关键词: Filipino differentiated thyroid carcinoma follicular thyroid carcinoma papillary thyroid carcinoma thyroid malignancy

Mesh : Humans Female Incidence Retrospective Studies Prospective Studies Thyroid Neoplasms / epidemiology Adenocarcinoma

来  源:   DOI:10.15605/jafes.038.01.14   PDF(Pubmed)

Abstract:
UNASSIGNED: The majority of thyroid malignancies are differentiated thyroid carcinomas (DTCs). We examined the incidence, disease extent, recurrence and disease-specific mortality (DSM) of DTC among Filipinos residing in the Philippines and Filipino immigrants.
UNASSIGNED: In accordance with the 2020 PRISMA statement, we performed a systematic literature search in MEDLINE, Google Scholar, EBSCO, Cochrane and Clinicaltrials.gov for the period January 1, 1980 until January 27, 2022. Pooled incidence rate ratio and pooled proportions of disease extent, recurrence and DSM were determined.
UNASSIGNED: Literature search yielded 1,852 studies. Out of 26 articles retrieved, nine retrospective case controls and cohorts were included. Incidence of DTC was significantly higher in female Filipino immigrants compared with non-Hispanic whites (NHW). Distant metastases and recurrence were more common among Filipinos and Filipino immigrants compared with NHW. Limited data showed higher DSM in Filipino immigrants and NHW than Filipinos, which may be influenced by reporting bias.
UNASSIGNED: This review supports the trend of increased incidence and recurrence of DTC among Filipinos, although case registries are essential to confirm these findings. In the setting of the newly released Philippine guidelines for DTC, prospective studies with active long-term follow-up will help detect any changes in the outcomes of DTC among Filipinos.
摘要:
大多数甲状腺恶性肿瘤是分化型甲状腺癌(DTC)。我们检查了发病率,疾病程度,居住在菲律宾的菲律宾人和菲律宾移民中DTC的复发和疾病特异性死亡率(DSM)。
根据2020年PRISMA声明,我们在MEDLINE进行了系统的文献检索,谷歌学者,EBSCO,Cochrane和Clinicaltrials.gov,有效期为1980年1月1日至2022年1月27日。合并发病率比率和疾病程度的合并比例,确定复发和DSM。
文献检索产生了1852项研究。在检索到的26篇文章中,纳入了9个回顾性病例对照和队列.与非西班牙裔白人(NHW)相比,菲律宾女性移民的DTC发生率明显更高。与NHW相比,菲律宾人和菲律宾移民的远处转移和复发更为常见。有限的数据显示,菲律宾移民和NHW的DSM高于菲律宾人,这可能会受到报告偏见的影响。
本综述支持菲律宾人中DTC发病率增加和复发的趋势,尽管病例登记处对于确认这些发现至关重要。在新发布的菲律宾DTC指南的设置中,积极长期随访的前瞻性研究将有助于发现菲律宾人DTC结局的任何变化。
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