Evidence map›Paper›PMID 34628546›Full record

ArticleClinical oral investigations2022

A composite oral hygiene score and the risk of oral cancer and its subtypes: a large-scale propensity score-based study.

Qingrong Deng, Lingjun Yan, Junyu Lin, Zhaocheng Zhuang, Yihong Hong, Chanchan Hu, Lisong Lin, Lizhen Pan, Bin Shi, Jing Wang and 5 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Qingrong Deng *Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Lingjun Yan *Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Junyu Lin *Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Zhaocheng ZhuangDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Yihong HongDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Chanchan HuDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Lisong LinDepartment of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, China.
Lizhen PanDepartment of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, China.
Bin ShiDepartment of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, China.
Jing WangLaboratory Center, The Major Subject of Environment and Health of Fujian Key Universities, School of Public Health, Fujian Medical University, Fujian, China.
Fengqiong LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Lin CaiDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Baochang HeDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China.
Yu QiuDepartment of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Fujian Medical University, 88 Jiaotong Road, Fuzhou, 350004, China. dr_qiuyu88@163.com.
Fa ChenDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, 1 Xueyuan Road, Fuzhou, 350108, Fujian, China. chenfa@fjmu.edu.cn.ORCID http://orcid.org/0000-0002-5792-9211
Fujian Medical University · CN

Funding

Natural Science Foundation of Fujian Province No. 2020J01638Program for New Century Excellent Talents in Fujian Province No.2018B029Startup Project for High-level Talents of Guizhou Institute of Technology (CN) No.XRCZX2018001the Scientific Research Talents Training Project of Health and Family Planning Health Commission in Fujian Province 2018-1-71the Scientific Research Talents Training Project of Health and Family Planning Health Commission in Fujian Province No. 2019-ZQN-68
6 · The paper itself

Abstract

objectiveThis study aimed to investigate the potential relationship between oral hygiene and the risk of oral cancer and its subtypes after controlling the effects of several confounding factors. MATERIALS AND

methodsA large-scale case-control study was conducted from January 2010 to August 2019, recruiting a total of 1,288 oral cancer cases with newly diagnosed and 4,234 healthy controls. Propensity score matching (PSM) and inverse probability of treatment weighting (IPTW) were utilized to minimize confounding effects. Conditional logistic regression was used to evaluate the effects of oral hygiene indicators on oral cancer.

resultsA composite oral hygiene score was developed based on five indicators selected based on PSM and IPTW analysis (including tooth loss, dentures wearing, the frequency of tooth brushing, regular dental visits, and recurrent dental ulcer). Participants with a higher score, compared with their lower counterparts, showed a 49% increased risk (the odds ratio (OR) was 1.49 (95% confidence interval (CI): 1.26-1.75). A similar association pattern was found following IPTW analyses (OR = 1.32; 95% CI: 1.22-1.42). Of note, the adverse effects of poor oral hygiene were more evident among the sites of gingival and buccal (PSM analysis: 2.03-fold and 2.68-fold increased risk; IPTW analysis: 1.57-fold and 2.07-fold increased risk, respectively). Additionally, a greater positive association was observed between poor oral hygiene and oral squamous cell carcinoma, compared with other pathological types.

conclusionThis study establishes a composite oral hygiene score and provides supportive evidence of poor oral hygiene associated with a higher risk of oral cancer, particularly in the gingival and buccal mucosa sites and in the squamous cell carcinoma. CLINICAL RELEVANCE: The data highlights the importance of improving poor oral hygiene habits, which has public health implications for the prevention of oral cancer.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsMouth NeoplasmsCase-Control StudiesHumansOral HygienePropensity ScoreInverse probability of treatment weightingOral cancerOral hygienePropensity score matchingRisk assessment

Identifiers

PMID34628546
OpenAlexW3206627105

What OpenQuestion holds

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Registered trials

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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.