Serum Biomarkers of Iron Status and Risk of Primary Liver Cancer: A Systematic Review and Meta-Analysis.

Hereditary hemochromatosis, a disease which causes iron overload, has been shown to increase liver cancer risk but the association between serum iron levels within non-hemochromatosis population and liver cancer risk is unclear. We investigated this association by conducting a systematic review and...

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Publicado en:Nutrition & Cancer Vol. 71; no. 8; pp. 1365 - 1374
Autores principales: Tran, Kim Tu, Coleman, Helen G., McCain, Robert Stephen, Cardwell, Chris R.
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019
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      pub: Taylor & Francis Ltd
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        10.1080/01635581.2019.1609053
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        atl: Serum Biomarkers of Iron Status and Risk of Primary Liver Cancer: A Systematic Review and Meta-Analysis.
      aug:
        au:
          Tran, Kim Tu
          Coleman, Helen G.
          McCain, Robert Stephen
          Cardwell, Chris R.
        affil: Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK
      sug:
        subj:
          Biological Markers Blood
          Iron Blood
          Nutritional Status
          Liver Neoplasms Risk Factors
          Iron Overload Diagnosis
          Iron Overload Complications
          Human
          Systematic Review
          Meta Analysis
          Medline
          Embase
          Carcinoma, Hepatocellular
          Cholangiocarcinoma
          Prospective Studies
          Case Control Studies
          Confidence Intervals
          Ferritin Blood
          Transferrin Blood
          Hemochromatosis Familial and Genetic
      ab: Hereditary hemochromatosis, a disease which causes iron overload, has been shown to increase liver cancer risk but the association between serum iron levels within non-hemochromatosis population and liver cancer risk is unclear. We investigated this association by conducting a systematic review and meta-analysis. Medline, Embase, and Scopus were searched to identify articles published up to January 2019. The search incorporated terms for liver cancer (hepatocellular and cholangiocarcinoma) and for serum iron (iron, ferritin, and transferrin). Briefly, nested case-control or cohort studies were included if they recorded a measure of iron, prior to diagnosis, and contained liver cancer patients and controls. Meta-analysis techniques were used to calculate pooled hazard ratios (HRs) and investigate heterogeneity between studies. Nine relevant studies were identified. There was evidence of an association between high serum ferritin and primary liver cancer risk (six studies, HR 1.49, 95% CI 1.13, 1.96) and high serum iron and primary liver cancer risk (three studies, HR 2.47 95% CI 1.31, 4.63). However, these associations were subject to heterogeneity (I2 = 62%, P = 0.02 and I2=80%, P = 0.007, respectively). In conclusion, we found some evidence that increased iron levels was associated with primary liver cancer. The cause of this association merits additional research.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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