Potential risk of certain cancers among patients with Periodontitis: a supplementary meta-analysis of a large-scale population

Int J Med Sci. 2020 Sep 12;17(16):2531-2543. doi: 10.7150/ijms.46812. eCollection 2020.

Abstract

Background: Some studies have reported biological linkages between periodontitis and esophageal cancer, prostate cancer, kidney cancer, hematological malignancy, and melanoma of the skin. This meta-analysis aimed to assess the relationship between periodontitis and the aforementioned five cancers. Methods: Eligible studies on the association between periodontitis and the aforementioned five kinds of cancers were retrieved. The statistical analysis was conducted using Stata 12.0. Results: Ten articles (more than 100,000 samples for most cancers) were included. With statistical significance, participants with periodontitis might have enhanced risks of esophageal cancer (HR = 1.79, 95% CI: 1.15-2.79), prostate cancer (HR = 1.20, 95% CI: 1.09-1.31), hematological malignancy (HR = 1.19, 95% CI: 1.09-1.29), and melanoma of skin (HR = 1.21, 95% CI: 1.03-1.42), compared with those without periodontitis. However, the evidence regarding the correlation between periodontitis and the susceptibility to kidney cancer was lacking (HR=1.30, 95% CI: 0.96-1.76). Conclusions: The present meta-analysis revealed a potential link between periodontitis and esophageal cancer, prostate cancer, hematological malignancy, and melanoma of the skin. However, multi-center studies with large sample sizes and multivariable adjustments are still needed to support the conclusion.

Keywords: Esophageal cancer; hematological malignancy; melanoma of the skin; meta-analysis; periodontitis; prostate cancer.

Publication types

  • Meta-Analysis

MeSH terms

  • Case-Control Studies
  • Esophageal Neoplasms / epidemiology*
  • Hematologic Neoplasms / epidemiology*
  • Humans
  • Male
  • Melanoma / epidemiology*
  • Periodontitis / complications*
  • Periodontitis / epidemiology
  • Prostatic Neoplasms / epidemiology*
  • Risk Assessment / statistics & numerical data
  • Risk Factors
  • Skin Neoplasms / epidemiology*