dc.contributor.author | Swerdlow, AJ | |
dc.contributor.author | Jones, ME | |
dc.contributor.author | Slater, SD | |
dc.contributor.author | Burden, ACF | |
dc.contributor.author | Botha, JL | |
dc.contributor.author | Waugh, NR | |
dc.contributor.author | Morris, AD | |
dc.contributor.author | Gatling, W | |
dc.contributor.author | Gillespie, KM | |
dc.contributor.author | Patterson, CC | |
dc.contributor.author | Schoemaker, MJ | |
dc.coverage.spatial | United States | |
dc.date.accessioned | 2023-08-15T14:19:03Z | |
dc.date.available | 2023-08-15T14:19:03Z | |
dc.date.issued | 2023-08-01 | |
dc.identifier.citation | International Journal of Cancer, 2023, 153 (3), pp. 512 - 523 | en_US |
dc.identifier.issn | 0020-7136 | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/5940 | |
dc.identifier.eissn | 1097-0215 | |
dc.identifier.eissn | 1097-0215 | |
dc.identifier.doi | 10.1002/ijc.34548 | |
dc.description.abstract | Type 2 diabetes is associated with raised risk of several cancers, but for type 1 diabetes risk data are fewer and inconsistent We assembled a cohort of 23 473 UK patients with insulin-treated diabetes diagnosed at ages <30, almost all of whom will have had type 1 diabetes, and for comparison 5058 diagnosed at ages 30 to 49, of whom we estimate two-thirds will have had type 2, and followed them for an average of 30 years for cancer incidence and mortality compared with general population rates. Patients aged <30 at diabetes diagnosis had significantly raised risks only for ovarian (standardised incidence ratio = 1.58; 95% confidence interval 1.16-2.11; P < .01) and vulval (3.55; 1.94-5.96; P < .001) cancers, with greatest risk when diabetes was diagnosed at ages 10-14. Risks of cancer overall (0.89; 0.84-0.95; P < .001) and sites including lung and larynx were significantly diminished. Patients diagnosed with diabetes at ages 30 to 49 had significantly raised risks of liver (1.76;1.08-2.72) and kidney (1.46;1.03-2.00) cancers, and reduced risk of cancer overall (0.89; 0.84-0.95). The raised ovarian and vulval cancer risks in patients with type 1 diabetes, especially with diabetes diagnosed around pubertal ages, suggest possible susceptibility of these organs at puberty to metabolic disruption at diabetes onset. Reduced risk of cancer overall, particularly smoking and alcohol-related sites, might reflect adoption of a healthy lifestyle. | |
dc.format | Print-Electronic | |
dc.format.extent | 512 - 523 | |
dc.language | eng | |
dc.language.iso | eng | en_US |
dc.publisher | WILEY | en_US |
dc.relation.ispartof | International Journal of Cancer | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
dc.subject | cancer | |
dc.subject | cohort | |
dc.subject | type 1 diabetes | |
dc.subject | Humans | |
dc.subject | Diabetes Mellitus, Type 1 | |
dc.subject | Diabetes Mellitus, Type 2 | |
dc.subject | Risk Factors | |
dc.subject | Follow-Up Studies | |
dc.subject | Incidence | |
dc.subject | Neoplasms | |
dc.subject | United Kingdom | |
dc.title | Cancer incidence and mortality in 23 000 patients with type 1 diabetes in the UK: Long-term follow-up. | en_US |
dc.type | Journal Article | |
dcterms.dateAccepted | 2023-04-03 | |
dc.date.updated | 2023-08-15T14:17:35Z | |
rioxxterms.version | VoR | en_US |
rioxxterms.versionofrecord | 10.1002/ijc.34548 | en_US |
rioxxterms.licenseref.startdate | 2023-08-01 | |
rioxxterms.type | Journal Article/Review | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/37190903 | |
pubs.issue | 3 | |
pubs.organisational-group | /ICR | |
pubs.organisational-group | /ICR/Primary Group | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Genetics and Epidemiology | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Genetics and Epidemiology/Integrative Cancer Epidemiology | |
pubs.publication-status | Published | |
pubs.publisher-url | http://dx.doi.org/10.1002/ijc.34548 | |
pubs.volume | 153 | |
icr.researchteam | Integrative Cancer Epidem | en_US |
dc.contributor.icrauthor | Jones, Michael | |
icr.provenance | Deposited by Mr Arek Surman (impersonating Prof Robert Huddart) on 2023-08-15. Deposit type is initial. No. of files: 1. Files: Intl Journal of Cancer - 2023 - Swerdlow.pdf | |