case-controlled study

  • 文章类型: Journal Article
    我们的研究旨在探讨干燥综合征,社会人口因素,合并症条件,和视神经炎.
    这次回顾展,全国范围内,以人口为基础,匹配的病例对照调查涉及33,190名诊断为视神经炎的个体,使用国际疾病分类确定,第九次修订,视神经炎的临床修改代码为377.30,球后神经炎的临床修改代码为377.32。患者数据从台湾国民健康保险研究数据库中提取。人口特征,舍格伦综合征的存在,和预先存在的共病条件使用单变量逻辑回归分析。用配对t检验评估连续变量。采用校正逻辑回归比较视神经炎患者与对照组的预后比值比(OR)。
    调整混杂变量后,与对照组相比,患有干燥综合征的个体表现出明显更高的发生视神经炎的可能性(调整后的OR,9.79;95%置信区间[CI],7.28-12.98;p<0.0001)。与视神经炎几率增加相关的其他病症包括类风湿性关节炎,强直性脊柱炎,多发性硬化症,系统性红斑狼疮,和肉芽肿性血管炎(调整后OR:1.57,95%CI:1.33-1.86;调整后OR:2.02,95%CI:1.65-2.48;调整后OR:140.77,95%CI:35.02-565.85;调整后OR:2.38,95%CI:1.71-3.30;调整后OR:18.28,95%CI:2.21-151.45),以及全身性感染,例如人疱疹病毒感染和结核感染(校正OR:1.50,95%CI:1.35-1.66;校正OR:4.60,95%CI:3.81-5.56)。
    我们的发现强烈支持干燥综合征之间存在关联,类风湿性关节炎,强直性脊柱炎,多发性硬化症,系统性红斑狼疮,肉芽肿性血管炎,人类疱疹病毒感染,结核病,和视神经炎.
    UNASSIGNED: Our study aimed to explore the correlation between Sjögren syndrome, sociodemographic factors, comorbid conditions, and optic neuritis.
    UNASSIGNED: This retrospective, nationwide, population-based, matched case-control investigation involved 33,190 individuals diagnosed with optic neuritis, identified using the International Classification of Diseases, Ninth Revision, Clinical Modification codes 377.30 for optic neuritis or 377.32 for retrobulbar neuritis. Patient data were extracted from the Taiwan National Health Insurance Research Database. Demographic characteristics, the presence of Sjögren syndrome, and pre-existing comorbid conditions were analyzed using univariate logistic regression. Continuous variables were assessed with a paired t-test. Adjusted logistic regression was employed to compare the prognosis odds ratio (OR) of patients with optic neuritis to controls.
    UNASSIGNED: After adjusting for confounding variables, individuals with Sjögren syndrome exhibited a significantly higher likelihood of developing optic neuritis compared to controls (adjusted OR, 9.79; 95% confidence interval [CI], 7.28-12.98; p < 0.0001). Other conditions associated with increased odds of optic neuritis included rheumatoid arthritis, ankylosing spondylitis, multiple sclerosis, systemic lupus erythematosus, and granulomatous vasculitis (adjusted OR: 1.57, 95% CI: 1.33-1.86; adjusted OR: 2.02, 95% CI: 1.65-2.48; adjusted OR: 140.77, 95% CI: 35.02-565.85; adjusted OR: 2.38, 95% CI: 1.71-3.30; adjusted OR: 18.28, 95% CI: 2.21-151.45, respectively), as well as systemic infections such as human herpes viral infection and tuberculosis infection (adjusted OR: 1.50, 95% CI: 1.35-1.66; adjusted OR: 4.60, 95% CI: 3.81-5.56, respectively).
