JAMA Internal Medicine,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 14, 2025
Importance
Approximately
93
million
computed
tomography
(CT)
examinations
are
performed
on
62
patients
annually
in
the
United
States,
and
ionizing
radiation
from
CT
is
a
known
carcinogen.
Objective
To
project
number
of
future
lifetime
cancers
US
population
associated
with
imaging
2023.
Design,
Setting,
Participants
This
risk
model
used
multicenter
sample
prospectively
assembled
between
January
2018
December
2020
University
California
San
Francisco
International
Dose
Registry.
Data
analysis
was
conducted
October
2023
to
2024.
Main
Outcomes
Measures
Distributions
organ-specific
doses
were
estimated
by
patient
age,
sex,
category
scaled
based
2023,
quantified
IMV
national
survey.
Lifetime
radiation-induced
cancer
incidence
90%
uncertainty
limits
(UL)
using
National
Cancer
Institute
software
Research
Council’s
Biological
Effects
Ionizing
Radiation
VII
models
projected
examination
counts.
Results
An
61
510
000
underwent
including
2
570
(4.2%)
children,
58
940
(95.8%)
adults,
32
600
(53.0%)
female
patients,
28
910
(47.0%)
male
patients.
103
(90%
UL,
96
400-109
500)
result
these
examinations.
Estimated
risks
higher
children
adolescents,
yet
utilization
adults
accounted
for
most
(93
000;
86
900-99
[91%])
cancers.
The
common
lung
(22
400
cases;
20
200-25
cases),
colon
(8700
7800-9700
leukemia
(7900
6700-9500
bladder
(7100
cases,
6000-8500
cases)
overall,
while
breast
second
(5700
5000-6500
cases).
largest
abdomen
pelvis
reflecting
37
500
(37%)
30
(32%),
followed
chest
(21
[21%];
[21%]).
Estimates
remained
large
over
variety
sensitivity
analyses,
which
resulted
range
80
127
across
analyses.
Conclusions
Relevance
study
found
that
at
current
dose
levels,
approximately
course
exposed
If
practices
persist,
CT-associated
could
eventually
account
5%
all
new
diagnoses
annually.
CA A Cancer Journal for Clinicians,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 16, 2025
ABSTRACT
Each
year,
the
American
Cancer
Society
estimates
numbers
of
new
cancer
cases
and
deaths
in
United
States
compiles
most
recent
data
on
population‐based
occurrence
outcomes
using
incidence
collected
by
central
registries
(through
2021)
mortality
National
Center
for
Health
Statistics
2022).
In
2025,
2,041,910
618,120
are
projected
to
occur
States.
The
rate
continued
decline
through
2022,
averting
nearly
4.5
million
since
1991
because
smoking
reductions,
earlier
detection
some
cancers,
improved
treatment.
Yet
alarming
disparities
persist;
Native
people
bear
highest
mortality,
including
rates
that
two
three
times
those
White
kidney,
liver,
stomach,
cervical
cancers.
Similarly,
Black
have
two‐fold
higher
than
prostate,
uterine
corpus
Overall
has
generally
declined
men
but
risen
women,
narrowing
male‐to‐female
ratio
(RR)
from
a
peak
1.6
(95%
confidence
interval,
1.57–1.61)
1992
1.1
1.12–1.12)
2021.
However,
women
aged
50–64
years
already
surpassed
(832.5
vs.
830.6
per
100,000),
younger
(younger
50
years)
an
82%
their
male
counterparts
(141.1
77.4
up
51%
2002.
Notably,
lung
among
65
2021
(15.7
15.4
100,000;
RR,
0.98,
p
=
0.03).
summary,
continues
decline,
future
gains
threatened
rampant
racial
inequalities
growing
burden
disease
middle‐aged
young
adults,
especially
women.
Continued
progress
will
require
investment
prevention
access
equitable
treatment,
individuals.
Inorganics,
Год журнала:
2024,
Номер
12(12), С. 331 - 331
Опубликована: Дек. 18, 2024
A
type
of
nanoparticle
has
been
developed
to
simultaneously
alleviate
tumor
hypoxia
and
enhance
the
effectiveness
sonodynamic
therapy
aimed
at
improving
cancer
treatment
outcomes.
Small-sized
iron–platinum
nanoparticles
were
prepared
using
a
thermal
reduction
method,
their
particle
size
crystal
structure
characterized.
