|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Systematic review and meta-analysis of esophageal cancer in Africa:Epidemiology, risk factors, management and outcomes显示文摘BACKGROUND Esophageal cancer(EC)is associated with a poor prognosis,particularly so in Africa where an alarmingly high mortality to incidence ratio prevails for this disease.AIM To provide further understanding of EC in the context of the unique cultural and genetic diversity,and socio-economic challenges faced on the African continent.METHODS We performed a systematic review of studies from Africa to obtain data on epidemiology,risk factors,management and outcomes of EC.A non-systematic review was used to obtain incidence data from the International Agency for Research on Cancer,and the Cancer in Sub-Saharan reports.We searched EMBASE,PubMed,Web of Science,and Cochrane Central from inception to March 2019 and reviewed the list of articles retrieved.Random effects metaanalyses were used to assess heterogeneity between studies and to obtain odds ratio(OR)of the associations between EC and risk factors;and incidence rate ratios for EC between sexes with their respective 95%confidence intervals(CI).RESULTS The incidence of EC is higher in males than females,except in North Africa where it is similar for both sexes.The highest age-standardized rate is from Malawi(30.3 and 19.4 cases/year/100000 population for males and females,respectively)followed by Kenya(28.7 cases/year/100000 population for both sexes).The incidence of EC rises sharply after the age of 40 years and reaches a peak at 75 years old.Meta-analysis shows a strong association with tobacco(OR 3.15,95%CI:2.83-3.50).There was significant heterogeneity between studies on alcohol consumption(OR 2.28,95%CI:1.94-2.65)and on low socioeconomic status(OR 139,95%CI:1.25-1.54)as risk factors,but these could also contribute to increasing the incidence of EC.The best treatment outcomes were with esophagectomy with survival rates of 76.6%at 3 years,and chemo-radiotherapy with an overall combined survival time of 267.50 d.CONCLUSION Africa has high incidence and mortality rates of EC,with preventable and nonmodifiable risk factors.Men in this setting are at increased risk due to their higher prevalence of tobacco and alcohol consumption.Management requires a multidisciplinary approach,and survival is significantly improved in the setting of esophagectomy and chemoradiation therapy. | Akwi W Asombang Nathaniel Chishinga Alick Nkhoma Jackson Chipaila Bright Nsokolo Martha Manda-Mapalo Joao Filipe G Montiero Lewis Banda Kulwinder S Dua | 2019 | World Journal of Gastroenterology2019，25，31： | 9 |
| 2 | Personal contact,individuation,and the better-than-average effect显示文摘 | Alicke M D Klotz M L Breitenbecher D L | 1995 | Journal of Personality&Social Psychology1995，68，5： | 1 |
| 3 | Diaphragmatic hernia in the fetus:prenatal diagnosis and outcome in 94 cases显示文摘 | Adzick NS Harrison MR Alick PL | 1985 | Pediatr Surg1985，20，： | 1 |
| 4 | Global Self-evaluation as Determined by the Desirability and Controllability of Trait Adjectives 显示文摘 | Alicke M | 1985 | Journal of Personality and Social Psychology1985，，49： | 1 |
| 5 | Personal contact,individuation,and the better-thanaverage effect显示文摘 | Klotz M L Breitenbecher D L | 1995 | Journal of Personality and Social Psychology1995，68，： | 1 |
| 6 | Dispatching in flowshops with bottleneck machines显示文摘 | RAJENDRAN C ALICKE K | 2007 | Computer& Industrial Engineering2007，52，1： | 1 |
| 7 | Global self - evaluation as determined by the desirabil- ity and controllability of trait adjectives 显示文摘 | ALICKE M D | 1985 | Journal of Personality and Social Psychology1985，49，6： | 1 |
| 8 | Impact of nitrous acid photolysis on the total hydroxyl radical budget during the Limitation of Oxidant Production/Pianura Padana di ozone study in Milan显示文摘 | Alicke B Platt U Stutz J 2002 | 2002 | J Geophys Res2002，107，22： | 1 |
| 9 | The design and identification of brain penetrant inhibitors of phosphoinositide 3-kinase α显示文摘 | Heffron T P Salphati L Alicke B Cheong J Dotson J Edgar K | | 0，，： | 1 |
| 10 | Personal contact, individuation, and the better-than-average effect 显示文摘 | Alicke M D Klotz M L | 1995 | Journal of Personality and Social Psychology1995，68，4： | 1 |
| 11 | Small molecule inhibition of GDC-0449 refractory smoothened mutants and downstream mechanisms of drug resistance显示文摘 | Dijkgraaf GJ Alicke B Weinmann L | 2011 | Cancer Res2011，71，2： | 1 |
| 12 | Free radicals and fast photochemistry during BERLIOZ 显示文摘 | Platt U Alicke B Dubois R | 2002 | Journal of Atmospheric Chemistry2002，42，1： | 1 |
| 13 | Personal contact, individua- tion, and the better-than-average effect 显示文摘 | Alicke M D Klotz M L | 1995 | Journal of Personality and Social Psychology1995，68，： | 1 |
| 14 | Pharmacokinetic-pharma- codynamic analysis of vismodegib in preclinical models of mutational and ligand-dependent Hedgehog pathway activa- tion 显示文摘 | Wong H Alicke B West KA | 2011 | Clin Cancer Res2011，17，14： | 1 |
| 15 | Smoothened mutation confers resistance to a Hedgehog pathway inhibi- tor in medulloblastoma 显示文摘 | Yauch RL Dijkgraaf GJ Alicke B | 2009 | Science2009，326，5952： | 1 |
| 16 | Smoothened mutation confers resistance to a Hedgehog pathway inhibi- tor in medulloblastoma 显示文摘 | Yauch RL Dijkgraaf GJ Alicke B | 2009 | Science2009，326，5952： | 1 |
| 17 | Small molecule inhibition of GDC-0449 refractory smoothened mutants and downstream mechanisms of drug resistance 显示文摘 | Dijkgraaf GJ Alicke B Weinmann L | 2011 | Cancer Res2011，71，2： | 1 |
| 18 | Iodine oxide in the marine boundary layer显示文摘 | Alicke B Hebestreit K Platt U | 1999 | Nature1999，397，6720： | 1 |
| 19 | Smoothened mu- tation confers resistance to a Hedgehog pathway inhibitor in medulloblastoma显示文摘 | Yauch RL Dijkgraaf GJ Alicke B | 2009 | Science2009，326，： | 1 |
| 20 | Global self-evaluation as determined by the desirability and controllability of trait adjectives 显示文摘 | Alicke M D | 1985 | Journal of Personality and Social Psychology1985，49，6： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员