    UNASSIGNED: Our findings strongly support the existence of an association between Sjögren syndrome, rheumatoid arthritis, ankylosing spondylitis, multiple sclerosis, systemic lupus erythematosus, granulomatous vasculitis, human herpes viral infection, tuberculosis, and optic neuritis.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    探讨包括甲状旁腺功能亢进和社会人口统计学因素在内的合并症与带状角膜病变的关系。
    这次回顾展,以人口为基础,配对的病例对照研究招募了2,545例患有带状角膜病变的患者。他们选自台湾国民健康保险研究数据库,根据国际疾病分类,第九次修订,临床修改(ICD-9-CM)代码371.43。对照组包括15,270性别-,年龄-,和索引日期匹配的非带状角膜病变患者从台湾纵向健康保险数据库2000收集。为了比较带状角膜病变患者与对照组,McNemar检验用于标称数据,配对t检验用于连续变量。采用单因素条件logistic回归分析和多因素条件logistic回归分析获得进展型带状角膜病变的比值比(OR)和校正OR。
    甲状旁腺功能亢进患者比对照组更容易发生带状角膜病变(OR,43.5;95%置信区间[CI],23.789-79.544;P<0.001)即使经过条件逻辑回归(调整后的OR,11.28;95%CI,5.461-23.33;P<0.001)。其他增加巩膜炎发展几率的疾病包括全身性疾病,如慢性肾病(CKD)和糖尿病(DM)和眼部疾病,如虹膜睫状体炎,Bulbi,和永远的硅油保留。关于社会人口因素,>40%的带状角膜病变患者年龄≥65岁。此外,居住在台湾东部的患者和渔民患带状角膜病变的几率较高.
    带状角膜病变与甲状旁腺功能亢进显著相关,CKD,DM,虹膜睫状体炎,Bulbi,和永远的硅油保留。
    To investigate the association of comorbidities including hyperparathyroidism and sociodemographic factors with band keratopathy.
    This retrospective, population-based, matched case-control study recruited 2,545 patients suffering from band keratopathy. They were selected from the Taiwan National Health Insurance Research Database, based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code 371.43. The control group included 15,270 sex-, age-, and index date-matched non-band keratopathy patients collected from the Taiwan Longitudinal Health Insurance Database 2000. To compare band keratopathy patients with controls, McNemar\'s test was used for nominal data and paired t- tests were used for continuous variables. Univariate conditional logistic regression analysis and multivariable conditional logistic regression were used to obtain the odds ratio (OR) and adjusted OR of developing band keratopathy.
    Patients with hyperparathyroidism were more likely to develop band keratopathy than controls (OR, 43.5; 95% confidence interval [CI], 23.789-79.544; P < 0.001) even after conditional logistic regression (adjusted OR, 11.28; 95% CI, 5.461-23.33; P < 0.001). Other conditions that increased the odds of scleritis development included systemic diseases such as chronic kidney disease (CKD) and diabetes mellitus (DM) and ocular conditions such as iridocyclitis, phthisis bulbi, and ever silicone oil retention. Regarding sociodemographic factors, >40% of patients with band keratopathy were aged ≥65 years old. Moreover, patients living in Eastern Taiwan and fishermen had higher odds of developing band keratopathy.
    Band keratopathy is significantly associated with hyperparathyroidism, CKD, DM, iridocyclitis, phthisis bulbi, and ever silicone oil retention.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    探讨复发性角膜糜烂(RCE)与社会人口统计学因素及相关眼部疾病或全身性疾病的关系。
    全国范围内,以人口为基础,回顾性,匹配的病例对照研究包括98,895例RCE患者,由国际疾病分类确定,第九次修订,临床修改(ICD-9-CM)代码371.42,选自台湾国家健康保险研究数据库。年龄-,sex-,与指标数据匹配的对照组包括98,895个非RCE对照组,也是从台湾2000年纵向健康保险数据库中选择的。使用单变量逻辑回归分析检查了社会人口统计学因素和相关的眼部疾病或全身性疾病。和连续变量采用配对t检验进行分析。使用调整逻辑回归分析比较发展中RCE的比值比(OR)。
    眼部疾病包括角膜磨损的患者,眼部过敏状况,与对照组相比,角膜营养不良更容易发生RCE(校正OR=63.56,95%CI=42.06-96.06,p<0.0001;校正OR=24.27,95%CI=20.51-28.72,p<0.0001;校正OR=17.10,95%CI=5.14-59.93,p<0.0001)。患有糖尿病等全身性疾病的患者,高脂血症,和特应性性状对RCE发展具有明显较高的OR。居住在台湾北部或大都市的患者发展RCE的几率更高;然而,收入或职业对发展RCE的可能性没有显着差异。
    RCE与角膜磨损密切相关,眼部过敏状况,角膜营养不良,糖尿病,高脂血症,和特应性特征。
    To investigate the association of recurrent corneal erosion (RCE) with sociodemographic factors and associated ocular conditions or systemic diseases.
