An exploration of the periodontitis-cancer association.

Hujoel PP; Drangsholt M; Spiekerman C; Weiss NS

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An exploration of the periodontitis-cancer association.

机译：牙周炎-癌症关联的探索。

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PURPOSE: Periodontitis has been linked to the occurrence of various systemic diseases. The goal of this study was to explore the periodontitis-cancer association in the NHANES I Epidemiologic Follow-up Study.METHODS: Data were available on 11,328 adults, age 25 to 74 years, who were diagnosed as dentate individuals with either periodontitis (n = 2092), gingivitis (n = 2603), a healthy periodontium (n = 2,671), or as individuals without teeth (edentulous n = 3,962) at the beginning of the follow-up. The main outcome measure was fatal cancer, as ascertained from death certificates.RESULTS: Compared with individuals with a healthy periodontium, fatal cancer occurrence was positively associated with periodontitis at baseline (age and gender adjusted odds ratio = 1.55, 95% confidence interval: 1.25-1.92). Of the different cancer types, lung cancer demonstrated the strongest association. After adjustment for known risk factors for lung cancer, the magnitude of the association between periodontitis and lung cancer ranged between 1.48 (95% confidence interval: 0.88-2.50) and 1.73 (95% confidence interval: 1.01-2.97).CONCLUSIONS: Associations between periodontitis and lung cancer mortality can be identified above and beyond adjustment for known risk factors for lung cancer. Despite these apparent unconfounded associations, there are reasons to believe that the periodontitis-cancer associations may be spurious.

机译：目的：牙周炎与各种全身性疾病的发生有关。这项研究的目的是在NHANES I流行病学随访研究中探讨牙周炎与癌症的关系。方法：可获得11328名年龄在25至74岁之间的成年人的数据，这些成年人被诊断为患有牙周炎的齿状个体（n = 2092），牙龈炎（n = 2603），健康的牙周膜（n = 2,671）或在随访开始时作为没有牙齿的个体（无牙的n = 3,962）。结果是：与具有健康牙周病的个体相比，致命癌症的发生与基线时的牙周炎呈正相关（年龄和性别校正后的优势比= 1.55，95％置信区间：1.25） -1.92）。在不同类型的癌症中，肺癌表现出最强的关联。在调整了已知的肺癌危险因素后，牙周炎与肺癌之间的关联程度在1.48（95％置信区间：0.88-2.50）和1.73（95％置信区间：1.01-2.97）之间。对于已知的肺癌危险因素，牙周炎和肺癌的死亡率可超出调整范围。尽管存在这些显然没有混淆的关联，但仍有理由相信牙周炎-癌症关联可能是虚假的。

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《Annals of epidemiology》 |2003年第5期|共5页
作者
Hujoel PP; Drangsholt M; Spiekerman C; Weiss NS;
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正文语种 eng
中图分类流行病学与防疫;
关键词
Periodontitis; Malignant Neoplasms; Relationship by association; Malignant neoplasm of lung; 牙周炎;

机译：牙周炎;恶性肿瘤;关联关系;肺恶性肿瘤;牙周炎;

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1. An exploration of the periodontitis-cancer association. [J] . Hujoel PP, Drangsholt M, Spiekerman C, Annals of epidemiology . 2003,第5期

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An exploration of the periodontitis-cancer association.

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