Skip to main content
Erschienen in: Cancer Causes & Control 11/2019

29.08.2019 | Original Paper

Relationship between West African ancestry with lung cancer risk and survival in African Americans

verfasst von: Khadijah A. Mitchell, Ebony Shah, Elise D. Bowman, Adriana Zingone, Noah Nichols, Sharon R. Pine, Rick A. Kittles, Bríd M. Ryan

Erschienen in: Cancer Causes & Control | Ausgabe 11/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

African Americans, especially men, have a higher incidence of lung cancer compared with all other racial and ethnic groups in the US. Self-reported race is frequently used in genomic research studies to capture an individual’s race or ethnicity. However, it is clear from studies of genetic admixture that human genetic variation does not segregate into the same biologically discrete categories as socially defined categories of race. Previous studies have suggested that the degree of West African ancestry among African Americans can contribute to cancer risk in this population, though few studies have addressed this question in lung cancer.

Methods

Using a genetic ancestry panel of 100 SNPs, we estimated West African, European, and Native American ancestry in 1,407 self-described African Americans and 2,413 European Americans.

Results

We found that increasing West African ancestry was associated with increased risk of lung cancer among African American men (ORQ5 vs Q1 = 2.55 (1.45–4.48), p = 0.001), while no association was observed in African American women (ORQ5 vs Q1 = 0.90 (0.51–1.59), p = 0.56). This relationship diminished following adjustment for income and education.