    This nationwide, population-based, retrospective, matched case-controlled study included 98,895 RCE patients, identified by the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code 371.42, were selected from the Taiwan National Health Insurance Research Database. The age-, sex-, and index date- matched control group included 98,895 non-RCE control group also selected from the Taiwan Longitudinal Health Insurance Database 2000. Sociodemographic factors and associated ocular conditions or systemic diseases were examined using univariate logistic regression analyses, and continuous variables were analyzed using paired t-test. The odds ratio (OR) of developing RCE were compared using adjusted logistic regression analysis.
    Patients with ocular conditions including corneal abrasion, ocular allergic conditions, and corneal dystrophy were more likely to have RCE than the control group (adjusted OR = 63.56, 95% CI = 42.06-96.06, p < 0.0001; adjusted OR = 24.27, 95% CI = 20.51-28.72, p < 0.0001; adjusted OR = 17.10, 95% CI = 5.14-59.93, p < 0.0001, respectively). Patients with systemic diseases such as diabetes mellitus, hyperlipidaemia, and atopy trait have significantly higher ORs for RCE development. Patients residing in either Northern Taiwan or a metropolis city had higher odds of developing RCE; however, there were no significant differences in income or occupation on the probability to develop RCE.
    RCE is strongly associated with corneal abrasion, ocular allergic conditions, corneal dystrophy, diabetes mellitus, hyperlipidaemia, and atopy trait.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    Background: Evidence of associations between a pro-inflammatory diet and asthenozoospermia risk is limited. We therefore performed a case-controlled study to investigate associations between pro-inflammatory diet using dietary inflammatory index (DII) scores and asthenozoospermia risk in China. Methods: Our hospital-based case-controlled study comprised 549 incident asthenozoospermia men and 581 healthy controls. All were interviewed at the infertility clinic in Shengjing Hospital of China Medical University from June 2020 to December 2020. DII scores were calculated based on dietary intake which were assessed using a validated food frequency questionnaire. Semen parameters were analyzed according to World Health Organization guidelines. An unconditional logistic regression model was used to estimate odds ratios (ORs) and corresponding 95% confidence intervals (CIs) for asthenozoospermia risk. The lowest tertile served as the reference category for regression analyses. Results: After adjustment for age in the primary multivariable model, we failed to determine a significant negative association between DII and asthenozoospermia risk (for the highest tertile of DII scores compared to the lowest tertile) (OR = 0.77, 95% CI: 0.57-1.03). Similarly, non-significant associations were also identified in the multivariable model after adjusting for more potential confounders (OR = 0.86; 95% CI: 0.58-1.27). Additionally, in subgroup analyses stratified by age, body mass index, and smoking status, non-significant results were consistent with the main findings. Conclusions: To our knowledge, this is the first study exploring this particular topic. Our research does not support an association between DII scores and asthenozoospermia risk. Further prospective studies with more DII relevant foods and nutrients are warranted to confirm our findings.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:已经表明,纤维肌痛中的自主神经功能障碍可以通过复合自主神经症状评分(COMPASS)问卷进行评估。最近,已经开发了一个精致的、缩略得多的31项问卷版本,指南针31
    目的:本研究有以下目的:以确定COMPASS31是否可以评估纤维肌痛中自主神经功能的变化。第二,评估纤维肌痛患者的COMPASS31值是否与修订的纤维肌痛影响问卷(FIQR)评分呈正相关。
    方法:横截面,对25例纤维肌痛患者和26例健康对照者进行了病例对照研究。
