Increased risk of urothelial cancer in young and middle aged patients with end-stage renal disease
Journal
Journal of the Formosan Medical Association
Journal Volume
114
Journal Issue
1
Pages
52-57
Date Issued
2015
Author(s)
Abstract
Background/Purpose: End-stage renal disease (ESRD) may increase the likelihood of malignancy. The aim of this study is to evaluate the characteristics of increased urothelial cancer (UC) risk in patients with ESRD in Taiwan by a population-based study. Methods: The standardized incidence ratios (SIRs) for UC among a registered cohort of ESRD in Taiwan during 1997-2002 were calculated using reimbursement data obtained from the Bureau of National Health Insurance (NHI), with the incidence rates of UC in the general population as the reference. Results: During the study period we identified 58,739 patients with ESRD, 20,939 patients with UC, and 1305 patients with ERSD and UC. Among the 1305 patients with both diseases, 687 developed UC after ESRD had been diagnosed. Using the general population as the reference group, SIRs were 12.9 [95% confidence interval (CI)]: 12.0-13.9) for all UC cases, 13.9 (95% CI: 12.4-15.0) for bladder cancer, 11.9 (95% CI: 8.6-16.0) for renal cell carcinoma, and 11.6 (95% CI: 10.1-13.1) for upper tract urothelial cancer. Conclusion: Patients with ESRD are at increased risk for UC in Taiwan, especially women age 50 years and younger. Early and lifelong surveillance of UC is recommended after diagnosis of ESRD. ? 2013.
Subjects
End-stage renal disease; Standardized incidence ratio; Upper tract urothelial cancer; Urothelial cancer
SDGs
Other Subjects
adult; aged; Article; bladder cancer; cancer incidence; cancer risk; clinical evaluation; cohort analysis; confidence interval; cross-sectional study; end stage renal disease; female; high risk patient; human; kidney carcinoma; major clinical study; male; middle aged; pelvis cancer; standardized incidence ratio; Taiwan; upper tract urothelial cancer; ureter cancer; urinary tract cancer; urothelial cancer; young adult; complication; incidence; Kidney Failure, Chronic; risk factor; Urologic Neoplasms; Adult; Aged; Female; Humans; Incidence; Kidney Failure, Chronic; Male; Middle Aged; Risk Factors; Taiwan; Urologic Neoplasms
Publisher
Elsevier
Type
journal article