中山醫學大學機構典藏 CSMUIR:Item 310902500/23311
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    題名: Effect of Periodontitis and Scaling and Root Planing on Risk of Pharyngeal Cancer: A Nested Case-Control Study
    作者: Chen, PJ;Chen, YY;Lin, CW;Yeh, YT;Yeh, HW;Huang, JY;Yang, SF;Yeh, CB
    關鍵詞: periodontitis;pharynx cancer;scaling;root planing
    日期: 2021
    上傳時間: 2022-08-05T09:35:13Z (UTC)
    出版者: MDPI
    摘要: This study investigated the association between periodontitis and the risk of pharyngeal cancer in Taiwan. For this population-based nested case-control study using the Longitudinal Health Insurance Database derived from Taiwan's National Health Insurance Research Database, we identified patients (n = 1292) who were newly diagnosed with pharyngeal cancer between 2005 and 2013 and exactly paired them with propensity score matched control subjects (n = 2584). Periodontitis and scaling and root planing (SRP) were identified before the index date. Pharyngeal cancer was subdivided into 3 subgroups on the basis of anatomic location: nasopharyngeal cancer, oropharyngeal cancer, and hypopharyngeal cancer. A multiple conditional logistic regression model was applied to analyze the adjusted odds ratio (aOR). Periodontitis was associated with an increased risk of pharyngeal cancer (aOR, 1.57; 95% confidence interval (CI), 1.17 to 2.10), especially oropharyngeal cancer (aOR, 2.22; 95% CI, 1.07 to 4.60). We found a decreased risk of pharyngeal cancer in patients who had undergone SRP (aOR, 0.77; 95% CI, 0.61 to 0.96). In conclusion, this study showed that periodontitis was associated with an increased risk of pharyngeal cancer and SRP exerted a protective effect against pharyngeal cancer. Our results suggest that treating periodontitis and performing SRP, which are modifiable factors in oral health, in clinical practice may provide an opportunity to decrease the disease burden of pharyngeal cancer in Taiwan.
    URI: http://dx.doi.org/10.3390/ijerph18010008
    https://www.webofscience.com/wos/woscc/full-record/WOS:000606185100001
    https://ir.csmu.edu.tw:8080/handle/310902500/23311
    關聯: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ,2021,v18,issue 1
    顯示於類別:[中山醫學大學研究成果] 期刊論文

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