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The widespread application of trans-oral robotic surgery in HPV-related head and neck cancer: one size does not fit all. 经口机器人手术在hpv相关头颈癌中的广泛应用:一种方式不适合所有人。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-19 DOI: 10.1093/jnci/djae291
Mihir R Patel, Barbara Burtness, Robert L Ferris, Nabil F Saba
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引用次数: 0
Reducing-a little-the high price of randomized trials of the efficacy of multicancer early detection. 稍微降低了多癌早期检测的随机试验的高成本。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-19 DOI: 10.1093/jnci/djae292
Noel S Weiss
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引用次数: 0
Editor's Note: Critical Role for Fas-Associated Death Domain - Like Interleukin-1 - Converting Enzyme - Like Inhibitory Protein in Anoikis Resistance and Distant Tumor Formation. 编者注:fas相关死亡结构域样白介素-1转换酶样抑制蛋白在Anoikis耐药性和远处肿瘤形成中的关键作用。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-11 DOI: 10.1093/jnci/djae311
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引用次数: 0
Response to Liu and Zhang. 对刘和张的回应。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-10 DOI: 10.1093/jnci/djae325
Rong Xu
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引用次数: 0
RE:GLP-1 receptor agonists and pancreatic cancer risk: target trial emulation using real-world data. RE:GLP-1受体激动剂和胰腺癌风险:使用真实世界数据的靶试验模拟。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-10 DOI: 10.1093/jnci/djae324
Xiaoxia Liu, Chong-Jie Zhang
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引用次数: 0
HPV genotype-specific prevalence and infection risks: A 10-year population-based study from the United States. HPV基因型特异性患病率和感染风险:美国一项为期10年的基于人群的研究
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-10 DOI: 10.1093/jnci/djae327
Cosette M Wheeler, Rachael Adcock, William C Hunt, Michael Robertson, Norah E Torrez-Martinez, Ruth McDonald, Emily Merchasin, Steven Jenison, Debbie Saslow, Nancy E Joste, Philip E Castle, Jane J Kim, Jack Cuzick

Background: Various studies have reported on the impact of human papillomavirus (HPV) vaccines. Here we present the largest population-based investigation of genotype-specific distributions over the decade following implementation of the 4-valent HPV vaccine (HPV6/11/16/18) in the United States.

Methods: Liquid-based cervical cytology samples from individuals aged 15-30 years undergoing cervical screening throughout New Mexico were tested by broad-spectrum HPV genotyping. Weighted relative differences in HPV type-specific prevalence (RDP) and 95% confidence intervals (95%CI) were calculated comparing individuals screened in 2007-2009 (n = 95,915) to those screened in 2013-2016 (n = 103,371). Weighted logistic regression was used to estimate relative risk of type-specific HPV infections. Tests of significance were 2-sided.

Results: Genotype-specific prevalence reduced significantly for HPV16 (RDP=-52.6%, 95%CI -56.9 to -48.3), HPV18 (RDP=-62.1%, 95%CI -68.5 to -55.8), HPV31 (RDP=-34.2%, 95%CI -42.1 to -26.3) and HPV33 (RDP=-31.8%, 95%CI -48.4 to -15.1). The RDP increased for other carcinogenic HPV types by 19.5% (95%CI +14.3 to + 24.6) when excluding HPV16/18. Large reductions in HPV6/11 RDP were observed but overall, non-carcinogenic, non-vaccine types increased. Comparing females born in 1996 to those born in 1989, risk of infection with HPV6/11/16/18 decreased by 80.0% among individuals aged 21-25 years. High-grade squamous intraepithelial lesions or worse (HSIL+) decreased by 49.4% when extending the evaluation from 2007 to 2018.

Conclusion(s): HSIL+ incidence is decreasing with large reductions in the prevalence of 4-valent HPV vaccine types and non-vaccine types HPV31 and 33, reflecting vaccine cross-protection. Increases in non-vaccine HPVs may attenuate anticipated reductions in HPV-related abnormalities including cancers however the benefits of HPV vaccination remain substantial.

