Previous Infection Positively Correlates to the Tumor Incidence Rate of Patients with Cancer.

Abstract

We conducted a 7-year case-control study of people ≥30 years of age on the prevalence of influenza, gastroenteritis, hepatitis, and pneumonia infections to indirectly examine whether these infections correlated to malignant cancer formation. Data were extracted from a large medical claims database of a Japanese social health insurance system; the case group included 2,354 people with their first cancer diagnosis in the 7th year of this study, and the control group included 48,395 people with no cancer diagnosis by the 7th year. The yearly prevalence rates of influenza, gastroenteritis, hepatitis, and pneumonia infections increased throughout the study period. Age-adjusted ORs and 95% confidence intervals (CI) in cases 1 year before cancer detection were significantly higher-for influenza 1.29 (95% CI, 1.14-1.46), for gastroenteritis 1.60 (95% CI, 1.41-1.82), for hepatitis 3.38 (95% CI, 2.12-5.37), for pneumonia 2.36 (95% CI, 1.79-3.13), and for any of these four diseases 1.55 (95% CI, 1.40-1.70). In influenza infections, significant ORs were found only in the 2nd and 6th years before cancer diagnosis. For each cancer site, an increased rate of infection prior to cancer diagnosis was observed. Here, we showed that increased infections during the precancerous stage, a possible surrogate for tumor-induced immune suppression, correlated to eventual cancer development.