Publications by authors named "San-Lin You"

Importance: The global burden of obesity is increasing, as are colorectal cancer (CRC) incidence and mortality.

Objectives: To assess the association between body mass index (BMI) and risks of incident CRC and CRC-related death in the Asian population.

Design, Setting, And Participants: This cohort study includes data pooled from 17 prospective cohort studies included in The Asia Cohort Consortium.

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Background: Thyroid cancer incidence has increased globally in recent decades, especially in females, although its trends in Taiwan have not been studied extensively. This study aimed to investigate changes in female incidence and possible causes of thyroid cancer in Taiwan.

Methods: Using the Taiwan Cancer Registry (TCR) Database, age-standardized incidence rates, age-specific incidence rates and birth cohorts were calculated.

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  • 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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  • Taiwan has one of the highest rates of upper tract urothelial cancer (UTUC) in the world, especially among women, but there has been no comprehensive long-term study on this issue.
  • A nationwide analysis of UTUC incidence from 1985 to 2019 used data from the Taiwan Cancer Registry, breaking down the population into nine age groups to assess age-specific trends.
  • The findings revealed a notable increase in renal pelvis cancer incidence, with women experiencing a higher rise than men, particularly in older age groups and among younger cohorts compared to older ones.
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In a country with a high prevalence of cigarette smoking, betel chewing, and alcohol drinking, cancers of the oral cavity, nasopharynx, and larynx were the fourth, twelfth and seventeenth leading causes of cancer death, respectively, for men in 2020. We analyzed patients with head and neck cancer from 1980 to 2019 from the Taiwan Cancer Registration Database and discussed the annual average percent change, average percent change, age period, and birth cohort. Obvious period effects and birth effects are seen in oral, oropharyngeal, and hypopharyngeal cancer; however, the most significant period effect was seen between 1990 and 2009, which mainly reflects the consumption of betel nuts per capita.

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  • A study analyzed data from 2000-2013 in Taiwan to explore the link between HPV infection and colorectal cancer (CRC), comparing 358 HPV-infected patients to 1432 HPV-uninfected patients.
  • The findings showed that the HPV-infected group had a notably higher incidence of CRC, with an adjusted hazard ratio indicating a 63% increased risk of CRC associated with HPV.
  • This research provides evidence suggesting a connection between HPV and CRC, highlighting the need for further investigation into HPV's role in the development of colorectal cancer.
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Positive associations between well-being and a single contemplative practice (e.g., mindfulness meditation) are well documented, yet prior work may have underestimated the strength of the association by omitting consideration of multiple and/or alternative contemplative practices.

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Background: Intrahepatic cholangiocarcinoma (ICC) is one of the most aggressive malignancies. However, because of its scarcity there are limited population-based data available for investigations into its epidemiologic characteristics. In Taiwan, we have a national cancer registry database that can be used to evaluate the secular trends of ICC.

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  • Chronic infections from hepatitis B and C viruses are leading causes of end-stage liver disease (ESLD), and controlling these infections is crucial for reducing ESLD rates.
  • A study in Taiwan analyzed the impact of nationwide neonatal hepatitis B vaccinations and antiviral therapy programs on ESLD from 1979 to 2018, including data from nearly 43,604 individuals.
  • Results showed significant reductions in chronic liver disease and hepatocellular carcinoma (HCC) mortality and incidence from 2004 to 2018, with an 82% decrease in CLD mortality among those born between 1982 and 2011.
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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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Background: Gastric cancer remains a leading cause of cancer death worldwide. In Taiwan, gastric cancer is the sixth leading cause of cancer mortality in both males and females.

Aim: To evaluate secular trends in gastric cancer incidence according to age, sex, and () treatment in Taiwan.

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We aimed to evaluate factors influencing the outcomes of patients with platinum-sensitive recurrent epithelial ovarian carcinoma (EOC). Patients with advanced-stage EOC, who received debulking surgery and adjuvant chemotherapy for recurrence, were obtained from the National Health Insurance Research database of Taiwan between 2000 and 2013. A total of 1038 patients with recurrent advanced-stage EOC were recruited.

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Objective: To systematically learn lessons from the experiences of countries implementing find, test, trace, isolate, support (FTTIS) in the first wave of the COVID-19 pandemic.