Conclusions

Genetic ancestry is not a major contributor to lung cancer risk or survival disparities.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
2.
Zurück zum Zitat Burbank F, Fraumeni JF (1972) U.S. cancer mortality: nonwhite predominance. J Natl Cancer Inst 49:649–659PubMed Burbank F, Fraumeni JF (1972) U.S. cancer mortality: nonwhite predominance. J Natl Cancer Inst 49:649–659PubMed
3.
Zurück zum Zitat DeSantis CE, Siegel RL, Sauer AG et al (2016) Cancer statistics for African Americans, 2016: progress and opportunities in reducing racial disparities. CA Cancer J Clin 66:290–308CrossRefPubMed DeSantis CE, Siegel RL, Sauer AG et al (2016) Cancer statistics for African Americans, 2016: progress and opportunities in reducing racial disparities. CA Cancer J Clin 66:290–308CrossRefPubMed
4.
Zurück zum Zitat Lathan CS, Neville BA, Earle CC (2006) The effect of race on invasive staging and surgery in non-small-cell lung cancer. J Clin Oncol 24:413–418CrossRefPubMed Lathan CS, Neville BA, Earle CC (2006) The effect of race on invasive staging and surgery in non-small-cell lung cancer. J Clin Oncol 24:413–418CrossRefPubMed
5.
Zurück zum Zitat Bach PB, Cramer LD, Warren JL, Begg CB (1999) Racial differences in the treatment of early-stage lung cancer. N Engl J Med 341:1198–1205CrossRefPubMed Bach PB, Cramer LD, Warren JL, Begg CB (1999) Racial differences in the treatment of early-stage lung cancer. N Engl J Med 341:1198–1205CrossRefPubMed
6.
Zurück zum Zitat Bach PB, Schrag D, Brawley OW, Galaznik A, Yakren S, Begg CB (2002) Survival of blacks and whites after a cancer diagnosis. JAMA 287:2106–2113CrossRefPubMed Bach PB, Schrag D, Brawley OW, Galaznik A, Yakren S, Begg CB (2002) Survival of blacks and whites after a cancer diagnosis. JAMA 287:2106–2113CrossRefPubMed
7.
Zurück zum Zitat Haiman CA, Stram DO, Wilkens LR et al (2006) Ethnic and racial differences in the smoking-related risk of lung cancer. N Engl J Med 354:333–342CrossRefPubMed Haiman CA, Stram DO, Wilkens LR et al (2006) Ethnic and racial differences in the smoking-related risk of lung cancer. N Engl J Med 354:333–342CrossRefPubMed
8.
Zurück zum Zitat Blot WJ, Cohen SS, Aldrich M, McLaughlin JK, Hargreaves MK, Signorello LB (2011) Lung cancer risk among smokers of menthol cigarettes. J Natl Cancer Inst 103:810–816CrossRefPubMedPubMedCentral Blot WJ, Cohen SS, Aldrich M, McLaughlin JK, Hargreaves MK, Signorello LB (2011) Lung cancer risk among smokers of menthol cigarettes. J Natl Cancer Inst 103:810–816CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Lathan CS (2015) Lung cancer care: the impact of facilities and area measures. Transl Lung Cancer Res 4:385–391PubMedPubMedCentral Lathan CS (2015) Lung cancer care: the impact of facilities and area measures. Transl Lung Cancer Res 4:385–391PubMedPubMedCentral
10.
11.
Zurück zum Zitat Bryc K, Durand EY, Macpherson JM, Reich D, Mountain JL (2015) The genetic ancestry of African Americans, Latinos, and European Americans across the United States. Am J Hum Genet 96:37–53CrossRefPubMedPubMedCentral Bryc K, Durand EY, Macpherson JM, Reich D, Mountain JL (2015) The genetic ancestry of African Americans, Latinos, and European Americans across the United States. Am J Hum Genet 96:37–53CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Mersha TB, Abebe T (2015) Self-reported race/ethnicity in the age of genomic research: its potential impact on understanding health disparities. Hum Genomics 9:1CrossRefPubMedPubMedCentral Mersha TB, Abebe T (2015) Self-reported race/ethnicity in the age of genomic research: its potential impact on understanding health disparities. Hum Genomics 9:1CrossRefPubMedPubMedCentral
13.
14.
15.
Zurück zum Zitat Bress A, Kittles R, Wing C, Hooker SE, King A (2015) Genetic ancestry as an effect modifier of naltrexone in smoking cessation among African Americans: an analysis of a randomized controlled trial. Pharmacogenet Genomics. 25:305–312CrossRefPubMedPubMedCentral Bress A, Kittles R, Wing C, Hooker SE, King A (2015) Genetic ancestry as an effect modifier of naltrexone in smoking cessation among African Americans: an analysis of a randomized controlled trial. Pharmacogenet Genomics. 