Tsis ntev los no, pab pawg uas coj los ntawm Dr. Manami Inoue ntawm National Cancer Center ntawm Nyiv tau coj cov neeg Esxias sab hnub tuaj ua qauv thiab pom tias qhov ntev ntawm kev pw tsaug zog yog 7 teev, uas cuam tshuam nrog kev pheej hmoo tsawg tshaj plaws ntawm txhua qhov ua rau tuag, mob plawv. kab mob ntsig txog kev tuag, thiab kev tuag los ntawm lwm yam ua rau.
Nws yog tsim nyog sau cia tias txoj kev tshawb no tseem qhia tias poj niam txiv neej thiab hnub nyoog yuav tsum tau coj mus rau hauv tus account hauv cov lus qhia rau kev pw tsaug zog ntev ntawm cov neeg Esxias sab hnub tuaj. Piv txwv li, kev pw tsaug zog ntev ntawm cov txiv neej hnub nyoog qis dua 65 xyoos yog tsawg dua lossis sib npaug li 5 teev, uas cuam tshuam nrog 34 feem pua nce hauv kev pheej hmoo ntawm kev tuag tag nrho; Kev pw tsaug zog ntev ntawm 6 teev tau cuam tshuam nrog 7 feem pua nce kev pheej hmoo ntawm txhua qhov ua rau tuag.
Piv txwv li, kev pw tsaug zog tsawg dua lossis sib npaug li 5 teev yog cuam tshuam nrog kev pheej hmoo siab ntawm kev mob plawv hauv cov txiv neej dua li cov poj niam. Cov txiv neej uas pw tsawg dua los yog sib npaug li 5 teev muaj 35 feem pua nce kev pheej hmoo ntawm kev tuag ntawm cov hlab plawv. Qhov kev pheej hmoo ntxiv rau cov poj niam tsuas yog 24 feem pua.
Qhov kev ua tiav no tau luam tawm ntawm JAMA network qhib [1].
Tsawg dua 5 teev ntawm kev pw tsaug zog hauv cov txiv neej yog txuam nrog 34 feem pua nce kev pheej hmoo ntawm txhua qhov ua rau tuag
Kab lus npog
Yav dhau los meta-kev soj ntsuam cov txiaj ntsig ntawm cov kev tshawb fawb yav tom ntej tau pom tias luv luv lossis ntev dua pw tsaug zog yog txuam nrog txhua qhov ua rau tuag [2,3].
Cov ntaub ntawv kho mob network tau kawm tias txawm hais tias qib ntawm cov pov thawj ntawm meta-analysis muaj zog, tseem muaj kev txwv. Piv txwv li, hauv txhua txoj kev tshawb fawb suav nrog hauv meta, cov qauv kev soj ntsuam lub sijhawm sib txawv, cov ntsiab lus tsis meej pem suav tias yog txawv, thiab lub ntsiab lus ntawm kev pw tsaug zog luv lossis ntev sib txawv [4]. Tsis tas li ntawd, kev koom tes ntawm kev pw tsaug zog ntev thiab txhua qhov kev tuag yuav raug cuam tshuam los ntawm haiv neeg. Piv nrog rau North American thiab European cov pej xeem, nyob rau hauv East Esxias cov pej xeem, ntev pw tsaug zog ntev heev muaj feem xyuam nrog kev tuag [2].
Cov kev tshawb fawb ntawm tus kheej kuj qhia tau hais tias kev koom tes ntawm kev pw tsaug zog ntev thiab kev tuag yuav hloov nrog kev hloov ntawm poj niam txiv neej thiab hnub nyoog [5,6]. Tsis tas li ntawd, nyob rau hauv cov neeg Esxias sab hnub tuaj, lub cev qhov Performance index (BMI) tseem cuam tshuam nrog kev pw tsaug zog ntev, mob plawv thiab mob qog noj ntshav [7,8]. BMI tej zaum yuav yog qhov muaj peev xwm ua rau muaj kev ntxhov siab lossis kho qhov cuam tshuam rau kev koom nrog ntawm kev pw tsaug zog ntev thiab kev tuag. Tam sim no, tsis muaj kev tshawb fawb txog kev sib raug zoo ntawm kev pw tsaug zog ntev thiab kev tuag los ntawm stratified BMI hauv cov neeg noj qab haus huv.
Txhawm rau kom nkag siab zoo dua kev sib raug zoo ntawm kev pw tsaug zog ntev thiab tag nrho-ua rau tuag thiab tuag los ntawm cov kab mob loj hauv East Asia, Inoue pab pawg tau pib txoj kev tshawb no.
Kev sib raug zoo ntawm kev pw tsaug zog ntev thiab kev pheej hmoo ntawm kev tuag hauv East Asian cov poj niam
Cia peb saib ntawm kev sib koom ua ke ntawm kev pw tsaug zog ntev thiab kev tuag mob qog noj ntshav.
Hauv cov txiv neej, piv nrog qhov ntev ntawm kev pw tsaug zog ntawm 7 teev, pw tsaug zog ntev ntawm 8 teev, 9 teev, thiab ntau dua lossis sib npaug li 10 teev tau cuam tshuam nrog kev tuag mob qog noj ntshav. Peb cov xwm txheej no tau cuam tshuam nrog kev pheej hmoo ntawm kev mob qog noj ntshav ntawm 8 feem pua, 10 feem pua, thiab 19 feem pua. Nyob rau hauv lub multivariate calibration qauv, cov correlations ua insignificant. Hauv cov poj niam, cov pab pawg uas pw tsaug zog ntev li 10 teev lossis ntau dua tau cuam tshuam nrog 23 feem pua nce kev pheej hmoo ntawm kev tuag mob qog noj ntshav piv nrog rau kev pw tsaug zog ntev li 7 teev.
Zuag qhia tag nrho, txoj kev tshawb no qhia tau hais tias muaj kev sib raug zoo heev ntawm kev pw tsaug zog ntev thiab txhua yam ua rau tuag ntawm cov txiv neej thiab poj niam. Qhov kev tshwm sim no zoo ib yam nrog cov kev tshawb fawb yav dhau los ntawm poj niam txiv neej stratification.
Tsis tas li ntawd, cov kws tshawb fawb kuj tau taw qhia tias cov txheej txheem rau kev pw tsaug zog ntev yuav tsum tau stratified los ntawm hnub nyoog thiab poj niam txiv neej. Qhov ntev ntawm kev pw tsaug zog yog 7 teev, uas muaj qhov sib txuam qis tshaj plaws nrog rau txhua qhov ua rau tuag, mob plawv ntsig txog kev tuag thiab mob qog noj ntshav. Yog tias koj pw luv dhau (tsawg dua lossis sib npaug li 5 teev) lossis ntev dhau (ntau dua lossis sib npaug li 10 teev), koj yuav tsum paub tias qhov kev pheej hmoo ntawm kev tuag yuav nce ntxiv.
