Abstract
Background
To date, the associations between chronic periodontitis (CP) and cancer lack large-scale population-based epidemiological evidence. This study aimed to investigate the subsequent risk for cancers among subjects with CP.
Methods
This study cohort included 40,140 subjects with CP and 40,140 subjects who were matched for a comparison cohort. We individually tracked each patient for a 5-year period following their index date to identify those who had received a diagnosis of cancer.
Results
The incidence rate of cancer during the 5-year follow-up period was 14.80 (95 % CI 14.28–15.34) per 1,000 person-years in subjects with CP. Cox proportional hazards regression revealed that the hazard ratio of cancer during the 5-year follow-up period for subjects with CP was 1.23 (95 % CI 1.20–1.27) compared to that of the comparison cohort.
Conclusion
We observed an increased risk for the subsequent development of a number of cancers among subjects with CP.
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References
Friedewald VE, Kornman KS, Beck JD et al (2009) The American Journal of Cardiology and Journal of Periodontology Editors’ consensus: periodontitis and atherosclerotic cardiovascular disease. Am J Cardiol 104:59–68
Pihlstrom BL, Michalowicz BS, Johnson NW (2005) Periodontal diseases. Lancet 366:1809–1820
Amabile N, Susini G, Pettenati-Soubayroux I et al (2008) Severity of periodontal disease correlates to inflammatory systemic status and independently predicts the presence and angiographic extent of stable coronary artery disease. J Intern Med 263:644–652
Abnet CC, Qiao YL, Mark SD et al (2001) Prospective study of tooth loss and incident esophageal and gastric cancers in China. Cancer Causes Control 12:847–854
Loos BG (2005) Systemic markers of inflammation in periodontitis. J Periodontal 76:2106–2115
Joshipura KJ, Wand HC, Merchant AT et al (2004) Periodontal disease and biomarkers related to cardiovascular disease. J Dent Res 83:151–155
Moutsopoulos NM, Madianos PN (2006) Low-grade inflammation in chronic infectious diseases: paradigm of periodontal infections. Ann N Y Acad Sci 1088:251–264
DeStefano F, Anda RF, Kahn HS et al (1993) Dental disease and risk of coronary heart disease and mortality. BMJ 306:688–691
Wu T, Trevisan M, Genco RJ, Dorn JP et al (2000) Periodontal disease and risk of cerebrovascular diseasethe first national health and nutrition examination survey and its follow-up study. Arch Intern Med 160:2749–2755
Coussens LM, Werb Z (2002) Inflammation and cancer. Nature 420:860–867
Yao SG, Fine JB (2010) Periodontitis and cancer… a link? A review of the recent literature. Compend Contin Educ Dent 31:436–442
Hujoel PP, Drangsholt M, Spiekerman C et al (2003) An exploration of the periodontitis-cancer association. Ann Epidemiol 13:312–316
Watabe K, Nishi M, Miyake H et al (1998) Lifestyle and gastric cancer: a case-control study. Oncol Rep 5:1191–1194
Abnet CC, Qiao YL, Dawsey SM et al (2005) Tooth loss is associated with increased risk of total death and death from upper gastrointestinal cancer, heart disease, and stroke in a Chinese population-based cohort. Int J Epidemiol 34:467–474
Abnet CC, Kamangar F, Dawsey SM et al (2005) Tooth loss is associated with increased risk of gastric non-cardia adenocarcinoma in a cohort of Finnish smokers. Scand J Gastroenterol 40:681–687
Talamini R, Vaccarella S, Barbone F et al (2000) Oral hygiene, dentition, sexual habits and risk of oral cancer. Br J Cancer 83:1238–1242
Tu YK, Galobardes B, Smith GD et al (2007) Associations between tooth loss and mortality patterns in the glasgow alumni cohort. Heart 93:1098–1103
Mustapha IZ, Debrey S, Oladubu M et al (2007) Markers of systemic bacterial exposure in periodontal disease and cardiovascular disease risk: a systematic review and meta-analysis. J Periodontol 78:2289–2302
Filoche SK, Cornford E, Gaudie W et al (2010) Smoking, chronic periodontitis and smoking cessation support: reviewing the role of dental professionals. N Z Dent J 106:74–77
Meyer MS, Joshipura K, Giovannucci E et al (2008) A review of the relationship between tooth loss, periodontal disease, and cancer. Cancer Causes Control 19:895–907
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The authors declare that they have no conflict of interest.
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L.-T. Kao and C.-H. Chen have equal contributions to this study.
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Chung, SD., Tsai, MC., Huang, CC. et al. A population-based study on the associations between chronic periodontitis and the risk of cancer. Int J Clin Oncol 21, 219–223 (2016). https://doi.org/10.1007/s10147-015-0884-6
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DOI: https://doi.org/10.1007/s10147-015-0884-6