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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">History of periodontal disease diagnosis and lung cancer incidence in the
Women’s Health Initiative Observational Study</title>
<author><name sortKey="Mai, Xiaodan" sort="Mai, Xiaodan" uniqKey="Mai X" first="Xiaodan" last="Mai">Xiaodan Mai</name>
</author>
<author><name sortKey="Lamonte, Michael J" sort="Lamonte, Michael J" uniqKey="Lamonte M" first="Michael J." last="Lamonte">Michael J. Lamonte</name>
</author>
<author><name sortKey="Hovey, Kathleen M" sort="Hovey, Kathleen M" uniqKey="Hovey K" first="Kathleen M." last="Hovey">Kathleen M. Hovey</name>
</author>
<author><name sortKey="Nwizu, Ngozi" sort="Nwizu, Ngozi" uniqKey="Nwizu N" first="Ngozi" last="Nwizu">Ngozi Nwizu</name>
</author>
<author><name sortKey="Freudenheim, Jo L" sort="Freudenheim, Jo L" uniqKey="Freudenheim J" first="Jo L." last="Freudenheim">Jo L. Freudenheim</name>
</author>
<author><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name>
</author>
<author><name sortKey="Scannapieco, Frank" sort="Scannapieco, Frank" uniqKey="Scannapieco F" first="Frank" last="Scannapieco">Frank Scannapieco</name>
</author>
<author><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name>
</author>
<author><name sortKey="Andrews, Christopher A" sort="Andrews, Christopher A" uniqKey="Andrews C" first="Christopher A." last="Andrews">Christopher A. Andrews</name>
</author>
<author><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name>
</author>
<author><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24913780</idno>
<idno type="pmc">4117379</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117379</idno>
<idno type="RBID">PMC:4117379</idno>
<idno type="doi">10.1007/s10552-014-0405-3</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">002756</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002756</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">History of periodontal disease diagnosis and lung cancer incidence in the
Women’s Health Initiative Observational Study</title>
<author><name sortKey="Mai, Xiaodan" sort="Mai, Xiaodan" uniqKey="Mai X" first="Xiaodan" last="Mai">Xiaodan Mai</name>
</author>
<author><name sortKey="Lamonte, Michael J" sort="Lamonte, Michael J" uniqKey="Lamonte M" first="Michael J." last="Lamonte">Michael J. Lamonte</name>
</author>
<author><name sortKey="Hovey, Kathleen M" sort="Hovey, Kathleen M" uniqKey="Hovey K" first="Kathleen M." last="Hovey">Kathleen M. Hovey</name>
</author>
<author><name sortKey="Nwizu, Ngozi" sort="Nwizu, Ngozi" uniqKey="Nwizu N" first="Ngozi" last="Nwizu">Ngozi Nwizu</name>
</author>
<author><name sortKey="Freudenheim, Jo L" sort="Freudenheim, Jo L" uniqKey="Freudenheim J" first="Jo L." last="Freudenheim">Jo L. Freudenheim</name>
</author>
<author><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name>
</author>
<author><name sortKey="Scannapieco, Frank" sort="Scannapieco, Frank" uniqKey="Scannapieco F" first="Frank" last="Scannapieco">Frank Scannapieco</name>
</author>
<author><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name>
</author>
<author><name sortKey="Andrews, Christopher A" sort="Andrews, Christopher A" uniqKey="Andrews C" first="Christopher A." last="Andrews">Christopher A. Andrews</name>
</author>
<author><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name>
</author>
<author><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name>
</author>
</analytic>
<series><title level="j">Cancer causes & control : CCC</title>
<idno type="ISSN">0957-5243</idno>
<idno type="eISSN">1573-7225</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 id="S1"><title>Purpose</title>
<p id="P1">While some evidence suggests that periodontal disease (PD) might be positively
associated with lung cancer, prospective studies in women are limited. Previous findings
may reflect residual confounding by smoking. The study aims to determine whether history
of PD diagnosis is associated with incident lung cancer in a large cohort of
postmenopausal women.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Prospective analyses were conducted in a cohort of 77,485 postmenopausal women
enrolled in the Women’s Health Initiative Observational Study. History of PD
(prevalence of 26.1%) was self-reported and 754 incident lung cancer cases
occurred during an average 6.8 (SD ±2.6) years of follow-up. Cox regression
analysis was used to estimate hazard ratios (HRs) and 95% confidence intervals
(CIs).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Overall, PD was positively associated with lung cancer risk after adjusting for
detailed smoking history including smoking status and pack-years of smoking (HR=1.24,
95% CI: 1.07–1.45). There was a positive additive interaction between PD
with pack-years of smoking (P=0.02), suggesting a potential synergistic effect between
PD and smoking intensity on lung cancer. The association between PD and lung cancer was
stronger in former smokers. When restricted to never-smokers, PD was not associated with
lung cancer (HR=1.02, 95% CI: 0.68–1.53).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">PD was not independently associated with lung cancer in non-smoking
postmenopausal women. However, smoking and PD jointly increased lung cancer risk beyond
that expected from the sum of the each effect separately. The potential synergism
between PD and smoking on lung cancer warrants further examination.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9100846</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1173</journal-id>
<journal-id journal-id-type="nlm-ta">Cancer Causes Control</journal-id>
<journal-id journal-id-type="iso-abbrev">Cancer Causes Control</journal-id>
