Publications by authors named "Myung-Hee Shin"

Background: Evaluate the impact of chest X-ray (CXR) screening on mortality and treatment adherence by comparing pulmonary tuberculosis (PTB) cases detected through screening and those routinely diagnosed at healthcare facilities.

Methods: A retrospective analysis of 10% randomly sampled National Health Insurance Service claims data assessed PTB cases diagnosed during 2004-2020. Patients were categorized as 'screening-detected (ACF, active case finding)' or 'routinely detected (PCF, passive case finding)' based on CXR screening history.

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Objectives: Although previous studies have demonstrated an association between periodontal disease (PD) and diabetes mellitus (DM), the influence of age and the mediating role of inflammation have seldom been explored. This study investigated this association while considering the modifying effects of age and inflammatory status.

Methods: This study included 29,491 participants from the 2012-2018 Korea National Health and Nutrition Examination Survey.

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Background: Evidence suggests a possible link between diabetes and gastric cancer risk, but the findings remain inconclusive, with limited studies in the Asian population. We aimed to assess the impact of diabetes and diabetes duration on the development of gastric cancer overall, by anatomical and histological subtypes.

Methods: A pooled analysis was conducted using 12 prospective studies included in the Asia Cohort Consortium.

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Article Synopsis
  • Body fatness is highlighted as a potential risk factor for biliary tract cancer (BTC), with established correlations between obesity and cholelithiasis (gallstones).
  • A comprehensive analysis of data from over 905,000 participants across 21 studies in Asia found that higher body mass index (BMI) correlates with increased BTC mortality, especially in females.
  • The study indicates that while obesity is linked to BTC mortality in women without gallstones, the relationship is less clear in men and when gallstones are present, suggesting complex interactions between BMI, gender, and gallstone presence.
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Introduction: Although lung cancer prediction models are widely used to support risk-based screening, their performance outside Western populations remains uncertain. This study aims to evaluate the performance of 11 existing risk prediction models in multiple Asian populations and to refit prediction models for Asians.

Methods: In a pooled analysis of 186,458 Asian ever-smokers from 19 prospective cohorts, we assessed calibration (expected-to-observed ratio) and discrimination (area under the receiver operating characteristic curve [AUC]) for each model.

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  • * The study included 492 PTC cases and 595 controls, revealing that higher UIC levels increased PTC risk, especially in individuals under 45 years old.
  • * Specifically, younger individuals had a significant association with PTC risk related to UIC, with men showing a higher odds ratio compared to women, while no significant link was found in those aged 45 and older.
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  • The study investigates how marital status affects overall and specific types of mortality rates in Asian populations by analyzing data from 16 studies in the Asia Cohort Consortium from 1963 to 2015.
  • The findings indicate that unmarried individuals have a higher risk of death compared to married individuals, with significant hazards for total mortality and specific causes like cardiovascular diseases and cancer.
  • Results show that being single, separated, divorced, or widowed is linked to an increased mortality risk, particularly among men and younger individuals under 65.
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  • A study investigated the link between body mass index (BMI) and oesophageal cancer (OC) mortality among over 842,000 Asians, highlighting notable differences compared to research on Europeans and North Americans.
  • The analysis revealed a wide J-shaped association where both underweight individuals (BMI < 18.5) and those with extreme obesity (BMI ≥ 35) faced a significantly higher risk of OC mortality compared to the normal BMI range (23-25).
  • Additionally, the research showed that smoking and alcohol consumption further heightened OC mortality risk for underweight participants, indicating a complex relationship between lifestyle factors, BMI, and cancer outcomes.
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Objectives: According to previous studies, vitamin D deficiency might increase the risk of type 2 diabetes mellitus (DM). However, few studies have examined whether vitamin D continues to affect glucose control after DM diagnosis. Therefore, we examined the association between vitamin D and glucose levels in individuals with and without DM.

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Background: Accumulating evidence suggests that consuming coffee may lower the risk of death, but evidence regarding tea consumption in Asians is limited. We examined the association between coffee and tea consumption and mortality in Asian populations.

Methods: We used data from 12 prospective cohort studies including 248 050 men and 280 454 women from the Asia Cohort Consortium conducted in China, Japan, Korea and Singapore.

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Background: There is insufficient evidence of the association between oophorectomy and depression.

Methods: A nationwide medical records database of South Korea was used to investigate incidence rate ratios (IRRs) of major depressive disorder before and after oophorectomy (n = 36,284) using a self-controlled case series design. Outcomes before and after hysterectomy (n = 25,415) were identified to compare with those around oophorectomy.

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Background: Little is known about the health harms associated with low-intensity smoking in Asians who, on average, smoke fewer cigarettes and start smoking at a later age than their Western counterparts.

Methods: In this pooled analysis of 738 013 Asians from 16 prospective cohorts, we quantified the associations of low-intensity (<5 cigarettes/day) and late initiation (≥35 years) of smoking with mortality outcomes. HRs and 95% CIs were estimated for each cohort by Cox regression.

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Background: Predicting patients who convert to bipolar disorder is important for deciding appropriate treatment for young adults with major depressive disorder (MDD). We focused on the predictive factors of bipolar conversion in a large population of young adults.

Methods: A nationwide, population-based electronic medical records database from the Health Insurance Review & Assessment service of South was used to investigate adjusted hazard ratio (HR) of each potential predictor of the bipolar converter group compared to the non-converter group using Cox regression analysis including age of onset, medication use, clinical features, comorbid disorders, admission, self-harm, and negative life events in childhood.

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Purpose: In some patients who receive adjuvant radiotherapy (RT) for the left breast, the stomach is located inside the RT field. This study investigates the incidence of gastric complications following adjuvant RT for breast cancer using data of the Health Insurance Review and Assessment Service in South Korea.

Methods: We identified 37,966 women who underwent surgery and received adjuvant RT for breast cancer.

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Objective: To study the association of educational level and risk of death from all causes, cardiovascular disease (CVD) and cancer among Asian populations.

Design: A pooled analysis of 15 population-based cohort studies.

Setting And Participants: 694 434 Asian individuals from 15 prospective cohorts within the Asia Cohort Consortium.

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The number of thyroidectomies in South Korea has been increasing rapidly due to extensive checkups for thyroid cancer. However, few studies have examined the association between thyroidectomy and major depressive disorder (MDD). We investigated the association between thyroidectomy and the risk of MDD.

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