The
ability
these
decompose
hydrogen
peroxide
produce
oxygen
generate
singlet
under
ultrasound
irradiation
was
further
tested.
effect
on
inhibition
proliferation
MCF-7
cells
hypoxic
conditions
also
evaluated.
effectively
decomposed
oxygen,
reversing
environment
tumors.
Additionally,
they
generated
irradiation,
which
killed
inhibited
proliferation.
This
study
successfully
small-sized
that
can
by
decomposing
excess
in
oxygen.
Under
inhibiting
growth.
demonstrated
good
safety
are
potentially
valuable
enhancing
oxygen-enhanced
therapy.
European Journal of Cancer,
Год журнала:
2025,
Номер
217, С. 115232 - 115232
Опубликована: Янв. 10, 2025
Highlights•33%
of
new
cancer
cases
in
Norway
2016-20
were
attributed
to
12
modifiable
factors•Tobacco
smoking
causes
the
largest
proportion
preventable
cases•Ultraviolet
radiation
and
overweight
obesity
next
important
factors•Skin,
lung,
colon
breast
cancers
have
highest
number
casesAbstractBackgroundTargeting
factors
offers
significant
potential
for
primary
prevention.
For
public
health
strategies,
it
is
essential
quantify
contribution
from
each
factor
on
a
national
level.
We
estimated
incidence
Norwegian
population.MethodsNationally
representative
data
(1990-2015)
prevalence
tobacco
smoking,
over-exposure
ultraviolet
(UVR),
alcohol
consumption,
physical
inactivity,
obesity,
intake
processed
red
meat,
fibre
calcium,
menopausal
hormone
therapy
(MHT),
human
papilloma
virus
(HPV)
infection
insufficient
breastfeeding
collected
surveys.
Using
these
prevalences,
risk
estimates
exposures,
average
annual
rates
2016-2020,
we
population-attributable
fractions
(PAFs)
numbers
cases.ResultsOf
24,608
related
our
included
factors,
12,12,250
(6,240
women
6,009
men)
(41%)
factors.
Tobacco
caused
cases,
20%
men
13%
women.
Sunburn
indoor
tanning
10%
women,
respectively,
4.5%
cases.
Cancers
skin,
female
had
cases.ConclusionOver
third
Based
this
study,
efforts
reduce
UVR
over-exposure,
could
be
most
effective
prevention
cancer.
Importance
Preclinical,
observational,
and
pharmacoepidemiology
evidence
indicates
that
glucagon-like
peptide
1
receptor
agonists
(GLP-1RAs)
may
reduce
alcohol
intake.
Randomized
trials
are
needed
to
determine
the
clinical
significance
of
these
findings.
Objective
To
evaluate
effects
once-weekly
subcutaneous
semaglutide
on
consumption
craving
in
adults
with
use
disorder
(AUD).
Design,
Setting,
Participants
This
was
a
phase
2,
double-blind,
randomized,
parallel-arm
trial
involving
9
weeks
outpatient
treatment.
Enrollment
occurred
at
an
academic
medical
center
US
from
September
2022
February
2024.
Of
504
potential
participants
assessed,
48
non–treatment-seeking
AUD
were
randomized.
Intervention
received
(0.25
mg/week
for
4
weeks,
0.5
1.0
mg
week)
or
placebo
weekly
clinic
visits.
Main
Outcomes
Measures
The
primary
outcome
laboratory
self-administration,
measured
pretreatment
posttreatment
(0.5
mg/week).
Secondary
exploratory
outcomes,
including
prospective
changes
craving,
assessed
Results
Forty-eight
(34
[71%]
female;
mean
[SD]
age,
39.9
[10.6]
years)
Low-dose
reduced
amount
consumed
during
self-administration
task,
medium
large
effect
sizes
grams
(β,
−0.48;
95%
CI,
−0.85
−0.11;
P
=
.01)
peak
breath
concentration
−0.46;
−0.87
−0.06;
.03).
Semaglutide
treatment
did
not
affect
average
drinks
per
calendar
day
number
drinking
days,
but
significantly
−0.41;
−0.73
−0.09;
.04)
−0.39;
.01),
also
predicting
greater
reductions
heavy
over
time
relative
0.84;
0.71
0.99;
.04).
A
significant
treatment-by-time
interaction
indicated
predicted
cigarettes
subsample
individuals
current
cigarette
−0.10;
−0.16
−0.03;
.005).
Conclusions
Relevance
These
findings
provide
initial
low-dose
can
some
justifying
larger
GLP-1RAs
disorder.
