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. 2022 Nov 28;13(4):297–306. doi: 10.4103/ccd.ccd_117_22

Table 1.

Characteristics of studies on the association of periodontal disease with lung cancer

Author Country Study design Sample size Event/total Assesment method Population study

Exposure No exposure
Hujoel et al., 2003[21] USA Prospective Cohort 11,328 132/4763 59/6562 Oral exam NHANES I
Hiraki et al., 2008[22] JAPAN Case control study 15,720 235/604 674/2123 Questionnaire Hospital database
Michaud et al., 2008[23] USA Prospective Cohort 236/7863 442/40,512 Oral examination HPFS
Arora et al., 2010[24] SWEDEN Twin cohort study 15,333 14/908 175/12,592 Questionnaire Swedish Twin registry
Wen et al., 2014[25] CHINA Retrospective cohort study 148,172 243/51,791
Women 88/25,503
Men 155/26,288
353/96,375
Women 137/45,583
Men 216/47,522
Insurance Claims data ICD 9 National health insurance program Taiwan
Mai et al., 2014[26] USA Prospective Cohort 77,485 287/19,942 467/56,789 Questionnaire WHI
Michaud et al., 2016[27] USA Prospective Cohort 19,933 13/1945 101/17,988 Questionnaire HPFS
Chrysanthakopoulos, 2016[28] GREEK Case control study 200 18/38 46/116 Health questionnaire Private medical and dental office
Nwizu et al., 2017[29] USA Prospective Cohort 65,869 334/17,103 521/48,766 Self-reporter questionnaire WHI
Michaud et al., 2018[30] USA Prospective Cohort 7466 192/4923 34/2543 Oral examination ARIC study
Tai et al., 2018[31] TAIWAN Cohort study 14,284 46/7142 21/7142 Medical records National health insurance databases
Yoon et al., 2019[32] USA Case control study 403 127/504 267/1476 Intervein questionnaire SCCS

Author Age Gender Time period Follow up Exposure Result (95% CI) Adjustment

Hujoel et al., 2003[21] 25-74 Male/female 1971-1992 10 PD versus Gingivitis HR 1.73 (1.01-2.97) Smoking, alcohol consumption, Vitamin A and Vitamin C intake, age, gender, race, education poverty index and BMI
Hiraki et al., 2008[22] 20-80 Male/female 2001-2005 - OR 1.54 (0.05-2.27) Age, sex, smoking, alcohol drinking, vegetable and fruit intake, regular exercise, BMI
Michaud et al., 2008[23] 40-75 Male 1986-2004 17.7 PD versus no PD HR 1.36 (1.15-1.60) Race, BMI, physical activity, smoking history, diabetes, region, height, alcohol, Vitamin D and calcium intake
Arora et al., 2009[24] 38-77 Male/female 1963-2004 27 years PD versus No PD HR 1.41 (0.81-2.46) Sex, age, education, smoking status, employment, siblings, diabetes, BMI
Wen et al., 2014[25] >20 Male/female 1997-2010 2 PD versus gingivitis HR 1.08 (0.91-1.27)
Women HR 1.11 (0.85-1.45)
Men HR 1.05 (0.85-1.29)
Gender, age, diabetes, hypertension, hyperlipidemia
Mai et al., 2014[26] 50-79 Female 1993 5 PD versus No PD HR 1.25 (1.06-1.48) Education, race, BMI, menopausal hormone therapy, recreational physical activity, region of residence, aspirin use, alcohol
Michaud et al., 2016[27] 40-75 Male 1986-2012 8 PD versus No PD HR 0.92 (0.49-1.71) Age, race, alcohol use and physical activity, diabetes, NSAIDs use
Chrysanthakopoulos, 2016[28] 45-73 Male/female - Periopocket versus CAL Pocket depth OR 2.72 (1.05-7.06) Socioeconomic level, age, gender, smoking status
Nwizu et al., 2017[29] 54-86 Female 1999-2003 8.32 PD versus no PD HR 1.31 (1.14-1.51) Age, race, education, region, family history of cancer, diabetes, physical activity, smoking, alcohol intake, dietary of intake of energy, calcium, Vitamin D, BMI, postmenopausal hormone therapy
Michaud et al., 2018[30] 44-66 Male/female 1987-2012 15 PD versus no PD versus edentulism Moderate versus mild HR 1.41 (0.90-2.21) Severe versus mild HR 2.33 (1.51-3.60) Smoking, age, education, BMI, diabetes, alcohol drinking, sex
Tai et al., 2019[31] Any age Female 2000-2013 13 PD versus gingivitis HR 1.90 (1.08-3.35) Urbanization level, socioeconomic status
Yoon et al., 2019[32] 40-79 Male/female 2015 - PD versus no PD versus tooth loss OR 1.44 (1.09-1.91) Tooth loss >10 OR 1.64 (1.0-2.69) BMI, education, household income, COPD, alcohol drinking status and smoking

NHANES I: National Health and Nutrition Examination Survey I, PD: Periodontal disease, HR: Hazard ratio, OR: Odds ratio, HPFS: Health Professional Follow up Study by Harvard University, ICD: International Cancer Disease, BOP: Bleeding on probing, CAL: Clinical attachment Level, WHI: Women’s Health Initiative, ARIC: Atherosclerosis Risk in Communities, SCCS: Southern Community Cohort Study, COPD: Chronic obstructive pulmonary disease, CI: Confidence interval, BMI: Body mass index, NSAIDs: Non-Steroidal Anti-inflammatory drugs