Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz

Abstract:  Studies show that patients with type 2 diabetes (DM2) have a higher risk of developing some type of cancer. Objective: to analyze the incidence and association between DM2 and cancer in patients from the “San Ricardo Pampuri” health center in Villa Carlos Paz. A ret...

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Autores principales: Díaz Gerevini , GT, Campanella , C, Lopez , C, Pigino , G, Priotto, S, Daín, A, Repossi, G
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/34931
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id I10-R327-article-34931
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic diabetes mellitus
cáncer
elderly adults
diabetes mellitus
cáncer
adultos mayores
.
spellingShingle diabetes mellitus
cáncer
elderly adults
diabetes mellitus
cáncer
adultos mayores
.
Díaz Gerevini , GT
Campanella , C
Lopez , C
Pigino , G
Priotto, S
Daín, A
Repossi, G
Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz
topic_facet diabetes mellitus
cáncer
elderly adults
diabetes mellitus
cáncer
adultos mayores
.
author Díaz Gerevini , GT
Campanella , C
Lopez , C
Pigino , G
Priotto, S
Daín, A
Repossi, G
author_facet Díaz Gerevini , GT
Campanella , C
Lopez , C
Pigino , G
Priotto, S
Daín, A
Repossi, G
author_sort Díaz Gerevini , GT
title Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz
title_short Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz
title_full Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz
title_fullStr Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz
title_full_unstemmed Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz
title_sort cancer and type 2 diabetes in an elderly population of villa carlos paz
description Abstract:  Studies show that patients with type 2 diabetes (DM2) have a higher risk of developing some type of cancer. Objective: to analyze the incidence and association between DM2 and cancer in patients from the “San Ricardo Pampuri” health center in Villa Carlos Paz. A retrospective observational study was carried out analyzing the medical records of 42,948 patients (years 2000-2018), 17,109 (39.8%) had DM2 and 332 had cancer (186M and 146H). The data analyzed were age, sex, type of cancer and suffering from DM2. Incidence ratios between sexes (RS = incidence in Men / incidence in Women) were calculated for some types of cancer. The work has ethical approval and corresponding confidentiality. Data were statistically analyzed with Infostat. Average age was 72 (DS 11) years for men and 68.5 (DS 12) for women (56% of the patients). 162 patients who developed cancer had DM2 (93M and 69H). In women with DM2 the incidences were: breast (51.6%), endometrium (7.5%), colon, pancreas and cervix (all with 6.5%). In women without DM2: breast (41.1%), colon (14.4%), cervix (7.8%), ovary and thyroid (both with 5.6%). In men with DM2 the incidences: prostate (27.9%), colon (19.1%), pancreas (8.8%), kidney (7.4%), Non-Hodgkin's Lymphoma and bladder (both with 5.9 %). In those without DM2 they were: prostate (40%), colon (18.8%), bladder (12.5%) and melanoma (5%). The highest incidence rates between sexes (SR) for patients with DM2 were: lung (4.1), colon (3), Non-Hodgkin's Lymphoma (2.7), kidney (2.3) and myeloma (2); in patients without DM2 they were bladder (3.8) and leukemia (2.3). It was observed that diabetic patients have a higher risk for pancreatic cancer (OR = 6.96; p = 0.01) and kidney (OR = 4.96; p = 0.01). Men showed a slightly increased risk for: colon (OR = 0.49; p = 0.02), bladder (OR = 0.16; p = 0.05) and kidney (OR = 0.29; p = 0 , 05). It was observed that patients without DM2 showed a slightly elevated risk for bladder cancer (OR = 0.33; p = 0.05) and melanoma (OR = 0.13; p = 0.05). Conclusions: Positive correlations were observed between cancer and age, for some tumors it could also be established with sex and DM2. Patients with DM2 showed an increased risk for pancreatic and kidney cancer and a small decrease in risk for bladder and melanoma.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/34931
