Evidence map›Paper›PMID 31540766›Full record

ArticleAnnals of epidemiology2019

SES and correlated factors do not explain the association between periodontal disease, edentulism, and cancer risk.

Jiayun Lu, Ina Zaimi, John R Barber, Corinne E Joshu, Anna E Prizment, James D Beck, Elizabeth A Platz, Dominique S Michaud

Open access · greenAbstract read
In one paragraph

Article in Annals of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Jiayun LuDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Ina ZaimiDepartment of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA.
John R BarberDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Corinne E JoshuDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD.
Anna E PrizmentDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN; University of Minnesota Masonic Cancer Center, Minneapolis, MN.
James D BeckDepartment of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill, NC.
Elizabeth A PlatzDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD.
Dominique S MichaudDepartment of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA. Electronic address: Dominique.Michaud@tufts.edu.
Johns Hopkins University · USTufts University · USSidney Kimmel Comprehensive Cancer Center · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Oral Epithelial Cells, Candida and PMN ActivationR01DE013986 · NIDCR · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Anna I Dongari-Bagtzoglou · 2000 to 2026
$9.2M
Enhancing ARIC Infrastructure to Yield a New Cancer Epidemiology CohortU01CA164975 · NCI · JOHNS HOPKINS UNIVERSITY · PI PLATZ, ELIZABETH A. · 2012 to 2018
$3.8M
Training Program for the Next Generation of Oral Health Researchers (NextGen)T90DE021986 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVERETT, ERIC T. · 2011 to 2017
$2.3M
Prospective immune profiling using methylation markers and pancreatic cancer riskR01CA207110 · NCI · TUFTS UNIVERSITY BOSTON · PI KELSEY, KARL TIMOTHY, MICHAUD, DOMINIQUE S. · 2016 to 2018
$2.1M
GENOME-WIDE ASSOCIATION STUDY OF PERIODONTAL DISEASER01DE021418 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI OFFENBACHER, STEVEN · 2011 to 2012
$658k
NCI NIH HHS P30 CA006973NCI NIH HHS R01 CA207110NCI NIH HHS U01 CA164975NHLBI NIH HHS HHSN268201700001CNHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002CNHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003CNHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004CNHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005CNHLBI NIH HHS HHSN268201700005INIDCR NIH HHS R01 DE013986NIDCR NIH HHS R01 DE021418NIDCR NIH HHS T90 DE021986
6 · The paper itself

Abstract

purposeSevere periodontal disease and edentulism have been previously reported to be significantly associated with cancer risk and mortality, including in the Atherosclerosis Risk in Communities study (2018); however, complex sources of confounding by socioeconomic status (SES), and characteristics correlated with SES, could have been present in earlier analyses.

methodsTo capture life course SES and its correlates, we generated a propensity score and included it, along with other potential confounders such as smoking and obesity, into a Cox regression model to examine the association between periodontal disease and cancer risk. In addition, we stratified the model with the propensity score by low and high SES. All statistical tests were two-sided.

resultsCompared with our previous study, the associations for severe periodontitis and cancer incidence remained comparable after weighting by the propensity score (e.g., for total cancer: before weighting, hazard ratio = 1.24, 95% confidence interval = 1.07-1.42 vs. after weighting, hazard ratio = 1.23, 95% confidence interval = 1.05-1.44 when comparing severe periodontitis to no or mild periodontitis). Associations were comparable in low and high SES strata and statistically significant among participants with high SES.

conclusionsComplex sources of confounding by SES and its correlates are unlikely to fully account for the positive associations observed for periodontal disease and edentulism and cancer risk.

Indexed as

Social ClassAdultAgedAged, 80 and overFemaleHumansIncidenceJaw, EdentulousMaleMiddle AgedMouth, EdentulousNeoplasmsObesityPeriodontal DiseasesPeriodontitisPropensity ScoreCancerConfoundingEdentulismGum diseasePeriodontal diseaseSES

Identifiers

PMID31540766
PMCPMC6812627
OpenAlexW2969987264

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.