    结果:两组的年龄匹配,性别和种族,但不是体重指数(BMI)。纤维肌痛患者的总平均值(标准误差)COMPASS31,37.2(1.8),将患者与对照组区分开(9.5(1.4);p<0.00000001)。所有COMPASS31自主神经域的纤维肌痛患者的得分更高,即直立不耐受(p<0.00000001),和血管舒缩(p<0.0001),分泌运动(p<0.000001),胃肠道(p<0.000001),膀胱(p<0.00001),和瞳孔运动功能(p<0.00000001)。COMPASS31总分与FIQR评分呈正相关(rs=0.45,p<0.05)。COMPASS31评分的一般线性模型显示,只有组状态(纤维肌痛或对照)是显著的(p=3.4×10-16),随着年龄,性别和BMI不显著。
    结论:这项研究证实纤维肌痛中出现非疼痛自主神经功能障碍症状,可以用COMPASS31进行评估。
    BACKGROUND: It has been shown that autonomic dysfunction in fibromyalgia can be assessed by the Composite Autonomic Symptom Score (COMPASS) questionnaire. More recently, a refined and much abbreviated 31-item version of the questionnaire has been developed, the COMPASS 31.
    OBJECTIVE: The study has the following objectives: First, to determine whether the COMPASS 31 can assess changes in autonomic function in fibromyalgia. Second, to assess whether the COMPASS 31 values in fibromyalgia patients are positively correlated with scores on the Revised Fibromyalgia Impact Questionnaire (FIQR).
    METHODS: A cross-sectional, case-controlled study was carried out with 25 fibromyalgia patients and 26 healthy controls.
    RESULTS: The two groups were matched for age, sex and ethnicity, but not for body mass index (BMI). The total mean (standard error) COMPASS 31 for the fibromyalgia patients, 37.2 (1.8), differentiated the patients from the controls (9.5 (1.4); p < 0.00000001). The scores were greater in the fibromyalgia patients across all COMPASS 31 autonomic domains, namely orthostatic intolerance (p < 0.00000001), and vasomotor (p < 0.0001), secretomotor (p < 0.000001), gastrointestinal (p < 0.000001), bladder (p < 0.00001), and pupillomotor functions (p < 0.00000001). The total COMPASS 31 values were positively correlated with FIQR scores (rs = 0.45, p < 0.05). General linear modelling of the COMPASS 31 scores showed that only group status (fibromyalgia or control) was significant (p = 3.4 × 10-16), with age, sex and BMI being non-significant.
    CONCLUSIONS: This study confirms that non-pain autonomic dysfunction symptoms occur in fibromyalgia and can be assessed with COMPASS 31.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    The receptor activator of nuclear factor-κB (RANK) and the osteoprotegerin (OPG) cascade system have been reported to be essential in osteoclastogenesis. In recent years, several studies have investigated the association between polymorphisms of RANK, its ligand RANKL and OPG genes and the risk of rheumatoid arthritis (RA) in different populations. However, the results arising from these studies were conflicting. To determine the association between RANK, RANKL and OPG gene polymorphisms and the risk of RA. We conducted a hospital-based case-controlled study in Changzhou with 574 RA cases and 804 controls. The genotyping of RANK gene rs1805034 polymorphism was conducted by single base extension combined with matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF-MS). We also undertook a meta-analysis of the literature referring to polymorphisms of RANK, RANKL and OPG genes and RA risk. This case-controlled study found that the polymorphism in the RANK gene rs1805034 was not related to RA risk. Stratification analyses by sex and age suggested that RANK gene rs1805034 polymorphism was not associated with the risk of RA among groups of male, female, age ≤ 55 and age > 55. Our meta-analysis found that the rs2277438 polymorphism in RANKL gene increased the risk of RA, whereas RANK gene rs1805034, OPG gene rs3102735, OPG gene rs2073618, OPG gene rs3134069 polymorphisms were not related to RA susceptibility. In conclusion, this case-controlled study and meta-analysis indicated that the RANKL gene rs2277438 polymorphism increased the RA risk, and that RANK gene rs1805034, OPG gene rs3102735, OPG gene rs2073618, OPG gene rs3134069 polymorphisms were not related to RA risk.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Journal Article
    据报道,树突状细胞(DC)在妊娠中起重要作用。然而,DC在复发性妊娠丢失(RPL)中的作用尚未得到很好的研究.