背景:各种研究报道了人乳头瘤病毒(HPV)疫苗的影响。在这里,我们提出了在美国实施4价HPV疫苗(HPV6/11/16/18)后的十年中最大规模的基于人群的基因型特异性分布调查。方法:在新墨西哥州接受宫颈筛查的15-30岁个体的液体宫颈细胞学样本进行广谱HPV基因分型检测。比较2007-2009年筛查的个体(n = 95,915)与2013-2016年筛查的个体(n = 103,371),计算HPV类型特异性患病率(RDP)和95%置信区间(95% ci)的加权相对差异。加权逻辑回归用于估计类型特异性HPV感染的相对风险。显著性检验为双侧检验。结果:HPV16 (RDP=-52.6%, 95%CI为-56.9 ~ -48.3)、HPV18 (RDP=-62.1%, 95%CI为-68.5 ~ -55.8)、HPV31 (RDP=-34.2%, 95%CI为-42.1 ~ -26.3)和HPV33 (RDP=-31.8%, 95%CI为-48.4 ~ -15.1)的基因型特异性患病率显著降低。当排除HPV16/18时,其他致癌型HPV的RDP增加了19.5% (95%CI +14.3至+ 24.6)。观察到HPV6/11 RDP大幅下降,但总体而言,非致癌,非疫苗类型增加。与1989年出生的女性相比,1996年出生的女性感染HPV6/11/16/18的风险在21-25岁的个体中降低了80.0%。结论(5):随着4价HPV疫苗型和非疫苗型HPV31和33的患病率大幅下降,HSIL+的发病率呈下降趋势,反映了疫苗的交叉保护作用。非疫苗HPV的增加可能会减弱HPV相关异常(包括癌症)的预期减少,但HPV疫苗接种的好处仍然很大。
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引用次数: 0
Editor's Note: Modulation of Pancreatic Cancer Chemoresistance by Inhibition of TAK1. 编者注:通过抑制TAK1调节胰腺癌化疗耐药。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-09 DOI: 10.1093/jnci/djae312
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引用次数: 0
Real-world impact of the platinum chemotherapy shortage on US patients with advanced cancer. 铂类化疗药物短缺对美国晚期癌症患者的现实影响
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-03 DOI: 10.1093/jnci/djae307
Jacob B Reibel, Lova L Sun, Ravi B Parikh, Nadim Mahmud, Lainie P Martin, Rebecca A Hubbard, Ronac Mamtani

The recent cisplatin and carboplatin ("platinum") chemotherapy shortage, first announced on February 10, 2023, has impacted cancer patients nationwide. Here, we quantify the extent to which the shortage affected platinum chemotherapy prescribing and short-term mortality. This cohort study included 11 797 adults with advanced solid cancers who initiated first-line therapy during the 1-year period before (February 1, 2022-February 9, 2023) or during (February 10, 2023-January 31, 2024) the platinum shortage. During the shortage, there was a 2.7% absolute reduction in platinum use (95% CI = -4.4% to -0.9%) compared to the previous year. At the peak of the shortage, there was a 15.1% absolute reduction in platinum prescribing (June 2023: 57.8% [95% CI = 53.6% to 62.0%]) compared to 1 year prior (June 2022: 72.9% [95% CI = 70.7% to 75.2%]). There was no difference in mortality before vs during the shortage (adjusted hazard ratio 1.00; 95% CI = 0.94 to 1.07) with median follow-up time of 7.6 months. Further research is required to study shortage impacts on long-term mortality.

最近,自2023年2月10日首次宣布的顺铂和卡铂(“铂”)化疗短缺,已经影响了全国的癌症患者。在这里,我们量化了短缺对铂类化疗处方和短期死亡率的影响程度。该队列研究包括11797名晚期实体癌成人患者,他们在铂短缺之前(2022年2月1日至2023年2月9日)或期间(2023年2月10日至2024年1月31日)的1年内开始一线治疗。在短缺期间,与前一年相比,铂的使用量绝对减少了2.7% (95% CI = -4.4%至-0.9%)。在短缺的高峰期,与一年前(2022年6月:72.9% [95% CI = 70.7%至75.2%])相比,铂金处方绝对减少了15.1%(2023年6月:57.8% [95% CI = 53.6%至62.0%])。短缺前与短缺期间的死亡率没有差异(调整风险比1.00;95% CI = 0.94 ~ 1.07),中位随访时间7.6个月。需要进一步研究短缺对长期死亡率的影响。
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引用次数: 0
Expanding the list of cancers recognized to be caused by infectious agents. 扩大公认的由传染性病原体引起的癌症清单。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-01 DOI: 10.1093/jnci/djae185
Gary M Clifford
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引用次数: 0
Probing the relevance of BRCA1 and BRCA2 germline pathogenic variants beyond breast and ovarian cancer. 探究 BRCA1 和 BRCA2 基因致病变异与乳腺癌和卵巢癌之外的其他疾病的相关性。
IF 9.9 1区 医学 Q1 ONCOLOGY Pub Date : 2024-12-01 DOI: 10.1093/jnci/djae184
William D Foulkes, Paz Polak
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引用次数: 0
期刊
JNCI Journal of the National Cancer Institute
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