25:305–312CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Ruiz-Narvaez EA, Sucheston-Campbell L, Bensen JT et al (2016) Admixture mapping of African-American women in the AMBER consortium identifies new loci for breast cancer and estrogen-receptor subtypes. Front Genet 7:170CrossRefPubMedPubMedCentral Ruiz-Narvaez EA, Sucheston-Campbell L, Bensen JT et al (2016) Admixture mapping of African-American women in the AMBER consortium identifies new loci for breast cancer and estrogen-receptor subtypes. Front Genet 7:170CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Ricks-Santi LJ, Apprey V, Mason T et al (2012) Identification of genetic risk associated with prostate cancer using ancestry informative markers. Prostate Cancer Prostatic Dis 15:359–364CrossRefPubMedPubMedCentral Ricks-Santi LJ, Apprey V, Mason T et al (2012) Identification of genetic risk associated with prostate cancer using ancestry informative markers. Prostate Cancer Prostatic Dis 15:359–364CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Zheng YL, Loffredo CA, Yu Z et al (2003) Bleomycin-induced chromosome breaks as a risk marker for lung cancer: a case–control study with population and hospital controls. Carcinogenesis 24:269–274CrossRefPubMed Zheng YL, Loffredo CA, Yu Z et al (2003) Bleomycin-induced chromosome breaks as a risk marker for lung cancer: a case–control study with population and hospital controls. Carcinogenesis 24:269–274CrossRefPubMed
19.
Zurück zum Zitat Al-Alem U, Rauscher G, Shah E et al (2014) Association of genetic ancestry with breast cancer in ethnically diverse women from Chicago. PLoS ONE 9:e112916CrossRefPubMedPubMedCentral Al-Alem U, Rauscher G, Shah E et al (2014) Association of genetic ancestry with breast cancer in ethnically diverse women from Chicago. PLoS ONE 9:e112916CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Kosoy R, Nassir R, Tian C et al (2009) Ancestry informative marker sets for determining continental origin and admixture proportions in common populations in America. Hum Mutat 30:69–78CrossRefPubMedPubMedCentral Kosoy R, Nassir R, Tian C et al (2009) Ancestry informative marker sets for determining continental origin and admixture proportions in common populations in America. Hum Mutat 30:69–78CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Nassir R, Kosoy R, Tian C et al (2009) An ancestry informative marker set for determining continental origin: validation and extension using human genome diversity panels. BMC Genet 10:39CrossRefPubMedPubMedCentral Nassir R, Kosoy R, Tian C et al (2009) An ancestry informative marker set for determining continental origin: validation and extension using human genome diversity panels. BMC Genet 10:39CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Collins-Schramm HE, Kittles RA, Operario DJ et al (2002) Markers that discriminate between European and African ancestry show limited variation within Africa. Hum Genet 111:566–569CrossRefPubMed Collins-Schramm HE, Kittles RA, Operario DJ et al (2002) Markers that discriminate between European and African ancestry show limited variation within Africa. Hum Genet 111:566–569CrossRefPubMed
23.
Zurück zum Zitat Yang N, Li H, Criswell LA et al (2005) Examination of ancestry and ethnic affiliation using highly informative diallelic DNA markers: application to diverse and admixed populations and implications for clinical epidemiology and forensic medicine. Hum Genet 118:382–392CrossRefPubMed Yang N, Li H, Criswell LA et al (2005) Examination of ancestry and ethnic affiliation using highly informative diallelic DNA markers: application to diverse and admixed populations and implications for clinical epidemiology and forensic medicine. Hum Genet 118:382–392CrossRefPubMed
24.
Zurück zum Zitat Tian C, Hinds DA, Shigeta R, Kittles R, Ballinger DG, Seldin MF (2006) A genomewide single-nucleotide-polymorphism panel with high ancestry information for African American admixture mapping. Am J Hum Genet 79:640–649CrossRefPubMedPubMedCentral Tian C, Hinds DA, Shigeta R, Kittles R, Ballinger DG, Seldin MF (2006) A genomewide single-nucleotide-polymorphism panel with high ancestry information for African American admixture mapping. Am J Hum Genet 79:640–649CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Aldrich MC, Selvin S, Hansen HM et al (2008) Comparison of statistical methods for estimating genetic admixture in a lung cancer study of African Americans and Latinos. Am J Epidemiol 168:1035–1046CrossRefPubMedPubMedCentral Aldrich MC, Selvin S, Hansen HM et al (2008) Comparison of statistical methods for estimating genetic admixture in a lung cancer study of African Americans and Latinos. Am J Epidemiol 168:1035–1046CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Falush D, Stephens M, Pritchard JK (2003) Inference of population structure using multilocus genotype data: linked loci and correlated allele frequencies. Genetics 164:1567–1587PubMedPubMedCentral Falush D, Stephens M, Pritchard JK (2003) Inference of population structure using multilocus genotype data: linked loci and correlated allele frequencies. Genetics 164:1567–1587PubMedPubMedCentral
