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      KCI등재 SCI SCIE SCOPUS

      The Incidences and Characteristics of Various Cancers in Patients on Dialysis: a Korean Nationwide Study

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      https://www.riss.kr/link?id=A106845970

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      다국어 초록 (Multilingual Abstract)

      Background: The numbers of patients on dialysis and their life expectancies are increasing.
      Reduced renal function is associated with an increased risk of cancer, but the cancer incidence and sites in dialysis patients compared with those of the general population require further investigation. We investigated the incidences of various cancers in dialysis patients in Korea and used national health insurance data to identify cancers that should be screened in dialysis clinics.
      Methods: We accessed the Korean National Health Insurance Database and excerpted data using the International Classification of Disease codes for dialysis and malignancies. We included all patients who commenced dialysis between 2004 and 2013 and selected the same number of controls via propensity score matching.
      Results: A total of 48,315 dialysis patients and controls were evaluated; of these, 2,504 (5.2%) dialysis patients and 2,201 (4.6%) controls developed cancer. The overall cancer risk was 1.54-fold higher in dialysis patients than in controls (adjusted hazard ratio, 1.71; 95% confidence interval, 1.61–1.81). The cancer incidence rate (incidence rate ratio [IRR], 3.27) was especially high in younger dialysis patients (aged 0–29 years). The most common malignancy of end-stage renal disease patients and controls was colorectal cancer. The major primary cancer sites in dialysis patients were liver and stomach, followed by the lung, kidney, and urinary tract. Kidney cancer exhibited the highest IRR (6.75), followed by upper urinary tract (4.00) and skin cancer (3.38). The rates of prostate cancer (0.54) and oropharyngeal cancer (0.72) were lower than those in the general population.
      Conclusion: Dialysis patients exhibited a higher incidence of malignancy than controls.
      Dialysis patients should be screened in terms of colorectal, liver, lung, kidney and urinary tract malignancies in dialysis clinics.
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      Background: The numbers of patients on dialysis and their life expectancies are increasing. Reduced renal function is associated with an increased risk of cancer, but the cancer incidence and sites in dialysis patients compared with those of the gene...

      Background: The numbers of patients on dialysis and their life expectancies are increasing.
      Reduced renal function is associated with an increased risk of cancer, but the cancer incidence and sites in dialysis patients compared with those of the general population require further investigation. We investigated the incidences of various cancers in dialysis patients in Korea and used national health insurance data to identify cancers that should be screened in dialysis clinics.
      Methods: We accessed the Korean National Health Insurance Database and excerpted data using the International Classification of Disease codes for dialysis and malignancies. We included all patients who commenced dialysis between 2004 and 2013 and selected the same number of controls via propensity score matching.
      Results: A total of 48,315 dialysis patients and controls were evaluated; of these, 2,504 (5.2%) dialysis patients and 2,201 (4.6%) controls developed cancer. The overall cancer risk was 1.54-fold higher in dialysis patients than in controls (adjusted hazard ratio, 1.71; 95% confidence interval, 1.61–1.81). The cancer incidence rate (incidence rate ratio [IRR], 3.27) was especially high in younger dialysis patients (aged 0–29 years). The most common malignancy of end-stage renal disease patients and controls was colorectal cancer. The major primary cancer sites in dialysis patients were liver and stomach, followed by the lung, kidney, and urinary tract. Kidney cancer exhibited the highest IRR (6.75), followed by upper urinary tract (4.00) and skin cancer (3.38). The rates of prostate cancer (0.54) and oropharyngeal cancer (0.72) were lower than those in the general population.
      Conclusion: Dialysis patients exhibited a higher incidence of malignancy than controls.
      Dialysis patients should be screened in terms of colorectal, liver, lung, kidney and urinary tract malignancies in dialysis clinics.

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      참고문헌 (Reference)

      1 이예진, "Utility of the National Lung Screening Trial Criteria for Estimation of Lung Cancer in the Korean Population" 대한암학회 50 (50): 950-955, 2018

      2 D'Arcy ME, "Survival after a cancer diagnosis among solid organ transplant recipients in the United States" 125 (125): 933-942, 2019

      3 민혜숙, "Supporting Low-Income Cancer Patients: Recommendations for the Public Financial Aid Program in the Republic of Korea" 대한암학회 50 (50): 1074-1083, 2018

