Association between periodontal disease and malignant soft tissue sarcomas.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral diseases Pub Date : 2024-10-01 Epub Date: 2024-01-08 DOI:10.1111/odi.14853

Takatoshi Hiroshimaya, Yusuke Fujimoto, Hiromi Sasaki, Toshihiro Motoi, Emi Nagata, Noboru Taniguchi, Takahiko Oho

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引用次数: 0

Abstract

Objective: Malignant soft tissue sarcoma (MSTS) is a rare disease, but is seen in patients undergoing orthopedic surgery. Although the association of periodontal disease with various cancers occurring in the oral cavity, gastrointestinal tract, lungs, and prostate, has been reported, the association between periodontal disease and MSTS remains unclear. This study investigated the association between periodontal disease and MSTS in patients undergoing orthopedic surgery.

Subjects and methods: One hundred fifteen patients who underwent orthopedic surgery between 2017 and 2021 were retrospectively enrolled (mean age = 66.8 ± 10.7 years). The patient background was adjusted by the propensity score (PS). Subsequently, the association of periodontal disease with MSTS was analyzed using PS inverse probability of treatment weighting (IPTW). Periodontal status was determined by evaluating the periodontal inflamed surface area, which was calculated by measuring the periodontal probing pocket depth and detecting bleeding on probing.

Results: Multivariate logistic regression analysis after adjustment by the PS showed that severe periodontitis was significantly associated with MSTS (odds ratio 2.81, p = 0.04). Furthermore, IPTW showed that severe periodontitis was significantly associated with MSTS (odds ratio 3.21, p = 0.01).

Conclusion: The results indicate an association between periodontal inflammation and MSTS.

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牙周病与恶性软组织肉瘤的关系

目的：恶性软组织肉瘤（MSTS）是一种罕见疾病，但常见于接受骨科手术的患者。虽然有报道称牙周病与发生在口腔、胃肠道、肺部和前列腺的各种癌症有关，但牙周病与恶性软组织肉瘤之间的关系仍不清楚。本研究调查了骨科手术患者牙周病与 MSTS 之间的关系：回顾性纳入2017年至2021年间接受骨科手术的115名患者（平均年龄=66.8±10.7岁）。患者背景通过倾向评分（PS）进行调整。随后，使用 PS 逆治疗概率加权法（IPTW）分析了牙周疾病与 MSTS 的关联。牙周状况通过评估牙周炎症表面积来确定，牙周炎症表面积通过测量牙周探诊袋深度和探诊出血来计算：经 PS 调整后的多变量逻辑回归分析表明，严重牙周炎与 MSTS 显著相关（几率比 2.81，P = 0.04）。此外，IPTW 显示严重牙周炎与 MSTS 显著相关（几率比 3.21，P = 0.01）：结论：研究结果表明，牙周炎症与 MSTS 存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.