Dental Prophylaxis Decreases the Risk of Esophageal Cancer in Males; A Nationwide Population-Based Study in Taiwan
Identifieur interne : 001277 ( Ncbi/Curation ); précédent : 001276; suivant : 001278Dental Prophylaxis Decreases the Risk of Esophageal Cancer in Males; A Nationwide Population-Based Study in Taiwan
Auteurs : Ya-Ling Lee [Taïwan] ; Hsiao-Yun Hu [Taïwan] ; Nan-Ping Yang [Taïwan] ; Pesus Chou [Taïwan] ; Dachen Chu [Taïwan]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Periodontal disease (PD) is one of the most common chronic inflammatory diseases. Esophageal cancer (EC) is also a common cause of death due to cancer among males. Systemic inflammatory processes have been shown to increase the risk of cancer. We conducted a retrospective cohort study to investigate the association between PD and EC.
A total of 718,409 subjects were recruited from the Taiwan National Health Insurance Research Database (NHIRD) and followed from January 1, 2000 to December 31, 2010. Of these, 519,831 subjects were diagnosed with PD and were grouped according to the most advanced treatment they received: dental prophylaxis, intensive treatment, or no treatment. The IRs of EC were compared among groups.
A total of 682 patients developed EC, resulting in an overall IR of 0.11 case-number per 1000 person-years (‰/y). The dental prophylaxis group had a significantly lower IR of EC (0.06‰/y) than other groups (
For this cohort, subjects received dental prophylaxis reduced the risk of EC compared to all PD and no PD groups among males.
Url:
DOI: 10.1371/journal.pone.0109444
PubMed: 25279666
PubMed Central: 4184879
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level="a" type="main">Dental Prophylaxis Decreases the Risk of Esophageal Cancer in Males; A Nationwide Population-Based Study in Taiwan</title><author><name sortKey="Lee, Ya Ling" sort="Lee, Ya Ling" uniqKey="Lee Y" first="Ya-Ling" last="Lee">Ya-Ling Lee</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Dentistry, Taipei City Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Dentistry, Taipei City Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Hu, Hsiao Yun" sort="Hu, Hsiao Yun" uniqKey="Hu H" first="Hsiao-Yun" last="Hu">Hsiao-Yun Hu</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Education and Research, Taipei City Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Education and Research, Taipei City Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Nan Ping" sort="Yang, Nan Ping" uniqKey="Yang N" first="Nan-Ping" last="Yang">Nan-Ping Yang</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Department of Education and Research, Keelung Hospital, Ministry of Health and Welfare, Keelung, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Education and Research, Keelung Hospital, Ministry of Health and Welfare, Keelung</wicri:regionArea><wicri:noRegion>Keelung</wicri:noRegion></affiliation></author><author><name sortKey="Chou, Pesus" sort="Chou, Pesus" uniqKey="Chou P" first="Pesus" last="Chou">Pesus Chou</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chu, Dachen" sort="Chu, Dachen" uniqKey="Chu D" first="Dachen" last="Chu">Dachen Chu</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Department of Neurosurgery, Taipei City Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurosurgery, Taipei City Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Periodontal disease (PD) is one of the most common chronic inflammatory diseases. Esophageal cancer (EC) is also a common cause of death due to cancer among males. Systemic inflammatory processes have been shown to increase the risk of cancer. We conducted a retrospective cohort study to investigate the association between PD and EC.</p></sec><sec><title>Methods</title><p>A total of 718,409 subjects were recruited from the Taiwan National Health Insurance Research Database (NHIRD) and followed from January 1, 2000 to December 31, 2010. Of these, 519,831 subjects were diagnosed with PD and were grouped according to the most advanced treatment they received: dental prophylaxis, intensive treatment, or no treatment. The IRs of EC were compared among groups.</p></sec><sec><title>Results</title><p>A total of 682 patients developed EC, resulting in an overall IR of 0.11 case-number per 1000 person-years (‰/y). The dental prophylaxis group had a significantly lower IR of EC (0.06‰/y) than other groups (<italic>p</italic><0.001). Multivariable Cox regression analysis further revealed that male subjects [hazard ratio (HR) = 10.04, 95% confidence interval (CI) = 7.58–13.30], as well as a history of esophageal ulcers (HR = 7.10, 95% CI = 5.03–10.01), alcohol abuse (HR = 5.46, 95% CI = 2.26–13.18), or esophageal reflux (HR = 1.86, 95% CI = 1.02–3.52), were factors associated with a higher risk of EC. And the dental prophylaxis group showed a significantly lower risk for EC (HR = 0.53, 95% CI = 0.44–0.65). Further subgroup analysis showed that the dental prophylaxis group among males had a significant lower risk (HR = 0.54, 95% CI = 0.44–0.66) for EC, while that of the females did not has statistically significant difference.</p></sec><sec><title>Conclusion</title><p>For this cohort, subjects received dental prophylaxis reduced the risk of EC compared to all PD and no PD groups among males.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Paster, Bj" uniqKey="Paster B">BJ Paster</name></author><author><name sortKey="Boches, Sk" uniqKey="Boches S">SK Boches</name></author><author><name sortKey="Galvin, Jl" uniqKey="Galvin J">JL Galvin</name></author><author><name sortKey="Ericson, Re" uniqKey="Ericson R">RE Ericson</name></author><author><name sortKey="Lau, Cn" uniqKey="Lau C">CN Lau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Albandar, Jm" uniqKey="Albandar J">JM 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uniqKey="Cheng K">KC Cheng</name></author><author><name sortKey="Chen, Yl" uniqKey="Chen Y">YL Chen</name></author><author><name sortKey="Lai, Sw" uniqKey="Lai S">SW Lai</name></author><author><name sortKey="Tsai, Py" uniqKey="Tsai P">PY Tsai</name></author><author><name sortKey="Sung, Fc" uniqKey="Sung F">FC Sung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Becker, C" uniqKey="Becker C">C Becker</name></author><author><name sortKey="Meier, Cr" uniqKey="Meier C">CR Meier</name></author><author><name sortKey="Jick, Ss" uniqKey="Jick S">SS Jick</name></author><author><name sortKey="Bodmer, M" uniqKey="Bodmer M">M Bodmer</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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