Association Between Hepatitis B Infection and Pancreatic Cancer: A Population-Based Analysis in the United States

作者:Desai Rupak; Patel Upenkumar; Sharma Shobhit; Singh Sandeep; Doshi Shreyans; Shaheen Sana; Shamim Sofia; Korlapati Lakshmi Shirisha; Balan Shuba; Bray Christopher; Williams Renee; Shah Nihar
来源:Pancreas, 2018, 47(7): 849-855.
DOI:10.1097/MPA.0000000000001095

摘要

Objectives The aim of this study was to assess the role of hepatitis B (HepB) infection in the causation of pancreatic cancer and the predictors of pancreatic cancer and mortality.
Methods We identified pancreatic cancer patients 11 to 70 years of age from the 2013-2014 National Inpatient Sample. Pearson (2) test and Student's t-test were used for categorical and continuous variables, respectively. We assessed the association of HepB and pancreatic cancer and the independent mortality predictors by multivariate analyses.
Results Of 69,210 pancreatic cancer patients, 175 patients with a history of HepB and 69,035 patients without a history of HepB were identified. Compared with the pancreatic cancer-non-HepB group, the pancreatic cancer-HepB group consisted more of younger (mean, 60.4 [standard deviation, 7.4] years vs 68.2 [standard deviation, 12.1] years), male, black, and Asian patients with low household income and nonelective admissions. The odds of developing pancreatic cancer among the HepB patients were significantly higher (adjusted odds ratio, 1.24; 95% confidence interval, 1.056-1.449; P = 0.008). Black race, age 65 years, and male sex demonstrated greater odds of mortality.
Conclusions This study concluded up to a 24% increased likelihood of pancreatic cancer among the HepB patients. Blacks showed greater odds of pancreatic cancer and related mortality.

  • 出版日期2018-8