PMID- 35916370 OWN - NLM STAT- MEDLINE DCOM- 20221202 LR - 20230130 IS - 1476-6256 (Electronic) IS - 0002-9262 (Linking) VI - 191 IP - 12 DP - 2022 Nov 19 TI - The Association of Serum High-Sensitivity C-Reactive Protein Level With the Risk of Site-Specific Cancer Mortality: The Health Examinees (HEXA) Study Cohort. PG - 2002-2013 LID - 10.1093/aje/kwac141 [doi] AB - Few studies have investigated the association between high-sensitivity C-reactive protein (hsCRP) level and site-specific cancer mortality. In this study, we aimed to examine the associations of hsCRP with overall and site-specific cancer mortality among South Koreans using data on the Health Examinees (HEXA) Study cohort (41,070 men and 81,011 women aged >/=40 years). We obtained mortality information from the National Statistical Office of Korea, which provided the dates and causes of all deaths occurring through December 31, 2015, by linking mortality data with each participant's unique national identifier. Cox proportional hazards and restricted cubic spline models were used to assess the association between hsCRP and cancer mortality with adjustment for covariates. An analysis of site-specific cancer mortality was focused on 5 major cancers (lung, liver, gastric, colorectal, and breast/prostate). Median hsCRP levels were 0.77 mg/L and 0.59 mg/L for men and women, respectively. A dose-response association between hsCRP and overall cancer mortality was observed in men but disappeared in women after exclusion of deaths occurring in the first 1 or 2 years of follow-up. Elevated hsCRP levels increased the risks of lung, liver, and gastric cancer mortality in men, but the risks of colorectal and breast cancer mortality were not increased. The dose-response association between hsCRP and cancer mortality was observed differently depending on site-specific cancer mortality by sex. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Lee, Sang-Ah AU - Lee SA FAU - Kwon, Sung-Ok AU - Kwon SO FAU - Song, Minkyo AU - Song M FAU - Choi, Ji-Yeob AU - Choi JY FAU - Shin, Aesun AU - Shin A FAU - Shu, Xiao-Ou AU - Shu XO FAU - Zheng, Wei AU - Zheng W FAU - Lee, Jong-Koo AU - Lee JK FAU - Kang, Daehee AU - Kang D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Epidemiol JT - American journal of epidemiology JID - 7910653 RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Male MH - Humans MH - Female MH - C-Reactive Protein/analysis MH - Cohort Studies MH - *Breast Neoplasms MH - *Stomach Neoplasms MH - *Colorectal Neoplasms MH - Risk Factors OTO - NOTNLM OT - dose-response associations OT - high-sensitivity C-reactive protein OT - prospective studies OT - site-specific cancer mortality EDAT- 2022/08/03 06:00 MHDA- 2022/12/03 06:00 CRDT- 2022/08/02 07:53 PHST- 2020/09/24 00:00 [received] PHST- 2021/10/01 00:00 [revised] PHST- 2022/07/28 00:00 [accepted] PHST- 2022/08/03 06:00 [pubmed] PHST- 2022/12/03 06:00 [medline] PHST- 2022/08/02 07:53 [entrez] AID - 6653178 [pii] AID - 10.1093/aje/kwac141 [doi] PST - ppublish SO - Am J Epidemiol. 2022 Nov 19;191(12):2002-2013. doi: 10.1093/aje/kwac141.