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Poor oral health influences head and neck cancer patient survival: an International Head and Neck Cancer Epidemiology Consortium pooled analysis
J. Tasoulas, DR. Farquhar, S. Sheth, T. Hackman, WG. Yarbrough, CB. Agala, A. Koric, L. Giraldi, E. Fabianova, J. Lissowska, B. Świątkowska, M. Vilensky, V. Wünsch-Filho, MB. de Carvalho, RVM. López, I. Holcátová, D. Serraino, J. Polesel, C....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
P30 ES010126
NIEHS NIH HHS - United States
P30ES010126
NIEHS NIH HHS - United States
R01CA061188
NIH HHS - United States
R03DE016611
NIDCR NIH HHS - United States
R03 CA113157
NCI NIH HHS - United States
R03 DE016611
NIDCR NIH HHS - United States
NCI R03CA113157
NIH HHS - United States
R03CA113157
NCI NIH HHS - United States
R01 DE030123
NIDCR NIH HHS - United States
P30 CA016080
NCI NIH HHS - United States
NLK
Free Medical Journals
od 1996 do Před 1 rokem
Open Access Digital Library
od 1996-01-01
PubMed
37725515
DOI
10.1093/jnci/djad156
Knihovny.cz E-zdroje
- MeSH
- dlaždicobuněčné karcinomy hlavy a krku epidemiologie MeSH
- lidé MeSH
- nádory hlavy a krku * epidemiologie MeSH
- orální zdraví MeSH
- spinocelulární karcinom * patologie MeSH
- studie případů a kontrol MeSH
- ústní vody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
BACKGROUND: Poor oral health has been identified as a prognostic factor potentially affecting the survival of patients with head and neck squamous cell carcinoma. However, evidence to date supporting this association has emanated from studies based on single cohorts with small-to-modest sample sizes. METHODS: Pooled analysis of 2449 head and neck squamous cell carcinoma participants from 4 studies of the International Head and Neck Cancer Epidemiology Consortium included data on periodontal disease, tooth brushing frequency, mouthwash use, numbers of natural teeth, and dental visits over the 10 years prior to diagnosis. Multivariable generalized linear regression models were used and adjusted for age, sex, race, geographic region, tumor site, tumor-node-metastasis stage, treatment modality, education, and smoking to estimate risk ratios (RR) of associations between measures of oral health and overall survival. RESULTS: Remaining natural teeth (10-19 teeth: RR = 0.81, 95% confidence interval [CI] = 0.69 to 0.95; ≥20 teeth: RR = 0.88, 95% CI = 0.78 to 0.99) and frequent dental visits (>5 visits: RR = 0.77, 95% CI = 0.66 to 0.91) were associated with better overall survival. The inverse association with natural teeth was most pronounced among patients with hypopharyngeal and/or laryngeal, and not otherwise specified head and neck squamous cell carcinoma. The association with dental visits was most pronounced among patients with oropharyngeal head and neck squamous cell carcinoma. Patient-reported gingival bleeding, tooth brushing, and report of ever use of mouthwash were not associated with overall survival. CONCLUSIONS: Good oral health as defined by maintenance of the natural dentition and frequent dental visits appears to be associated with improved overall survival among head and neck squamous cell carcinoma patients.
Bristol Dental School University of Bristol Bristol UK
Cancer Institute of the State of São Paulo São Paulo Brazil
Department of Environmental Epidemiology Nofer Institute of Occupational Medicine Lodz Poland
Department of Head and Neck Heliopolis Hospital São Paulo Brazil
Department of Medical and Surgical Sciences University of Bologna Italy
Department of Medical Sciences University of Turin Turin Italy
Department of Otolaryngology Head and Neck Surgery University of Pittsburgh PA USA
Department of Surgery University of North Carolina at Chapel Hill Chapel Hill NC USA
Department of Tumor Biology H Lee Moffitt Cancer Center and Research Institute Tampa FL USA
Epidemiology Department School of Public Health University of São Paulo São Paulo Brazil
Institute of Hygiene and Epidemiology Charles University Prague Prague Czech Republic
Institute of Oncology Angel H Roffo University of Buenos Aires Buenos Aires Argentina
Oncocentro Foundation of São Paulo São Paulo Brazil
Regional Authority of Public Health Banska Bystrica Slovakia
Unit of Cancer Epidemiology Centro di Riferimento Oncologico di Aviano IRCCS Aviano Italy
Citace poskytuje Crossref.org
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