慢性病與癌症的相關性

The Association between Chronic Diseases and Cancers

江瑞坤(Jui-Kun Chiang) ； 高學鑫(Hsueh-Hsin Kao) ； 鄧雯心(Wen-Shin Teng) ； 高以信(Yee-Hsin Kao)

《台灣醫學》 17卷5期 (2013/09) Pp. 476-490

https://doi.org/10.6320/FJM.2013.17(5).03

摘要

本文使用台灣健保資料庫的資料發表於國際期刊，其中與慢性疾患與罹癌相關的32篇文章作整理，並摘要其重要的發現：可能會增加罹癌風險的疾病包括糖尿病、外傷導致腦部受傷、貝爾氏麻痺、女性精神分裂症、男性躁鬱症、憂鬱症、非呼吸中斷之睡眠障礙、慢性蕁麻疹、女性過敏性鼻炎及氣喘、類風濕性關節炎、乾癬、皮肌炎與多發性肌炎、眼部帶狀皰疹、末期腎臟疾病接受透析或接受腎臟移植、成年中耳炎、男性痛風、勃起障礙、及肺結核。對於癌症的檢查，本文建議病人除接受週期性健康檢查建議的癌症篩檢外，醫師可提供與前述疾病相關的癌症篩檢諮詢。

關鍵字

健保資料庫 ； 慢性疾病 ； 癌症 ； 風險

並列摘要

The National Health Insurance Research Database (NHIRD) with pseudo-identification numbers of subjects was released by the Bureau of NHI, Taiwan, for academic research. This review aimed to analyze the research articles published in the international journals using the data from the NHIRD. This article focused on 32 cancer-related English articles published between 1996 and 2009. The research topics from the selected articles included the issues about cancers such as: the diseases increasing the risk of cancer, included diabetes mellitus, traumatic brain injury, Bell's palsy, female patients with schizophrenia, male patients with bipolar disorder, severe depression, non-apnea sleep disorder, chronic urticaria, female patients with allergic rhinitis or asthma, rheumatoid arthritis, psoriasis, dermatomyositis, polymyositis, herpes zoster ophthalmicus, end stage of renal disease chronic dialysis and after renal transplantation, otitis media in adult, gout, erectile dysfunction, and pulmonary tuberculosis. These findings suggest that patients with chronic diseases have higher risks of cancers and may need more cancer screenings and counseling in addition to periodical health examinations.

並列關鍵字

National Health Insurance Research Database ； chronic disease ； cancer ； risk