27.
Zurück zum Zitat Zanetti KA, Wang Z, Aldrich M et al (2016) Genome-wide association study confirms lung cancer susceptibility loci on chromosomes 5p15 and 15q25 in an African-American population. Lung Cancer 98:33–42CrossRefPubMed Zanetti KA, Wang Z, Aldrich M et al (2016) Genome-wide association study confirms lung cancer susceptibility loci on chromosomes 5p15 and 15q25 in an African-American population. Lung Cancer 98:33–42CrossRefPubMed
28.
Zurück zum Zitat Machiela MJ, Chanock SJ (2015) LDlink: a web-based application for exploring population-specific haplotype structure and linking correlated alleles of possible functional variants. Bioinformatics 31:3555–3557CrossRefPubMedPubMedCentral Machiela MJ, Chanock SJ (2015) LDlink: a web-based application for exploring population-specific haplotype structure and linking correlated alleles of possible functional variants. Bioinformatics 31:3555–3557CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Holford TR, Levy DT, Meza R (2016) Comparison of smoking history patterns Among African American and white cohorts in the United States born 1890 to 1990. Nicotine Tob Res 18(Suppl 1):S16–29CrossRefPubMedPubMedCentral Holford TR, Levy DT, Meza R (2016) Comparison of smoking history patterns Among African American and white cohorts in the United States born 1890 to 1990. Nicotine Tob Res 18(Suppl 1):S16–29CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Schwartz AG, Wenzlaff AS, Bock CH et al (2011) Admixture mapping of lung cancer in 1812 African-Americans. Carcinogenesis 32:312–317CrossRefPubMed Schwartz AG, Wenzlaff AS, Bock CH et al (2011) Admixture mapping of lung cancer in 1812 African-Americans. Carcinogenesis 32:312–317CrossRefPubMed
31.
Zurück zum Zitat Coté ML, Kardia SL, Wenzlaff AS, Ruckdeschel JC, Schwartz AG (2005) Risk of lung cancer among white and black relatives of individuals with early-onset lung cancer. JAMA 293:3036–3042CrossRefPubMed Coté ML, Kardia SL, Wenzlaff AS, Ruckdeschel JC, Schwartz AG (2005) Risk of lung cancer among white and black relatives of individuals with early-onset lung cancer. JAMA 293:3036–3042CrossRefPubMed
32.
Zurück zum Zitat Jones CC, Mercaldo SF, Blume JD et al (2018) Racial disparities in lung cancer survival: the contribution of stage, treatment, and ancestry. J Thorac Oncol. 13:1464–1473CrossRefPubMedPubMedCentral Jones CC, Mercaldo SF, Blume JD et al (2018) Racial disparities in lung cancer survival: the contribution of stage, treatment, and ancestry. J Thorac Oncol. 13:1464–1473CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Zheng L, Enewold L, Zahm SH et al (2012) Lung cancer survival among black and white patients in an equal access health system. Cancer Epidemiol Biomark 21:1841–1847CrossRef Zheng L, Enewold L, Zahm SH et al (2012) Lung cancer survival among black and white patients in an equal access health system. Cancer Epidemiol Biomark 21:1841–1847CrossRef
34.
Zurück zum Zitat Rocconi RP, Lankes HA, Brady WE et al (2016) The role of racial genetic admixture with endometrial cancer outcomes: an NRG Oncology/Gynecologic Oncology Group study. Gynecol Oncol 140:264–269CrossRefPubMed Rocconi RP, Lankes HA, Brady WE et al (2016) The role of racial genetic admixture with endometrial cancer outcomes: an NRG Oncology/Gynecologic Oncology Group study. Gynecol Oncol 140:264–269CrossRefPubMed
35.
Zurück zum Zitat Kosoy R, Qi L, Nassir R et al (2012) Relationship between hypertension and admixture in post-menopausal African American and Hispanic American women. J Hum Hypertens 26:365–373CrossRefPubMed Kosoy R, Qi L, Nassir R et al (2012) Relationship between hypertension and admixture in post-menopausal African American and Hispanic American women. J Hum Hypertens 26:365–373CrossRefPubMed
36.
Zurück zum Zitat Ruiz-Narváez EA, Bare L, Arellano A, Catanese J, Campos H (2010) West African and Amerindian ancestry and risk of myocardial infarction and metabolic syndrome in the Central Valley population of Costa Rica. Hum Genet 127:629–638CrossRefPubMed Ruiz-Narváez EA, Bare L, Arellano A, Catanese J, Campos H (2010) West African and Amerindian ancestry and risk of myocardial infarction and metabolic syndrome in the Central Valley population of Costa Rica. Hum Genet 127:629–638CrossRefPubMed
