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牙周炎患者罹患某些癌症的潜在风险:一项大规模人群的补充荟萃分析。

Potential risk of certain cancers among patients with Periodontitis: a supplementary meta-analysis of a large-scale population.

机构信息

Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, 510055 Guangzhou/PR. China.

Guanghua School of Stomatology, Sun Yat-sen University, 510055 Guangzhou/PR. China.

出版信息

Int J Med Sci. 2020 Sep 12;17(16):2531-2543. doi: 10.7150/ijms.46812. eCollection 2020.

DOI:10.7150/ijms.46812
PMID:33029095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7532473/
Abstract

Some studies have reported biological linkages between periodontitis and esophageal cancer, prostate cancer, kidney cancer, hematological malignancy, and melanoma of the skin. This meta-analysis aimed to assess the relationship between periodontitis and the aforementioned five cancers. Eligible studies on the association between periodontitis and the aforementioned five kinds of cancers were retrieved. The statistical analysis was conducted using Stata 12.0. Ten articles (more than 100,000 samples for most cancers) were included. With statistical significance, participants with periodontitis might have enhanced risks of esophageal cancer (HR = 1.79, 95% CI: 1.15-2.79), prostate cancer (HR = 1.20, 95% CI: 1.09-1.31), hematological malignancy (HR = 1.19, 95% CI: 1.09-1.29), and melanoma of skin (HR = 1.21, 95% CI: 1.03-1.42), compared with those without periodontitis. However, the evidence regarding the correlation between periodontitis and the susceptibility to kidney cancer was lacking (HR=1.30, 95% CI: 0.96-1.76). The present meta-analysis revealed a potential link between periodontitis and esophageal cancer, prostate cancer, hematological malignancy, and melanoma of the skin. However, multi-center studies with large sample sizes and multivariable adjustments are still needed to support the conclusion.

摘要

一些研究报告称,牙周炎与食管癌、前列腺癌、肾癌、血液恶性肿瘤和皮肤黑色素瘤之间存在生物学联系。本荟萃分析旨在评估牙周炎与上述五种癌症之间的关系。

检索了关于牙周炎与上述五种癌症之间关联的合格研究。使用 Stata 12.0 进行统计分析。纳入了 10 篇文章(大多数癌症的样本超过 10 万)。具有统计学意义的是,患有牙周炎的参与者可能具有更高的食管癌(HR=1.79,95%CI:1.15-2.79)、前列腺癌(HR=1.20,95%CI:1.09-1.31)、血液恶性肿瘤(HR=1.19,95%CI:1.09-1.29)和皮肤黑色素瘤(HR=1.21,95%CI:1.03-1.42)风险,与没有牙周炎的参与者相比。然而,关于牙周炎与肾癌易感性之间的相关性的证据缺乏(HR=1.30,95%CI:0.96-1.76)。

本荟萃分析显示牙周炎与食管癌、前列腺癌、血液恶性肿瘤和皮肤黑色素瘤之间存在潜在联系。然而,仍需要多中心、大样本量和多变量调整的研究来支持这一结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/9ecbebd2c6be/ijmsv17p2531g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/4f5254cb6843/ijmsv17p2531g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/10cc453b1ea0/ijmsv17p2531g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/170cbcfa28bc/ijmsv17p2531g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/288a87e83312/ijmsv17p2531g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/9ecbebd2c6be/ijmsv17p2531g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/4f5254cb6843/ijmsv17p2531g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/8d018ddfa9f0/ijmsv17p2531g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/10cc453b1ea0/ijmsv17p2531g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d87/7532473/170cbcfa28bc/ijmsv17p2531g004.jpg
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Med Oral Patol Oral Cir Bucal. 2020 Jan 1;25(1):e21-e28. doi: 10.4317/medoral.23166.
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Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions.《可信系统评价的更新指南:干预措施系统评价的新版Cochrane手册》
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Modifiable Host Factors in Melanoma: Emerging Evidence for Obesity, Diet, Exercise, and the Microbiome.
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Periodontitis and non-communicable diseases in a Brazilian population, a cross-sectional study, Vila Velha-ES, Brazil.巴西人群中的牙周炎与非传染性疾病:一项横断面研究,巴西圣埃斯皮里图州维拉黑市
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