Evidence map›Paper›PMID 41889038›Full record

SynthesisInternational dental journal2026

Periodontal Disease and Incidence of Cancers: A Systematic Review and Meta-analysis of Cohort Studies.

Chengwei Duan, Weiping Wan, Muhetaer Tureke, Dong Lin, Junxi Zhu, Luzhao Feng, Zeni Wu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Chengwei DuanSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China; Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, Beijing, China; State Key Laboratory of Respiratory Health and Multimorbidity, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Weiping WanSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China; Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, Beijing, China; State Key Laboratory of Respiratory Health and Multimorbidity, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Muhetaer TurekeSchool of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, China.
Dong LinSchool of Public Health, Guangxi Medical University, Nanning, Guangxi, China.
Junxi ZhuSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China; Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, Beijing, China; State Key Laboratory of Respiratory Health and Multimorbidity, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Luzhao FengSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China; Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, Beijing, China; State Key Laboratory of Respiratory Health and Multimorbidity, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Zeni WuSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China; Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, Beijing, China; State Key Laboratory of Respiratory Health and Multimorbidity, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address: zeni.wu@pumc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Associations between periodontal disease (PD) and cancers risk have been described previously, but the evidence remains inconclusive. This study aimed to investigate the association between PD and specific cancers through a systematic review and meta-analysis. We searched PubMed and Web of Science for English-language studies. Prospective and retrospective cohort studies were included. Three reviewers independently assessed study eligibility, extracted data, and evaluated the quality of studies. Random or fixed effects models were used to assess the association between PD and cancers. Stratified analyses by PD assessment methods, follow-up duration, and geographic region were conducted. A total of 8816 articles were identified, and 26 cohort studies met the inclusion criteria. Positive association between PD and multiple cancers, including pancreatic cancer (RR = 1.26, 95% CI: 1.03-1.52), bladder cancer (RR = 1.21, 95% CI: 1.11-1.32), esophageal cancer (RR = 1.34, 95% CI: 1.04-1.71), prostate cancer (RR = 1.17, 95% CI: 1.07-1.29), colorectal cancer (RR = 1.16, 95% CI: 1.01-1.34), gastric cancer (RR = 1.16, 95% CI: 1.08-1.25), and breast cancer (RR = 1.11, 95% CI: 1.03-1.17). Stratified by PD assessment methods, self-reported PD was positively associated with colorectal cancer (RR = 1.28, 95% CI: 1.01-1.62), gastric cancer (RR = 1.34, 95% CI: 1.11-1.63), lung cancer (RR = 1.19, 95% CI: 1.09-1.31), bladder cancer (RR = 1.26, 95% CI: 1.12-1.43), and pancreatic cancer (RR = 1.42, 95% CI: 1.03-1.96). Clinically examined PD only linked to gastric cancer (RR = 1.11, 95% CI: 1.04-1.16). PD was associated with colorectal, gastric, bladder, pancreatic, esophageal, and breast cancers. Self-reported and clinically examined PD differed slightly in effect magnitudes, yet the direction of associations remained consistent.

Indexed as

NeoplasmsPeriodontal DiseasesCohort StudiesHumansIncidenceRisk FactorsCancersCohort studiesMeta-analysisPeriodontal disease

Identifiers

PMID41889038
PMCPMC13052020

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.