Design, Data Sources And Eligibility Criteria: We searched MEDLINE (PubMed), Cochrane Library, SCOPUS and JSTOR, initially between 31 May 2019 and 21 January 2021. Research articles and reviews on the use of contact tracing, testing, self-isolation and quarantine for COVID-19 management were included in the review.

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  • Seven viruses, including EBV, HBV, HCV, KSHV, HIV-1, HTLV-1, and HPV, are classified as Group 1 human carcinogens by the IARC based on epidemiological and mechanistic studies.
  • These viruses can directly or indirectly cause various cancers, with some individuals developing cancer while others do not, highlighting the complexity of cancer risk associated with these infections.
  • Research has led to the development of risk calculators to predict the likelihood of specific cancers related to these viruses, and effective interventions like vaccination and antiviral therapies have shown a reduction in cancer incidence.
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Background: Results of studies regarding the potential link between acid suppressant use and dementia risk are inconsistent. This study aimed to evaluate the association of cumulative exposure to histamine 2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs) with dementia risk in an Asian older cohort aged ≥65 years.

Methods: Patients initiating H2RA (the H2RA user cohort, = 21,449) or PPI (the PPI user cohort, = 6584) and those without prescription for H2RA (the H2RA non-user cohort, = 21,449) or PPI (the PPI non-user cohort, = 6584) between 1 January 2000 and 31 December 2005 without a prior history of dementia were identified from Taiwan's National Health Insurance Research Database (NHIRD).

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Aim: Prospective studies indicate that apolipoprotein (apo) measurements predict coronary heart disease risk. However, few population-based follow-up studies have addressed the predictive value of apo measurements in stroke risk. The aims of the present study were to analyze the predictive ability of apo measurements in the risk of ischemic stroke.

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Background: Current evidence suggests an association of uric acid with diabetes risk, but it is still unclear whether uric acid is merely a risk marker or an independent risk factor. We evaluate the impact of serum uric acid (SUA) levels on the future risk of developing type 2 diabetes, independent of other factors.

Methods: A population-based cohort study was conducted among 4130 participants who were found to be free of type 2 diabetes at baseline recruitment in 2002.

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Background: Our aim was to explore the concepts of health and well-being from the point of view of the people experiencing them. Most of the efforts to understand these concepts have focused on disease prevention and treatment. Less is known about how individuals achieve health and well-being, and their roles in the pursuit of a good life.

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The role of atopic dermatitis (AD) in the development of colorectal cancer (CRC) has been a matter of scientific debate with mixed results. We conducted a nationwide cohort study to assess the association between AD and risk of CRC. Drawing on Taiwan's National Health Insurance Research Database, 46,703 patients with AD (the AD cohort) and 186,812 sex, age, and index year-matched patients without AD (the non-AD cohort) were identified in the period between 2000 and 2008.

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Article Synopsis
  • A retrospective cohort study investigated the link between obstructive sleep apnea (OSA) and colorectal cancer (CRC) in Taiwan's population, identifying 4180 patients with OSA and 16,720 matched controls without OSA.
  • Results showed that individuals with OSA had a significantly higher risk of developing CRC (adjusted HR of 1.80) compared to those without OSA, with the risk increasing alongside the frequency of OSA medical visits.
  • The study concluded that there is an association between OSA and elevated CRC risk, emphasizing the need for further large-scale prospective research to confirm these findings.
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Background: Kidney transplantation (KT) correlates with an increased risk of developing several malignancies; however, the risk of colorectal cancer (CRC) after KT remains debatable and has been marginally explored. Hence, in this nationwide, retrospective, population-based cohort study, we aimed to examine the correlation between KT and CRC in a large-scale population-based Chinese cohort.

Methods: We identified a total of 3739 regular hemodialysis patients undergoing KT (exposed cohort) and 42,324 hemodialysis patients not undergoing KT (non-exposed cohort) between 2000 and 2008 from Taiwan's National Health Insurance Research Database (NHIRD).

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Background Recent studies have raised concerns about the reduced efficacy of citalopram when used concurrently with proton pump inhibitors. The aim of this study was to evaluate the associations between clinical use of citalopram and omeprazole and the risk of sudden cardiac arrest (SCA) in an Asian population. Methods and Results A retrospective cohort study was conducted using the National Health Insurance Research Database of Taiwan dated from 2000 to 2013.

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