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논문분류	춘계학술대회 초록집
제목	Glomerular hyperfiltration and cancer: a nationwide population-based study
저자	Yaerim Kim, Jin Hyuk Paek, Woo Yeong Park, Kyubok Jin, Seungyeup Han, Hajeong Lee, Kwon Wook Joo, Chun Soo Lim, Yon Su Kim, Dong Ki Kim
출판정보	2020; 2020(1):
키워드	cancer \| epidemiology \| glomerular hyperfiltration \| health screening \| population
초록	Glomerular hyperfiltration is associated with all-cause mortality. Herein, we evaluated the association between glomerular hyperfiltration and the development of malignant disease, the most common cause of death, in an Asian population. We retrospectively reviewed the National Health Insurance Service database of Korea for people who received national health screenings from 2012 to 2013. Glomerular hyperfiltration was defined as the 95th percentile and greater after adjusting for age and sex. We performed a multivariate Cox regression analysis using glomerular hyperfiltration at the first health screening as the exposure variable and cancer development as the outcome variable to evaluate the impact of glomerular hyperfiltration on the development of malignant disease. A total of 1,953,123 examinations who followed-up for 4.9 years were included in this study. Among the 8 different site-specific malignant disease categories, digestive organs and female genital organs showed a significant associations between glomerular hyperfiltration and malignancy. The population with glomerular hyperfiltration showed an increased risk for stomach cancer (adjusted hazard ratio [aHR] 1.27, 95% confidence interval [CI] 1.16-1.40, P-value <0.001 ), colorectal cancer (aHR 1.23, 95% CI 1.08-1.40, P-value 0.002), and liver or intrahepatic malignancy (aHR 1.40, 95% CI 1.20-1.64, P-value <0.001). In addition, the risk for uterine and ovarian cancer was significantly increased in the population with glomerular hyperfiltration (aHR 1.36, 95% CI 1.08-1.70, P-value 0.008). Glomerular hyperfiltration was associated with an increased risk for the development of malignant diseases in specific organs, such as the stomach, colorectum, uterus, and ovary.
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