Trial
Registration
ClinicalTrials.gov
Identifier:
NCT05520775
Frontiers in Oncology,
Год журнала:
2025,
Номер
15
Опубликована: Фев. 26, 2025
Colorectal
cancer
(CRC)
ranks
among
the
highest
in
incidence
and
mortality
rates
globally.
A
significant
portion
of
cases
deaths
can
be
attributed
to
modifiable
risk
factors,
with
smoking,
alcohol
use,
high
body
mass
index
(BMI)
being
three
most
prominent.
However,
impact
these
factors
on
across
regions,
genders,
age
groups
remains
insufficiently
characterized.
Utilizing
data
from
Global
Burden
Disease
(GBD)
study
2019,
restrictive
cubic
splines
(RCS)
quantile
regression
analyses
are
applied
explore
relationship
between
Socio-Demographic
Index
(SDI)
ASMR
or
ASDR.
Additionally,
gender
differences,
changes
different
SDI
levels,
group
trends
BMI
over
30-year
period
analyzed.
The
Bayesian
age-period-cohort
(BAPC)
model
is
employed
predict
2020
2030,
aiming
epidemiological
sociodemographic
transitions
disease
burden
BMI.
In
number
colorectal
globally
attributable
as
consumption,
obesity
increased
142,931,
52,495,
85,882
respectively,
collectively
accounting
for
approximately
one-third
all
cancer-related
deaths.
Notably,
there
an
upward
trend
early-onset
associated
factors.
To
reduce
cancer,
it
recommended
enhance
health
education,
promote
smoking
cessation
moderation,
increase
coverage
participation
screening,
which
crucial
lowering
rates.
These
findings
vital
development
public
policies
intervention
measures
global
burden.
They
provide
guidance
prevention
worldwide.
Lung
cancer
remains
a
major
global
health
challenge
and
one
of
the
leading
causes
cancer-related
deaths
worldwide.
Despite
significant
advancements
in
treatment,
challenges
such
as
drug
resistance,
side
effects,
metastasis
recurrence
continue
to
impact
patient
outcomes
quality
life.
In
response,
there
is
growing
interest
complementary
integrative
approaches
care.
Traditional
Chinese
medicine
(TCM),
with
its
long
history,
abundant
clinical
experience,
holistic
perspective
individualized
approach,
has
garnered
increasing
attention
for
role
lung
prevention
management.
This
review
provides
comprehensive
overview
advances
TCM
covering
theoretical
foundation,
treatment
principles,
experiences
evidence
supporting
efficacy.
We
also
provide
systematic
summary
preclinical
mechanisms,
through
which
impacts
cancer,
including
induction
cell
death,
reversal
inhibition
modulation
immune
responses.
Additionally,
future
prospects
are
discussed,
offering
insights
into
expanded
application
integration
modern
address
this
challenging
disease.
CA A Cancer Journal for Clinicians,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 25, 2025
Lung
cancer
mortality
rates
in
the
United
States
have
declined
steeply
recent
decades,
largely
because
of
substantial
reductions
smoking
prevalence,
as
approximately
85%
lung
deaths
are
attributable
to
cigarette
smoking.
In
this
study,
authors
estimate
number
averted
and
corresponding
person-years
life
gained
during
1970-2022
a
measure
progress
prevention
through
tobacco
control.
By
using
National
Center
for
Health
Statistics
data
(with
national
coverage),
calculated
expected
each
year,
age,
sex,
race,
age
group
based
on
death
rate
multiplied
by
population
at
risk
that
group.
The
were
subtracting
observed
from
Person-years
estimated
avoided
premature
average
additional
years
person
would
lived
if
they
had
not
died
cancer.
3,856,240
(2,246,610
men,
1,609,630
women)
averted,
76,275,550
(40,277,690
35,997,860
1970-2022,
with
an
19.8
(17.9
22.4
per
death.
accounted
51.4%
declines
overall
was
substantially
greater
men
(60.1%)
than
women
(42.7%).
proportion
53.6%
White
(62.8%
44.6%
40.0%
Black
(44.4%
34.7%
women).
numbers
highlight
remarkable
effect
against
reducing
Laryngoscope Investigative Otolaryngology,
Год журнала:
2025,
Номер
10(1)
Опубликована: Янв. 7, 2025
Abstract
Objective
Although
an
association
exists
between
dietary
habits
and
head
neck
cancer
(HNC),
the
direct
cause‐and‐effect
connection
remains
elusive.
Our
objective
was
to
investigate
causal
associations
factors
likelihood
of
developing
HNC.
