Details

Autor(en) / Beteiligte

• Tasoulas, Jason
• Farquhar, Douglas R
• Sheth, Siddharth
• Hackman, Trevor
• Yarbrough, Wendell G
• Agala, Chris B
• Koric, Alzina
• Giraldi, Luca
• Fabianova, Eleonora
• Lissowska, Jolanta
• Świątkowska, Beata
• Vilensky, Marta
• Wünsch-Filho, Victor
• de Carvalho, Marcos Brasilino
• López, Rossana Verónica Mendoza
• Holcátová, Ivana
• Serraino, Diego
• Polesel, Jerry
• Canova, Cristina
• Richiardi, Lorenzo
• Zevallos, Jose P
• Ness, Andy
• Pring, Miranda
• Thomas, Steve J
• Dudding, Tom
• Lee, Yuan-Chin Amy
• Hashibe, Mia
• Boffetta, Paolo
• Olshan, Andrew F
• Divaris, Kimon
• Amelio, Antonio L

Titel

Poor oral health influences head and neck cancer patient survival: an International Head and Neck Cancer Epidemiology Consortium pooled analysis

Ist Teil von

• JNCI : Journal of the National Cancer Institute, 2024-01, Vol.116 (1), p.105-114

Ort / Verlag

United States: Oxford University Press

Erscheinungsjahr

2024

Link zum Volltext

Quelle

Oxford Journals 2020 Medicine

Beschreibungen/Notizen

• 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. 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. 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. 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.