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2017 ; 27
(3S
): S9-S21
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Cross-sectional analysis of BioBank Japan clinical data: A large cohort of
200,000 patients with 47 common diseases
#MMPMID28190657
Hirata M
; Kamatani Y
; Nagai A
; Kiyohara Y
; Ninomiya T
; Tamakoshi A
; Yamagata Z
; Kubo M
; Muto K
; Mushiroda T
; Murakami Y
; Yuji K
; Furukawa Y
; Zembutsu H
; Tanaka T
; Ohnishi Y
; Nakamura Y
; Matsuda K
J Epidemiol
2017[Mar]; 27
(3S
): S9-S21
PMID28190657
show ga
BACKGROUND: To implement personalized medicine, we established a large-scale
patient cohort, BioBank Japan, in 2003. BioBank Japan contains DNA, serum, and
clinical information derived from approximately 200,000 patients with 47
diseases. Serum and clinical information were collected annually until 2012.
METHODS: We analyzed clinical information of participants at enrollment,
including age, sex, body mass index, hypertension, and smoking and drinking
status, across 47 diseases, and compared the results with the Japanese database
on Patient Survey and National Health and Nutrition Survey. We conducted
multivariate logistic regression analysis, adjusting for sex and age, to assess
the association between family history and disease development. RESULTS:
Distribution of age at enrollment reflected the typical age of disease onset.
Analysis of the clinical information revealed strong associations between smoking
and chronic obstructive pulmonary disease, drinking and esophageal cancer, high
body mass index and metabolic disease, and hypertension and cardiovascular
disease. Logistic regression analysis showed that individuals with a family
history of keloid exhibited a higher odds ratio than those without a family
history, highlighting the strong impact of host genetic factor(s) on disease
onset. CONCLUSIONS: Cross-sectional analysis of the clinical information of
participants at enrollment revealed characteristics of the present cohort.
Analysis of family history revealed the impact of host genetic factors on each
disease. BioBank Japan, by publicly distributing DNA, serum, and clinical
information, could be a fundamental infrastructure for the implementation of
personalized medicine.