37.
Zurück zum Zitat Slattery ML, Lundgreen A, Stern MC et al (2014) The influence of genetic ancestry and ethnicity on breast cancer survival associated with genetic variation in the TGF-β-signaling pathway: the Breast Cancer Health Disparities Study. Cancer Causes Control 25:293–307CrossRefPubMed Slattery ML, Lundgreen A, Stern MC et al (2014) The influence of genetic ancestry and ethnicity on breast cancer survival associated with genetic variation in the TGF-β-signaling pathway: the Breast Cancer Health Disparities Study. Cancer Causes Control 25:293–307CrossRefPubMed
38.
Zurück zum Zitat Lorenzo Bermejo J, Boekstegers F, Gonzalez Silos R et al (2017) Subtypes of Native American ancestry and leading causes of death: Mapuche ancestry-specific associations with gallbladder cancer risk in Chile. PLoS Genet 13:e1006756CrossRefPubMedPubMedCentral Lorenzo Bermejo J, Boekstegers F, Gonzalez Silos R et al (2017) Subtypes of Native American ancestry and leading causes of death: Mapuche ancestry-specific associations with gallbladder cancer risk in Chile. PLoS Genet 13:e1006756CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Wu C, Hu Z, He Z et al (2011) Genome-wide association study identifies three new susceptibility loci for esophageal squamous-cell carcinoma in Chinese populations. Nat Genet 43:679–684CrossRefPubMed Wu C, Hu Z, He Z et al (2011) Genome-wide association study identifies three new susceptibility loci for esophageal squamous-cell carcinoma in Chinese populations. Nat Genet 43:679–684CrossRefPubMed
40.
Zurück zum Zitat Kennedy RB, Ovsyannikova IG, Pankratz VS, Haralambieva IH, Vierkant RA, Poland GA (2012) Genome-wide analysis of polymorphisms associated with cytokine responses in smallpox vaccine recipients. Hum Genet 131:1403–1421CrossRefPubMedPubMedCentral Kennedy RB, Ovsyannikova IG, Pankratz VS, Haralambieva IH, Vierkant RA, Poland GA (2012) Genome-wide analysis of polymorphisms associated with cytokine responses in smallpox vaccine recipients. Hum Genet 131:1403–1421CrossRefPubMedPubMedCentral
41.
Zurück zum Zitat Low SK, Chung S, Takahashi A et al (2013) Genome-wide association study of chemotherapeutic agent-induced severe neutropenia/leucopenia for patients in Biobank Japan. Cancer Sci 104:1074–1082CrossRefPubMedPubMedCentral Low SK, Chung S, Takahashi A et al (2013) Genome-wide association study of chemotherapeutic agent-induced severe neutropenia/leucopenia for patients in Biobank Japan. Cancer Sci 104:1074–1082CrossRefPubMedPubMedCentral
42.
Zurück zum Zitat Lutz SM, Cho MH, Young K et al (2015) A genome-wide association study identifies risk loci for spirometric measures among smokers of European and African ancestry. BMC Genet 16:138CrossRefPubMedPubMedCentral Lutz SM, Cho MH, Young K et al (2015) A genome-wide association study identifies risk loci for spirometric measures among smokers of European and African ancestry. BMC Genet 16:138CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat de Jong K, Vonk JM, Timens W et al (2015) Genome-wide interaction study of gene-by-occupational exposure and effects on FEV1 levels. J Allergy Clin Immunol 136:1664–1672.e14. de Jong K, Vonk JM, Timens W et al (2015) Genome-wide interaction study of gene-by-occupational exposure and effects on FEV1 levels. J Allergy Clin Immunol 136:1664–1672.e14.
44.
Zurück zum Zitat Himes BE, Hunninghake GM, Baurley JW et al (2009) Genome-wide association analysis identifies PDE4D as an asthma-susceptibility gene. Am J Hum Genet 84:581–593CrossRefPubMedPubMedCentral Himes BE, Hunninghake GM, Baurley JW et al (2009) Genome-wide association analysis identifies PDE4D as an asthma-susceptibility gene. Am J Hum Genet 84:581–593CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Michailidou K, Hall P, Gonzalez-Neira A et al (2013) Large-scale genotyping identifies 41 new loci associated with breast cancer risk. Nat Genet 45:353–361, 361e1–36e1-2 Michailidou K, Hall P, Gonzalez-Neira A et al (2013) Large-scale genotyping identifies 41 new loci associated with breast cancer risk. Nat Genet 45:353–361, 361e1–36e1-2
46.