      4 Keith DS, "Renal cell carcinoma in autosomal dominant polycystic kidney disease" 4 (4): 1661-1669, 1994

      5 Barlow WE, "Overview of methods to estimate the medical costs of cancer" 47 (47): S33-S36, 2009

      6 Nam GE, "Metabolic syndrome and risk of Parkinson disease : a nationwide cohort study" 15 (15): e1002640-, 2018

      7 Coussens LM, "Inflammation and cancer" 420 (420): 860-867, 2002

      8 Lin HF, "Increased risk of cancer in chronic dialysis patients : a population-based cohort study in Taiwan" 27 (27): 1585-1590, 2012

      9 Lee J, "Cohort profile : the National Health Insurance Service-National Sample Cohort(NHIS-NSC), South Korea" 46 (46): e15-, 2017

      10 Wong G, "Chronic kidney disease and the risk of cancer : an individual patient data meta-analysis of 32, 057 participants from six prospective studies" 16 (16): 488-, 2016

      1 이예진, "Utility of the National Lung Screening Trial Criteria for Estimation of Lung Cancer in the Korean Population" 대한암학회 50 (50): 950-955, 2018

      2 D'Arcy ME, "Survival after a cancer diagnosis among solid organ transplant recipients in the United States" 125 (125): 933-942, 2019

      3 민혜숙, "Supporting Low-Income Cancer Patients: Recommendations for the Public Financial Aid Program in the Republic of Korea" 대한암학회 50 (50): 1074-1083, 2018

      4 Keith DS, "Renal cell carcinoma in autosomal dominant polycystic kidney disease" 4 (4): 1661-1669, 1994

      5 Barlow WE, "Overview of methods to estimate the medical costs of cancer" 47 (47): S33-S36, 2009

      6 Nam GE, "Metabolic syndrome and risk of Parkinson disease : a nationwide cohort study" 15 (15): e1002640-, 2018

      7 Coussens LM, "Inflammation and cancer" 420 (420): 860-867, 2002

      8 Lin HF, "Increased risk of cancer in chronic dialysis patients : a population-based cohort study in Taiwan" 27 (27): 1585-1590, 2012

      9 Lee J, "Cohort profile : the National Health Insurance Service-National Sample Cohort(NHIS-NSC), South Korea" 46 (46): e15-, 2017

      10 Wong G, "Chronic kidney disease and the risk of cancer : an individual patient data meta-analysis of 32, 057 participants from six prospective studies" 16 (16): 488-, 2016

      11 Meguid El Nahas A, "Chronic kidney disease : the global challenge" 365 (365): 331-340, 2005

      12 Foster BJ, "Changes in excess mortality from end stage renal disease in the United States from 1995 to 2013" 13 (13): 91-99, 2018

      13 Stewart JH, "Cancers of the kidney and urinary tract in patients on dialysis for end-stage renal disease : analysis of data from the United States, Europe, and Australia and New Zealand" 14 (14): 197-207, 2003

      14 Weng PH, "Cancer-specific mortality in chronic kidney disease : longitudinal follow-up of a large cohort" 6 (6): 1121-1128, 2011

      15 쿰반월터척, "Cancer screening rate in people with diabetes in the Korean population: results from the Korea National Health and Nutrition Examination Survey 2007-2009" 한국역학회 39 : 1-8, 2017

      16 Cheung CY, "Cancer incidence and mortality in chronic dialysis population : a multicenter cohort study" 43 (43): 153-159, 2016

      17 Butler AM, "Cancer incidence among US Medicare ESRD patients receiving hemodialysis, 1996–2009" 65 (65): 763-772, 2015

      18 Maisonneuve P, "Cancer in patients on dialysis for end-stage renal disease : an international collaborative study" 354 (354): 93-99, 1999

      19 Vamvakas S, "Cancer in end-stage renal disease: potential factors involved -editorial-" 18 (18): 89-95, 1998

      20 Yoo KD, "Cancer in Korean patients with end-stage renal disease : a 7-year follow-up" 12 (12): e0178649-, 2017

      21 Lin MY, "Association of dialysis with the risks of cancers" 10 (10): e0122856-, 2015

      22 Wong G, "Association of CKD and cancer risk in older people" 20 (20): 1341-1350, 2009

      23 Chen DP, "Association between chronic kidney disease and cancer mortality : a report from the ALLHAT" 87 (87): 11-20, 2017

      24 Austin PC, "A comparison of 12 algorithms for matching on the propensity score" 33 (33): 1057-1069, 2014

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2005-01-01 평가 SCI 등재 (등재유지) KCI등재
      2002-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      1999-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.48 0.37 1.06
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.85 0.75 0.691 0.11
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