The Risk of Gynecologic and Urinary Tract Cancer with Pelvic Inflammatory Disease: A Population-Based Cohort Study

Lin, Hui-Wen; Wang, Po-Hui; Lee, Chung‐Yuan; Huang, Jing‐Yang; Yang, Shun‐Fa; Hsiao, Yi‐Hsuan

doi:10.7150/jca.29278

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…[ 11 , 12 ]. Although surgery is often used to treat lumbar intervertebral disc herniation with prominent efficacy [ 13 ], nursing service in clinical practice is imperative to greatly consolidate the treatment efficacy [ 14 , 15 ]. Miyoshi et al [ 16 ] have found that effective rehabilitation training for patients after surgery can not only significantly improve the effect of surgery, but also facilitate the prognosis of patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy Analysis of Fast Rehabilitation Nursing on Pain Mitigation after Lumbar Discectomy and Bone Graft Fusion and Internal Fixation

Fang

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To investigate clinical efficacy analysis of fast rehabilitation nursing on pain mitigation after lumbar discectomy and bone graft fusion and internal fixation. Methods. A total of 60 patients with lumbar disc herniation who underwent lumbar discectomy and bone graft fusion and internal fixation in our hospital from January 2021 to December 2021 were randomized either into routine group (n = 30) or rehabilitation group (n = 30) via the random number table method. The patients in the routine group were intervened with the routine postoperative nursing mode, and the patients in the rehabilitation group were intervened with the fast rehabilitation nursing mode on the basis of the nursing of the patients in the routine group. The rehabilitation effect, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores, postoperative pain improvement, and nursing satisfaction were compared between the two groups. Results. The postoperative rehabilitation effect of the rehabilitation group was significantly better than that of the routine group ( P < 0.05 ). The fast rehabilitation nursing resulted in a notably lower postoperative SAS and SDS scores versus the routine nursing ( P < 0.001 ). The postoperative pain was significantly mitigated in the rehabilitation group when compared with the routine group ( P < 0.001 ). The fast rehabilitation nursing implemented in the rehabilitation group led to a remarkably higher nursing satisfaction of the patients ( P < 0.001 ). Conclusion. The fast rehabilitation nursing mode intervention for lumbar disc herniation patients undergoing lumbar discectomy and bone graft fusion and internal fixation is a promising approach to improve the postoperative rehabilitation, mitigate postoperative pain, and relieve anxiety, depression, and other negative emotions, with higher clinical nursing satisfaction.

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Section: Discussionmentioning

confidence: 99%

Clinical Efficacy Analysis of Fast Rehabilitation Nursing on Pain Mitigation after Lumbar Discectomy and Bone Graft Fusion and Internal Fixation

Fang

2022

Evidence-Based Complementary and Alternative Medicine

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“…Reproductive tract infections such as bacterial vaginosis and Chlamydia trachomatis infection were reported to be associated with a decreasing risk of uterine fibroids [ 9 , 10 ]; the risk of bladder cancer was reduced among female patients with urinary tract infections but increased among male patients [ 40 ], which were consistent with our results. In contrast, Liu et al found that HPV infection was associated with an increased risk of breast cancer [ 41 ]; Lin et al and Stewart et al found that pelvic inflammatory diseases related to an increasing risk of urinary tract cancer [ 16 ] and ovarian cancer [ 42 ], respectively. This inconsistency might be explained by the fact that the intervals of lifetime estrogen exposure in these studies were shorter than that of our study; for example, in Stewart’s study, the proportion of women with multiple parity was higher [ 42 ]).…”

Section: Discussionmentioning

confidence: 99%

Interaction of reproductive tract infections with estrogen exposure on breast cancer risk and prognosis

Gan

Liang

et al. 2023

BMC Women's Health

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Background Reproductive tract infections influenced a series of inflammatory processes which involved in the development of breast cancer, while the processes were largely affected by estrogen. The present study aimed to explore the associations of breast cancer risk and prognosis with reproductive tract infections and the modification effects of estrogen exposure. Methods We collected history of reproductive tract infections, menstruation and reproduction from 1003 cases and 1107 controls and a cohort of 4264 breast cancer patients during 2008–2018 in Guangzhou, China. We used logistic regression model to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for risk; Cox model was applied to estimate the hazard ratios (HRs) and 95% CIs for progression-free survival (PFS) and overall survival (OS). Results It was found that previous reproductive tract infections were negatively associated with breast cancer risk (OR = 0.80, 95%CI, 0.65–0.98), particularly for patients with more menstrual cycles (OR = 0.74, 95%CI, 0.57–0.96). Patients with previous reproductive tract infections experienced better OS (HR = 0.61; 95% CI, 0.40–0.94) and PFS (HR = 0.84; 95% CI, 0.65–1.09). This protective effect on PFS was only found in patients with more menstrual cycles (HR = 0.52, 95% CI:0.34–0.79, Pinteraction = 0.015). Conclusions The findings suggested that reproductive tract infections may be protective for the initiation and development of breast cancer, particularly for women with a longer interval of lifetime estrogen exposure.

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“…Most of the gynecologic malignancies were diagnosed within 1 year of PID diagnosis. 7 Another retrospective population-based study by Hsu MI et al evaluated the risk of CRC specifically with PID. The study included 19 029 women with PID, who were matched to a control group of 76 116.…”

Section: Discussionmentioning

confidence: 99%

Colorectal Carcinoma in the Background of Pelvic Inflammatory Disease

Kalas

Alhariri

Ortega

et al. 2022

Journal of Investigative Medicine High Impact Case Reports

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Colorectal carcinoma (CRC) is a common malignancy with steadily declining incidence rates and mortality, secondary to improved screening and lifestyle changes (eg, decreased smoking rates). The association between pelvic inflammatory disease (PID) and CRC has been unclear in the past. However, multiple studies showed a positive association between PID and underlying malignancy (gynecologic and pelvic primarily). Several studies evaluated the relation between PID and CRC, but the results were conflicting. We describe a case of a 33-year-old female patient, with a history of PID and recurrent pelvic abscesses, who was found to have CRC. Of note, the patient’s diagnosis was based on abnormal computed tomography findings, which were further investigated (by colonoscopy and biopsy), rather than on symptoms suggestive of CRC, such as rectal bleeding, constipation, symptomatic anemia, or abdominal pain.

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The Risk of Gynecologic and Urinary Tract Cancer with Pelvic Inflammatory Disease: A Population-Based Cohort Study

Cited by 5 publications

References 34 publications

Clinical Efficacy Analysis of Fast Rehabilitation Nursing on Pain Mitigation after Lumbar Discectomy and Bone Graft Fusion and Internal Fixation

Clinical Efficacy Analysis of Fast Rehabilitation Nursing on Pain Mitigation after Lumbar Discectomy and Bone Graft Fusion and Internal Fixation

Interaction of reproductive tract infections with estrogen exposure on breast cancer risk and prognosis

Colorectal Carcinoma in the Background of Pelvic Inflammatory Disease

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