Zurück zum Zitat Wu C, Wang Z, Song X et al (2014) Joint analysis of three genome-wide association studies of esophageal squamous cell carcinoma in Chinese populations. Nat Genet 46:1001–1006CrossRefPubMedPubMedCentral Wu C, Wang Z, Song X et al (2014) Joint analysis of three genome-wide association studies of esophageal squamous cell carcinoma in Chinese populations. Nat Genet 46:1001–1006CrossRefPubMedPubMedCentral
47.
Zurück zum Zitat Robles AI, Ryan BM (2016) KRT81 miR-SNP rs3660 is associated with risk and survival of NSCLC. Ann Oncol 27:360–361CrossRefPubMed Robles AI, Ryan BM (2016) KRT81 miR-SNP rs3660 is associated with risk and survival of NSCLC. Ann Oncol 27:360–361CrossRefPubMed
49.
Zurück zum Zitat Liu LY, Schaub MA, Sirota M, Butte AJ (2012) Sex differences in disease risk from reported genome-wide association study findings. Hum Genet 131:353–364CrossRefPubMed Liu LY, Schaub MA, Sirota M, Butte AJ (2012) Sex differences in disease risk from reported genome-wide association study findings. Hum Genet 131:353–364CrossRefPubMed
50.
Zurück zum Zitat Klimentidis YC, Arora A, Zhou J, Kittles R, Allison DB (2016) The Genetic contribution of West-African Ancestry to protection against central obesity in African-American men but not women: Results from the ARIC and MESA studies. Front Genet 7:89CrossRefPubMedPubMedCentral Klimentidis YC, Arora A, Zhou J, Kittles R, Allison DB (2016) The Genetic contribution of West-African Ancestry to protection against central obesity in African-American men but not women: Results from the ARIC and MESA studies. Front Genet 7:89CrossRefPubMedPubMedCentral
51.
Zurück zum Zitat Rajan P, Dalgliesh C, Carling PJ et al (2011) Identification of novel androgen-regulated pathways and mRNA isoforms through genome-wide exon-specific profiling of the LNCaP transcriptome. PLoS ONE 6:e29088CrossRefPubMedPubMedCentral Rajan P, Dalgliesh C, Carling PJ et al (2011) Identification of novel androgen-regulated pathways and mRNA isoforms through genome-wide exon-specific profiling of the LNCaP transcriptome. PLoS ONE 6:e29088CrossRefPubMedPubMedCentral
52.
Zurück zum Zitat Zhao J, Leung JY, Lin SL, Schooling CM (2016) Cigarette smoking and testosterone in men and women: a systematic review and meta-analysis of observational studies. Prev Med 85:1–10CrossRefPubMed Zhao J, Leung JY, Lin SL, Schooling CM (2016) Cigarette smoking and testosterone in men and women: a systematic review and meta-analysis of observational studies. Prev Med 85:1–10CrossRefPubMed
53.
Zurück zum Zitat Zuo H, Han B, Poppinga WJ et al (2018) Cigarette smoke up-regulates PDE3 and PDE4 to decrease cAMP in airway cells. Br J Pharmacol 175:2988–3006CrossRefPubMedPubMedCentral Zuo H, Han B, Poppinga WJ et al (2018) Cigarette smoke up-regulates PDE3 and PDE4 to decrease cAMP in airway cells. Br J Pharmacol 175:2988–3006CrossRefPubMedPubMedCentral
54.
Zurück zum Zitat Yang JJ, Cheng C, Meenakshi D et al (2012) Genome-wide association study identifies germline polymorphisms associated with relapse of childhood acute lymphoblastic leukemia. Blood 120(20):4197–4204CrossRefPubMedPubMedCentral Yang JJ, Cheng C, Meenakshi D et al (2012) Genome-wide association study identifies germline polymorphisms associated with relapse of childhood acute lymphoblastic leukemia. Blood 120(20):4197–4204CrossRefPubMedPubMedCentral
Metadaten
Titel
Relationship between West African ancestry with lung cancer risk and survival in African Americans
verfasst von
Khadijah A. Mitchell
Ebony Shah
Elise D. Bowman
Adriana Zingone
Noah Nichols
Sharon R. Pine
Rick A. Kittles
Bríd M. Ryan
Publikationsdatum
29.08.2019
Verlag
Springer International Publishing
Erschienen in
Cancer Causes & Control / Ausgabe 11/2019
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-019-01212-z

Weitere Artikel der Ausgabe 11/2019

Cancer Causes & Control 11/2019 Zur Ausgabe

Nodal-negativ nach neoadjuvanter Chemo: Axilladissektion verzichtbar?

03.05.2024 Mammakarzinom Nachrichten

Wenn bei Mammakarzinomen durch eine neoadjuvante Chemotherapie ein Downstaging von nodal-positiv zu nodal-negativ gelingt, scheint es auch ohne Axilladissektion nur selten zu axillären Rezidiven zu kommen.

Wo hapert es noch bei der Umsetzung der POMGAT-Leitlinie?

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Bestrahlung nach Prostatektomie: mehr Schaden als Nutzen?

02.05.2024 Prostatakarzinom Nachrichten

Eine adjuvante Radiotherapie nach radikaler Prostata-Op. bringt den Betroffenen wahrscheinlich keinen Vorteil. Im Gegenteil: Durch die Bestrahlung steigt offenbar das Risiko für Harn- und Stuhlinkontinenz.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.