    从2013年6月至2014年12月,招募了43名受RPL影响的妇女和16名可育对照。外周血DCs亚群,包括髓样DC(mDCs)和浆细胞样DC(pDCs),CD80(+)的水平(%),CD86(+),使用流式细胞术分析CD200(+)DC。
    总DCs的水平,mDC,和CD86(+)DCs显著高于(所有P<0.05);然而,RPL组CD200(+)DCs水平明显低于对照组(P<0.05)。Logistic回归分析显示,校正年龄后,mDCs水平升高与RPL显着相关(OR:1.14,95%CI,1.01-1.29,P<0.05)。
    mDCs水平升高与RPL显著相关,这可能导致对RPL女性进行靶向免疫抑制的干预。
    Dendritic cells (DCs) have been reported to play an important role in pregnancy. However, the role of DCs in recurrent pregnancy loss (RPL) has not been investigated well.
    Forty-three women affected by RPL and 16 fertile controls were recruited from June 2013 to December 2014. The peripheral blood DCs subsets, including myeloid DCs (mDCs) and plasmacytoid DCs (pDCs), the levels (%) of CD80(+) , CD86(+) , and CD200(+) DCs were analyzed using flow cytometry.
    The levels of total DCs, mDCs, and CD86(+) DCs were significantly higher (all P<.05); however, the level of CD200(+) DCs in the RPL group was significantly lower than that of the control group (P<.05). The logistical regression analyses showed that the elevated level of mDCs was significantly associated with RPL after adjustment for age (OR: 1.14, 95% CI, 1.01-1.29, P<.05).
    The elevated level of mDCs was significantly associated with RPL, which might lead to the intervention of targeted immunosuppression in women with RPL.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    OBJECTIVE: Candida, an opportunistic fungal pathogen, has been implicated in oral and oesophageal cancers. This study aimed to examine oral Candida carriage in 52 oral cancer patients and 104 age-, gender- and denture status-matched oral cancer-free subjects.
    METHODS: We assessed general health, smoking and alcohol drinking habits, use of alcohol-containing mouthwash and periodontal status (community periodontal index of treatment needs). Yeasts were isolated using oral rinse technique and genetically identified via Real-Time PCR-High resolution melting curve analysis of conserved ribosomal DNA. Conditional and binary logistic regressions were used to identify explanatory variables that are risk factors for oral cancer.
    CONCLUSIONS: The frequencies of oral yeasts\' presence and high oral colonization were significantly higher in oral cancer than non-oral cancer patients (p=001; p=0.033, respectively). No significant difference in the isolation profile of Candida species was found between the two groups, except C. parapsilosis was more frequent in non-oral cancer group. Differences were noticed in the incidence of C. albicans strains where significantly more C. albicans genotype-A was isolated from cancer patients and significantly more C. albicans genotype-B isolated from non-cancer patients. Multiple regression analyses showed significant association with cancer observed for alcohol drinking (OR=4.253; 95% CI=1.351, 13.386), Candida presence (OR=3.242; 95% CI=1.505, 6.984) and high oral colonization (OR=3.587; 95% CI=1.153, 11.162). These results indicate that there is a significant association between oral cancer occurrence and Candida oral colonization and that the observed genotypic diversity of C. albicans strains may play a role in oral carcinogenesis.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

公众号