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Table 2 Background characteristics and data collection of the included case-control studies

From: Evidence of past dental visits and incidence of head and neck cancers: a systematic review and meta-analysis

Reference

Region

Time frame of study

Design of study

Gender

Age, years [mean (standard deviation) or range]

Health outcome as defined in the manuscript

Definition of cancer cases

No of cases

No of controls

Total

Definition of dental visits

Adjusted covariates

Quality assessment

Chen et al. [44]

China

2010–2015

CCH

F

20–80

OCs (not defined)

Incident cases confirmed by histology

250

996

1246

Never, < once a year, ≥ once a year

Age, marital status, residence, family history of cancer, passive smoking, exposure to cooking oil fumes, and diet containing vegetablesand fruit

Strong

Mazul et al. [34]

North Carolina

2002–2006

CCP

M + F

20–80

HNCs (oral cavity, pharynx or larynx)

Diagnosed cases

491

1396

1887

Yes or no

Age, gender & race

Strong

Hashim et al. [20]

United States, Central Europe, Latin America, Japan & Asia

2001–2009

CCH

M + F

< 40–≤ 75

HNCs (oral cavity, larynx, oropharynx, and hypopharynx)

Incident cases

3551

2748

6299

≥ Once a year versus < than once a year

Age, center, sex, education, alcohol consumption, and tobacco smoking

Strong

Laprise et al. [45]

India (Kerala)

2008–2012

CCH

M + F

Mcases = 60.1 (10.8), Mcontrols = 59.2 (11.3), Fcases 59.8 (11.5), Fcontrols = 59.9 (12.1)

OCs (lip, tongue, gum, mouth, and palate)

Incident cases

350

371

721

Never, only when in pain, regularly

NA

Strong

Friemel et al. [21]

Germany

2002–2005

CCP

M + F

32–77

HNCs (tongue, gum, mouth, palate, tonsils, pharynx, and larynx

Incident cases diagnosed by pathology

276

None

276

At least once a year, every 2–5 years, less than every 5 years, never

NA

Strong

Dholam and Chouksey [46]

India

NG

CCH

M + F

18–45

OCs (lip, buccal mucosa, lower alveolus, retromolar trigone, oral tongue, floorof mouth, upper alveolus, and hard palate) and oropharynx

Incident cases

85

85

170

Every six months, once a year, less than once a year

NA

Strong

Huang J et al.[47]

China

2010–2015

CCP

M + F

> 20

OCs (not defined)

Incident cases diagnosed by pathology

414

870

1284

Never, < 5 years, ≥ 5 years

Age, gender, body mass index, occupation, education, and place of residence

Strong

Tsai et al. [48]

Taiwan

2010–2013

CCH

M + F

20–80

HNCs (oral cavity, oropharynx, hypopharynx, and larynx)

Incident cases diagnosed by pathology

436

514

950

No, every 6 months or less, every 6–12 months

Age, sex, education, cigarette smoking (pack-year categories), betel-quid chewing (pack-year categories) and alcohol drinking (frequency)

Strong

Ahrens et al.[22]

European countries: Prague, Bremen, Athens, Aviani\o, Padova, Turin, Dublin, Oslo, Glassgow, Manchester, New castke, Barcelona, Zagreb

2002–2005

CCPH

M + F

Cases = 59.8(10.1), controls = 59.8(11.8)

UADTCs (oral cavity, oropharynx, hypopharynx, larynx, or esophagus)

Incident cases

1963

1933

3896

Never, at least once a year, 2–5 years, less than every 5 years

Age, sex, study center, smoking status, cumulative tobacco consumption, cumulative alcohol consumption, professional education, consumption of fruits and vegetables

Strong

Narayan et al.[49]

India

NG

CC

M + F

21–≤ 80

OCs (buccal mucosa, tongue, gingivo-buccal sulcus, and retromolar area)

Incident cases diagnosed by histopathology

242

254

496

1–2 visits a year, 3–5 visits a year, > 5 visits a year

NG

Weak

Moergal et al.[23]

Rhineland-Palate, Germany

2011–2012

CCH

M + F

37–88

OCs (proximal to gingiva and mandibular/maxillary alveolar mucosa), floor of the mouth, tongue alveolar bone of maxilla and mandible, palate, cheek, and other locations of the mouth)

Incident cases identified from medical records

178

123

301

≤ 6 months versus > 6 months

NG

Moderate

Eliot et al.[35]

Boston, United States

2006–2011

CCP

M + F

≤ 18

HNCs (oral cavity, pharynx and larynx)

Incident cases

513

567

1080

Less than every year, at least once a year

Age, race, sex, pack-years smoked, average alcoholic drinks per week, education status, and income level

Strong

Chang et al. [50]

Taiwan

2010–2012

CCH

M + F

20–80

HNCs (cavity, oropharynx, hypopharynx, and larynx)

Incident cases diagnosed by histopathology

317

296

613

Every 6 months or less, every 6–12 months, no

Age, sex, education, cigarette smoking (pack-year categories) and betel quid chewing (pack-year categories), and alcohol drinking (frequency)

Strong

Macfarlane et al. [24]

