국민건강보험공단 자료를 활용한 전립샘암 발생의 위험요인 연구: 연령별 BMI 영향
A Study on Risk Factors of the Incidence of Prostate Cancer Using National Health Insurance Service: Effects of BMI on Age
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Objectives: To provide evidences for effective management and prevention of prostate cancer (PCa) by analyzing risk factors of prostate cancer in Korea. Methods: This study utilized the Korean National Health Insurance Service data of patients diagnosed with PCa between 2013 and 2017 and the risk factors were identified using the health checkup records from 2009 to 2010. To identify risk factors that affect the incidence of prostate cancer, the Cox proportional hazard model was used to analyze. Results: The hazard ratio (HR) of incidence of PCa was 1.37 times higher (95% CI, 1.22-1.56) people with body mass index (BMI) over 30.0 k/m2 than those with BMI below 18.5 k/m2 . And age stratification analysis has shown that increased BMI at 50 years old or older increases the risk of incidence prostate cancer from 1.35 to 2.38. Conclusions: Among the many risk factors affecting the development of prostate cancer, BMI has been identified as a risk factor for most ages. Therefore, it is necessary to consider the results of this study when establishing a policy for preventing the occurrence of prostate cancer. Through this, it is expected that not only the prevention of early prostate cancer but also the cost of socioeconomic loss can be lowered by lowering the incidence of prostate cancer.
Abstract
Objectives: To provide evidences for effective management and prevention of prostate cancer (PCa) by analyzing risk factors of prostate cancer in Korea. Methods: This study utilized the Korean National Health Insurance Service data of patients diagnosed with PCa between 2013 and 2017 and the risk factors were identified using the health checkup records from 2009 to 2010. To identify risk factors that affect the incidence of prostate cancer, the Cox proportional hazard model was used to analyze. Results: The hazard ratio (HR) of incidence of PCa was 1.37 times higher (95% CI, 1.22-1.56) people with body mass index (BMI) over 30.0 k/m2 than those with BMI below 18.5 k/m2 . And age stratification analysis has shown that increased BMI at 50 years old or older increases the risk of incidence prostate cancer from 1.35 to 2.38. Conclusions: Among the many risk factors affecting the development of prostate cancer, BMI has been identified as a risk factor for most ages. Therefore, it is necessary to consider the results of this study when establishing a policy for preventing the occurrence of prostate cancer. Through this, it is expected that not only the prevention of early prostate cancer but also the cost of socioeconomic loss can be lowered by lowering the incidence of prostate cancer.
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