Methods
Genome‐wide
study
(GWAS)
summary
statistics
for
were
screened
from
UK
Biobank,
OncoArray
Oral
Cavity
Oropharyngeal
Cancer
consortium,
FinnGen
biobank
A
two‐sample
Mendelian
randomization
(MR)
analysis
utilized
establish
causality.
The
primary
method
inverse
variance
weighting
(IVW).
Results
Clear
evidence
existed
dried
fruit
intake
HNC
in
both
cohorts
(OncoArray
consortium:
IVW
OR
=
0.183;
95%
CI,
0.037–0.915;
p
.03864;
FinnGen:
0.281;
0.115–0.688;
.00547).
In
addition,
fresh
(IVW‐mre
0.066;
0.011–0.413;
.00369),
beef
(IVW
15.094;
1.950–116.853;
.00934),
lamb/mutton
intakes
5.799;
1.044–32.200;
.0448)
significantly
associated
with
consortium
cohort.
Conclusions
Dried
may
be
a
protective
factor
against
red
meat
warrants
careful
interpretation.
Additional
studies
are
necessary
explore
potential
mechanisms
further
evidence.
Level
evidence:
III
Abstract
Background
Lifestyle
choices,
such
as
dietary
patterns
and
sleep
duration,
significantly
impact
the
health
of
digestive
system
may
influence
risk
mortality
from
cancer.
Methods
This
study
aimed
to
examine
associations
between
habits,
cancers.
The
analysis
included
406,584
participants
UK
Biobank
cohort
(54.1%
women;
age
range:
38–73
years),
with
duration
classified
short
(≤
6
h,
24.2%),
normal
(7–8
68.4%),
long
(≥
9
7.4%).
Healthy
eating
habits
were
defined
a
daily
intake
at
least
25
g
fibre,
seven
portions
fruits
vegetables,
fewer
than
four
servings
meat
per
week.
These
factors
combined
into
score
ranging
0
(least
healthy)
3
(healthiest).
Cox
proportional
hazards
regression
analyses
conducted,
median
follow-up
period
12.6
years,
ending
on
September
30,
2021.
Results
3949
died
cancer
system.
Both
associated
an
increased
(1.09
(1.01–1.18)
1.14
(1.03–1.27),
respectively).
Additionally,
diet
≥
1
was
linked
lower
(0.72–0.91
(0.59–0.96)).
Adjusting
for
smoking,
type
2
diabetes,
body
mass
index
(BMI)
status
eliminated
association
mortality.
healthy
did
not
vary
by
duration.
Conclusions
Aberrant
durations
increase
cancer,
potentially
through
higher
BMI,
diabetes.
However,
aberrant
do
seem
reduce
protective
effects
pattern.
Healthcare,
Год журнала:
2025,
Номер
13(3), С. 338 - 338
Опубликована: Фев. 6, 2025
Background/Objectives:
Rural
populations
in
the
US
bear
a
disproportionate
burden
of
cancer
mortality,
which
may
be
partly
due
to
their
elevated
tobacco
use
and
limited
receipt
interventions
rural
healthcare
settings.
Here,
we
examine
providers’
5As
(Ask,
Advise,
Assess,
Assist,
Arrange),
brief
cessation
intervention,
with
patients
assess
intervention
gaps.
Methods:
Provider
practices
substance
treatment
centers
(SUTCs)
medical
(MHCs),
each
serving
and/or
medically
underserved
areas
(MUAs)
Texas,
were
compared.
In
total,
347
providers
from
10
SUTCs
(n
=
174)
9
MHCs
173)
responded
an
anonymized
survey
about
cigarette
non-cigarette
screening
delivery,
along
perceived
importance
workforce’s
preparedness
help
stop
using
tobacco.
Linear
mixed
generalized
linear
models
used
differences
between
at
MHCs.
Results:
More
MHC
than
SUTC
reported
that
(respectively)
important
parts
job
(p
0.0009;
p
0.0023)
workforce
was
prepared
quit
0.0275),
although
less
half
all
respondents
endorsed
preparedness.
Relative
those
SUTCs,
higher
rates
asking
(SUTCs
59.57%
77.21%;
0.0182)
advising
45.34%
72.35%;
0.0017)
smoking
them
products
43.94%
71.76%;
0.0016).
Conclusions:
Overall,
both
settings
benefit
greater
preparation
deliver
care;
needs
more
prevalent
within
Our
findings
can
inform
strategic
planning
improve
centers’
capacity
comprehensively
address
patients’
rural/MUAs
US.