Evidence map›Paper›PMID 27861844›Full record

ArticleInternational journal of cancer2017

Periodontal disease and risk of non-Hodgkin lymphoma in the Health Professionals Follow-Up Study.

Kimberly A Bertrand, Janki Shingala, Andrew Evens, Brenda M Birmann, Edward Giovannucci, Dominique S Michaud

Abstract read
In one paragraph

Article in International journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Kimberly A BertrandSlone Epidemiology Center at Boston University, Boston, MA.
Janki ShingalaTufts University, Medford, MA.
Andrew EvensDivision of Hematology/Oncology, Tufts Medical Center, Boston, MA.
Brenda M BirmannChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Edward GiovannucciDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.
Dominique S MichaudDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA.
Harvard University · USTufts University · USBoston University · USTufts Medical Center · US

Funding

Cancer Epidemiology Cohort in Male Health ProfessionalsUM1CA167552 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI WILLETT, WALTER C. · 2012 to 2016
$11.5M
A prospective analysis of peripheral blood cytokines and non-Hodgkin lymphomaR01CA149445 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BIRMANN, BRENDA M · 2011 to 2015
$3.0M
Microbiomes in Human Pancreatic CancerR01CA166150 · NCI · TUFTS UNIVERSITY BOSTON · PI MICHAUD, DOMINIQUE S. · 2013 to 2015
$2.0M
NCI NIH HHS R01 CA149445NCI NIH HHS R01 CA166150NCI NIH HHS UM1 CA167552
6 · The paper itself

Abstract

Periodontal disease is a chronic inflammatory condition that has been associated with chronic diseases, including cancer. In an earlier prospective cohort analysis within the Health Professionals Follow-Up Study (HPFS), we observed a 31% higher risk of non-Hodgkin lymphoma (NHL) among participants with severe periodontal disease at baseline. Here, we extend the study with an additional 8 years of follow-up, and conduct analyses with updated periodontal disease status and NHL subtypes. The HPFS is an ongoing prospective cohort study of 51,529 men in the USA Between baseline in 1986 and 2012, 875 cases of NHL were diagnosed, including 290 chronic lymphocytic leukemia/small lymphocytic lymphomas (CLL/SLL), 85 diffuse large B-cell lymphomas and 91 follicular lymphomas. We performed multivariable Cox proportional hazards regression to evaluate associations of interest. History of periodontal disease at baseline was positively associated with risk of NHL overall (hazard ratio (HR) = 1.26, 95% confidence interval (CI): 1.06-1.49) and CLL/SLL (HR = 1.41, 95% CI: 1.04-1.90). With updated periodontal status, HRs were 1.30 (95% CI: 1.11-1.51) for NHL overall and 1.41 (95% CI: 1.08-1.84) for CLL/SLL. In contrast, after adjusting for periodontal disease, tooth loss was inversely associated with NHL, suggesting that other causes or consequences of tooth loss may have different implications for NHL etiology. Our findings suggest that periodontal disease is a risk factor for NHL. Whether periodontal disease is a direct or indirect cause of NHL, or is a marker of underlying systemic inflammation and/or immune dysregulation, warrants further investigation.

Indexed as

Health PersonnelAdultAgedAlveolar Bone LossAnti-Inflammatory Agents, Non-SteroidalDiabetes MellitusDietFemaleFollow-Up StudiesHumansInflammationLife StyleLymphoma, Non-HodgkinMaleMiddle AgedPeriodontal DiseasesAnti-Inflammatory Agents, Non-Steroidalepidemiologynon-Hodgkin lymphomaperiodontal diseaseperiodontitisrisk

Identifiers

PMID27861844
PMCPMC5243178
OpenAlexW2558475073

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.