Dokument: Association between iron deficiency anemia and subsequent stomach and colorectal cancer diagnosis in Germany

Titel:Association between iron deficiency anemia and subsequent stomach and colorectal cancer diagnosis in Germany
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=68009
URN (NBN):urn:nbn:de:hbz:061-20241219-122356-7
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Krieg, Sarah [Autor]
Loosen, Sven H. [Autor]
Krieg, Andreas [Autor]
Luedde, Tom [Autor]
Roderburg, Christoph [Autor]
Kostev, Karel [Autor]
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Dateien vom 19.12.2024 / geändert 19.12.2024
Stichwörter:Cancer, Gastrointestinal cancer, Iron deficiency anemia, Iron deficiency, Epidemiology
Beschreibung:Purpose

Iron deficiency anemia (IDA) is the most common form of anemia worldwide, resulting in a high burden of disease. Accumulating evidence suggests that IDA is associated with the development of gastrointestinal (GI) cancers.
Methods

Data from the IDA database (IQVIA) of primary care practices in Germany of adult patients first diagnosed with IDA between January 2005 and December 2021 were retrospectively analyzed and compared with a 1:1 propensity score-adjusted cohort without IDA. Study outcomes were first stomach cancer or colorectal cancer (CRC) diagnosis up to 10 years after the index date as a function of IDA.
Results

A total of 122,502 individuals with IDA and 122,502 individuals without IDA were included. The 10-year cumulative incidence of CRC was 1.4% in the IDA patients compared to 0.8% in the cohort without IDA (p < 0.001). Regression analysis revealed a significant association between IDA and subsequent CRC (HR 2.05; 95% CI 1.83–2.30). Stomach cancer was diagnosed in 0.3% of IDA patients compared to 0.2% in the non-IDA cohort during the 10-year follow-up period (p = 0.002). However, this was significant only in the age group > 80 years (HR 2.73; 95% CI 1.60–4.67) and in men (HR 1.90; 95% CI 1.38–2.61).
Conclusion

These findings add to the literature and suggest an association between IDA and GI cancers. The extent to which this association is due to GI bleeding or other pathophysiological processes that may be caused by IDA requires further investigation, particularly experimental studies.
Rechtliche Vermerke:Originalveröffentlichung:
Krieg, S., Loosen, S. H., Krieg, A., Lüdde, T., Roderburg, C., & Kostev, K. (2024). Association between iron deficiency anemia and subsequent stomach and colorectal cancer diagnosis in Germany. Journal of Cancer Research and Clinical Oncology, 150(2), Article 53. https://doi.org/10.1007/s00432-023-05534-z
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Medizinische Fakultät
Dokument erstellt am:19.12.2024
Dateien geändert am:19.12.2024
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