研究有限和不明确的支持理论,明确的结论尚不成熟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the handedness-breast cancer nexus: a comprehensive analysis via systematic review, meta-analysis, and Mendelian randomization.

Background: Given the widespread prevalence of breast cancer as a global malignancy, there is a compelling need to delve into its risk determinants.

Objective: This study aims to investigate the potential relationship between indicators of left-handedness and breast cancer, employing systematic review, meta-analysis, and Mendelian randomization methods.

Design: Systematic review and meta-analysis.

Methods: The systematic review and meta-analysis, encompassing case-control and cohort designs, conducted a database search on June 17, 2022, utilizing Medline and Embase. For Mendelian randomization analysis, the exposure variable, left-handedness, was sourced from the UK Biobank. Data for breast cancer outcomes were obtained from two cohorts: the Breast Cancer Association Consortium and the Finnish Biobank (Finngen).

Results: Eight studies were included in the meta-analysis to investigate the correlation between left-handedness and breast cancer in females. The analysis of cohort studies revealed a hazard ratio (HR) of 1.21 (95% confidence interval (CI): 1.01-1.45), whereas case-control studies showed an odds ratio of 0.81 (95% CI: 0.52-1.26). Subgroup analysis indicated an elevated HR in premenopausal left-handed women. However, Mendelian randomization did not confirm a significant association.

Conclusion: Our findings suggest a potential correlation between left-handedness and breast cancer, particularly in premenopausal women. However, due to limited studies and unclear supporting theories, definitive conclusions are premature.

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来源期刊
CiteScore
8.20
自引率
2.00%
发文量
160
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Medical Oncology is an open access, peer-reviewed journal delivering the highest quality articles, reviews, and scholarly comment on pioneering efforts and innovative studies in the medical treatment of cancer. The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in medical oncology, providing a forum in print and online for publishing the highest quality articles in this area. This journal is a member of the Committee on Publication Ethics (COPE).
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