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Tooth Loss and Head and Neck Cancer: A Meta-Analysis of Observational Studies

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  • Xian-Tao Zeng
  • Wei Luo
  • Wei Huang
  • Quan Wang
  • Yi Guo
  • Wei-Dong Leng

Abstract

Backgroud: Epidemiological studies have shown that tooth loss is associated with risk of head and neck cancer (HNC); however, the results were inconsistent. Therefore, we conducted a meta-analysis to ascertain the relationship between tooth loss and HNC. Methods: We searched for relevant observational studies that tested the association between tooth loss and risk of HNC from PubMed and were conducted up to January 30, 2013. Data from the eligible studies were independently extracted by two authors. The meta-analysis was performed using the Comprehensive Meta-Analysis 2.2 software. Sensitivity and subgroup analyses were conducted to evaluate the influence of various inclusions. Publication bias was also detected. Results: Ten articles involving one cohort and ten case-control studies were yielded. Based on random-effects meta-analysis, an association between tooth loss and HNC risk was identified [increased risk of 29% for 1 to 6 teeth loss (OR = 1.29, 95% CI = 0.52–3.20, p = 0.59), 58% for 6 to 15 teeth loss (OR = 1.58, 95% CI = 1.08–2.32, p = 0.02), 63% for 11+ teeth loss (OR = 1.63, 95% CI = 1.23–2.14, p

Suggested Citation

  • Xian-Tao Zeng & Wei Luo & Wei Huang & Quan Wang & Yi Guo & Wei-Dong Leng, 2013. "Tooth Loss and Head and Neck Cancer: A Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-8, November.
    • Handle: RePEc:plo:pone00:0079074
    DOI: 10.1371/journal.pone.0079074
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    References listed on IDEAS

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    1. Ren-Sheng Wang & Xue-Ying Hu & Wan-Jie Gu & Zhen Hu & Bo Wei, 2013. "Tooth Loss and Risk of Head and Neck Cancer: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-9, August.
    2. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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