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spelling I10-R327-article-349312024-04-15T16:19:09Z Cancer and type 2 diabetes in an elderly population of Villa Carlos Paz Cáncer y diabetes tipo 2 en una población de adultos mayores de Villa Carlos Paz A Díaz Gerevini , GT Campanella , C Lopez , C Pigino , G Priotto, S Daín, A Repossi, G diabetes mellitus cáncer elderly adults diabetes mellitus cáncer adultos mayores . Abstract:  Studies show that patients with type 2 diabetes (DM2) have a higher risk of developing some type of cancer. Objective: to analyze the incidence and association between DM2 and cancer in patients from the “San Ricardo Pampuri” health center in Villa Carlos Paz. A retrospective observational study was carried out analyzing the medical records of 42,948 patients (years 2000-2018), 17,109 (39.8%) had DM2 and 332 had cancer (186M and 146H). The data analyzed were age, sex, type of cancer and suffering from DM2. Incidence ratios between sexes (RS = incidence in Men / incidence in Women) were calculated for some types of cancer. The work has ethical approval and corresponding confidentiality. Data were statistically analyzed with Infostat. Average age was 72 (DS 11) years for men and 68.5 (DS 12) for women (56% of the patients). 162 patients who developed cancer had DM2 (93M and 69H). In women with DM2 the incidences were: breast (51.6%), endometrium (7.5%), colon, pancreas and cervix (all with 6.5%). In women without DM2: breast (41.1%), colon (14.4%), cervix (7.8%), ovary and thyroid (both with 5.6%). In men with DM2 the incidences: prostate (27.9%), colon (19.1%), pancreas (8.8%), kidney (7.4%), Non-Hodgkin's Lymphoma and bladder (both with 5.9 %). In those without DM2 they were: prostate (40%), colon (18.8%), bladder (12.5%) and melanoma (5%). The highest incidence rates between sexes (SR) for patients with DM2 were: lung (4.1), colon (3), Non-Hodgkin's Lymphoma (2.7), kidney (2.3) and myeloma (2); in patients without DM2 they were bladder (3.8) and leukemia (2.3). It was observed that diabetic patients have a higher risk for pancreatic cancer (OR = 6.96; p = 0.01) and kidney (OR = 4.96; p = 0.01). Men showed a slightly increased risk for: colon (OR = 0.49; p = 0.02), bladder (OR = 0.16; p = 0.05) and kidney (OR = 0.29; p = 0 , 05). It was observed that patients without DM2 showed a slightly elevated risk for bladder cancer (OR = 0.33; p = 0.05) and melanoma (OR = 0.13; p = 0.05). Conclusions: Positive correlations were observed between cancer and age, for some tumors it could also be established with sex and DM2. Patients with DM2 showed an increased risk for pancreatic and kidney cancer and a small decrease in risk for bladder and melanoma. Resumen:  Numerosos estudios demuestran que pacientes con diabetes tipo 2 (DM2) tienen mayor riesgo de desarrollar algún tipo de cáncer. Objetivo del estudio: analizar la incidencia y asociación entre DM2 y cáncer en pacientes del centro de salud “San Ricardo Pampuri” de Villa Carlos Paz.  Se realizó un estudio observacional retrospectivo analizando historias clínicas de 42948 pacientes  (años 2000-2018), 17109 (39,8%) padecían DM2 y 332  presentaron  cáncer (186M y 146H). Los datos analizados fueron edad, sexo, tipo de cáncer y padecer DM2. Se calcularon ratios de incidencia entre sexos (RS=incidencia Hombres/incidencia Mujeres) para algunos tipos de cáncer.  El trabajo cuenta con  aprobación ética y confidencialidad correspondiente. Se analizaron los datos estadísticamente con Infostat. Edad promedio fue 72(DS 11) años hombres y 68,5 (DS 12) mujeres (56% de los pacientes). 162 pacientes que desarrollaron cáncer tenían DM2 (93M y 69H). En mujeres con DM2  incidencias fueron: mama (51,6%), endometrio (7,5%), colon, páncreas y cuello de útero (todos con 6,5%). En mujeres sin DM2: mama (41,1%), colon (14,4%), cuello de útero (7,8%) ovario y tiroides (ambos con 5,6%). En hombres con DM2 las incidencias: próstata (27,9%), colon (19,1%), páncreas (8,8%), riñón (7,4%), Linfoma No Hodgkin y vejiga (ambos con 5,9%). En aquellos sin DM2 fueron: próstata (40%), colon (18,8%), vejiga (12,5%) y melanoma (5%). Las ratios de incidencia entre sexos (RS) más altos para pacientes con DM2 fueron: pulmón (4,1), colon (3), Linfoma No Hodgkin (2,7), riñón (2,3) y mieloma (2); en pacientes sin DM2 fueron vejiga (3,8) y leucemia (2,3). Se observó que pacientes diabéticos tienen un riesgo mayor para cáncer de páncreas (OR=6,96; p=0,01) y riñón (OR=4,96; p=0,01). Los hombres mostraron un riesgo levemente aumentado para: colon (OR=0,49; p=0,02), vejiga (OR=0,16; p=0,05) y riñón (OR=0,29; p=0,05). Se observó que pacientes sin DM2 mostraron un riesgo ligeramente elevado para cáncer de vejiga (OR=0,33; p=0,05) y melanoma (OR=0,13; p=0,05).  Conclusiones:  Se observaron correlaciones positivas entre cáncer y edad, para algunos tumores también se pudieron establecer con sexo y DM2.  Los pacientes con DM2 mostraron un riesgo mayor para cáncer de páncreas y riñón y una pequeña disminución del riesgo para vejiga y melanoma. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34931 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0