<journal-title-group><journal-title>Cancer causes & control : CCC</journal-title>
</journal-title-group>
<issn pub-type="ppub">0957-5243</issn>
<issn pub-type="epub">1573-7225</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24913780</article-id>
<article-id pub-id-type="pmc">4117379</article-id>
<article-id pub-id-type="doi">10.1007/s10552-014-0405-3</article-id>
<article-id pub-id-type="manuscript">NIHMS603644</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>History of periodontal disease diagnosis and lung cancer incidence in the
Women’s Health Initiative Observational Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mai</surname>
<given-names>Xiaodan</given-names>
</name>
<aff id="A1">Department of Epidemiology and Environmental Health, School of Public Health and Health, Professions, University at Buffalo, The State University of New York,<email>xiaodanm@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>LaMonte</surname>
<given-names>Michael J.</given-names>
</name>
<aff id="A2">Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York,<email>mlamonte@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Hovey</surname>
<given-names>Kathleen M.</given-names>
</name>
<aff id="A3">Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York,<email>koreilly@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Nwizu</surname>
<given-names>Ngozi</given-names>
</name>
<aff id="A4">Department of Cancer Pathology and Prevention, Roswell Park Cancer Institute,<email>Ngozi.Nwizu@roswellpark.org</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Freudenheim</surname>
<given-names>Jo L.</given-names>
</name>
<aff id="A5">Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York,<email>jfreuden@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Tezal</surname>
<given-names>Mine</given-names>
</name>
<aff id="A6">Department of Oral Biology, School of Dental Medicine, University at Buffalo, The State University of New York,<email>mtezal@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Scannapieco</surname>
<given-names>Frank</given-names>
</name>
<aff id="A7">Department of Oral Biology, School of Dental Medicine, University at Buffalo, The State University of New York,<email>fas1@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Hyland</surname>
<given-names>Andrew</given-names>
</name>
<aff id="A8">Department of Health Behavior, Roswell Park Cancer Institute,<email>andrew.hyland@roswellpark.org</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Andrews</surname>
<given-names>Christopher A.</given-names>
</name>
<aff id="A9">Department of Ophthalmology and Visual Sciences, University of Michigan,<email>candrews@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Genco</surname>
<given-names>Robert J.</given-names>
</name>
<aff id="A10">Department of Oral Biology, School of Dental Medicine, University at Buffalo, The State University of New York,<email>rjgenco@buffalo.edu</email>
</aff>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Wactawski-Wende</surname>
<given-names>Jean</given-names>
</name>
<aff id="A11">Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, 270 Farber Hall, Buffalo, N.Y. 14214,<email>jww@buffalo.edu</email>
, telephone number (716)829-5374, fax number (716)829-2979</aff>
</contrib>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>18</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>10</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>8</month>
<year>2015</year>
</pub-date>
<volume>25</volume>
<issue>8</issue>
<fpage>1045</fpage>
<lpage>1053</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10552-014-0405-3</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title>
<p id="P1">While some evidence suggests that periodontal disease (PD) might be positively
associated with lung cancer, prospective studies in women are limited. Previous findings
may reflect residual confounding by smoking. The study aims to determine whether history
of PD diagnosis is associated with incident lung cancer in a large cohort of
postmenopausal women.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Prospective analyses were conducted in a cohort of 77,485 postmenopausal women
enrolled in the Women’s Health Initiative Observational Study. History of PD
(prevalence of 26.1%) was self-reported and 754 incident lung cancer cases
occurred during an average 6.8 (SD ±2.6) years of follow-up. Cox regression
analysis was used to estimate hazard ratios (HRs) and 95% confidence intervals
(CIs).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Overall, PD was positively associated with lung cancer risk after adjusting for
detailed smoking history including smoking status and pack-years of smoking (HR=1.24,
95% CI: 1.07–1.45). There was a positive additive interaction between PD
with pack-years of smoking (P=0.02), suggesting a potential synergistic effect between
PD and smoking intensity on lung cancer. The association between PD and lung cancer was
stronger in former smokers. When restricted to never-smokers, PD was not associated with
lung cancer (HR=1.02, 95% CI: 0.68–1.53).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">PD was not independently associated with lung cancer in non-smoking
postmenopausal women. However, smoking and PD jointly increased lung cancer risk beyond
that expected from the sum of the each effect separately. The potential synergism
between PD and smoking on lung cancer warrants further examination.</p>
</sec>
</abstract>
<kwd-group><kwd>lung cancer</kwd>
<kwd>periodontal disease</kwd>
<kwd>postmenopause</kwd>
<kwd>smoking</kwd>
<kwd>chronic inflammation</kwd>
<kwd>interaction</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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