Periodontal Disease And Breast Cancer Risk: Results From The Nurses' Health Study

CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION(2021)

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摘要
Background: While periodontal disease has been linked to increased cancer risk, studies regarding an association with breast cancer are limited.Methods: We examined the relationship between self-reported diagnosis of periodontal bone loss and incidence of breast cancer in a large, prospective cohort study, the Nurses' Health Study (19982014). We calculated HRs using Cox proportional hazards modeling, adjusting for risk factors common to both periodontal disease and breast cancer.Results: During 1,023,647 person-years of follow-up, 5,110 of breast cancer cases were reported. We observed no association between periodontal disease and overall breast cancer risk (HR, 1.02; 95% confidence interval: 0.94-1.10); the association was not modified by smoking status, or other breast cancer risk factors or by breast tumor subtypes.Conclusions: We did not observe any association between periodontal disease and breast cancer risk.Impact: Given inconsistent findings in the literature, further research with standardized clinical measures of periodontitis is warranted.
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