Europe

2002–2005

CCP

M + F

< 50

UADTCs (lip, tongue, gum, mouth, and palate), pharynx, larynx, and esophagus

Incident cases

356

419

775

Never, < every 5 years, every 2–5 years, at least every year

Age, gender, education, center, smoking, and alcohol consumption

Strong

Johnson et al.[36]

Eastern Ontario region, Canada

2004–2005

CCH

M + F

≥ 35

HNCs (oral cavity, larynx, hypopharynx, and oropharynx)

Incident cases and patients diagnosed with cancer within 2 years of the date of interview

162

2679

2841

At least every 12 months, less than once a year, rarely, or never

Age, gender, education, immigrant status, and smoking

Strong

Divaris et al. [18]

46 counties of North Carolina

2002–2006

CCP

M + F

26–80

HNCs (oral, pharyngeal, and laryngeal)

Incident cases

1289

1361

2650

Yes or No

Age, sex, race, education, smoking status intensity, drinking status, cumulative ethanol consumption, fruit and vegetable consumption

Strong

Marques et al.[39]

São Paulo, southeastern Brazil

1998–2002

CCH

M + F

< 40–≥ 70

OCs (lip, tongue, gum, mouth, and palate) and pharynx (tonsil and oropharynx)

Incident cases diagnosed by histopathology

309

468

777

Regular (annually) occasional (interval between visits ≥ 2 years), never

Age, sex, schooling, smoking, alcohol consumption, and all other oral health/hygiene variables

Strong

Guha et al. [40]

Latin America

1998–2003

CCPH

M + F

< 40–≥ 70

HNCs (oral cavity, pharynx and larynx)

Incident cases confirmed by histology or cytology

2423

1824

4247

Every year, every 2–5 years, less than every 5 years, never

Age, sex, center, education, tobacco pack-years, cumulative alcohol consumption, and all other oral health variables

Strong

Rosenquist et al. [25]

Southern health care region of Sweden

2000–2004

CCP

M + F

33–89

OCs (tongue, floor of mouth) and oropharynx

Cancer cases identified from ear nose and throat department

165

320

485

Regular versus no

Tobacco and alcohol consumption

Strong

Guneri et al. [26]

Turkey

1998–2002

CCPH

M + F

Mean for cases = 56.26, for controls = 53.39

OCs (lip, tongue, floor of the mouth and gingiva, buccal mucosa, hard and soft palate)

Incident cases identified from ear nose and throat department

79

61

140

Frequent, not frequent

NG

Moderate

Lissowska et al. [27]

Warsaw, Poland

1997–2000

CCH

M + F

23–80

OCs (tongue, gum, and mouth) and oropharynx

Incident cases diagnosed by histology

122

124

246

Never versus visits at least once a year

Age, gender, place of residence, smoking, and drinking habits

Strong

Balram et al.[52]

Southern India (Bangalore, Madras and Trivandarum)

1996–1999

CCH

M + F

22–85

OCs (not defined)

Incident cases identified from 3 South Indian centers

591

582

1173

Never versus yes

Age, center, education, smoking, and drinking habits for men only

Strong

Garrote et al. [41]

Cuba

1996–1999

CCH

M + F

28–91

OCs (mouth) and oropharynx

Incident cases identified from National institute

200

200

400

Never, ≥ once every five years, < once every 5 years

Age, gender, area of residence, education, smoking, and drinking habits

Strong

Winn et al.[42]

Puerto Rico

1992–1995

CCP

M + F

21–79

OCs (tongue, gum, mouth) and pharynx (oropharynx and hypopharynx)

Incident cases diagnosed by histology

342

521

863

Yes, no, never

NG

Strong

Moreno-Lopez et al.[54]

Spain

Not mentioned

CCH

M + F

19–85

OCs (labial mucosa, tongue, gingiva, mouth) and oropharynx

Hospital diagnosed cases

75

150

225

Never, not regularly (at least once a year), regularly

NG

Strong

Talamini et al.[28]

Italy

1996–1999

CCH

M + F

27–86

OCs (tongue, mouth,) and oropharynx

Incident cases

132

148

280

Never, < once a year, ≥ once a year

Age, gender, fruit and vegetable intake, and smoking &drinking habits

Strong

Bundgaard et al.[29]

Denmark

1986–1990

CCP

M + F

≤ 45–> 70

OCs (retromolar area, buccal mucosa, floor of mouth, hard palate, upper and lower alveolus, and tongue)

Incident cases

161

483

644

At least once a year (regularly), more than once year

Tobacco and alcohol

Strong

Maier et al. [30]

Germany

1986–1989

CCH

M + F

30–75

HNCs (oral-cavity, oropharynx, hypopharynx and larynx)

Cases examined at department of maxillo-facial and head and neck surgery

100

214

314

Only in pain, less than once a year, more than once a year

NG

Moderate

Marshall et al.[37]

New York

1975–1983

CCP

M + F

≤ 50–≥ 76

HNCs (tongue, oropharynx, floor of mouth, pharynx, or hypopharynx)

Cases diagnosed pathologically

290

290

580

White patches, infection or inflammation, sharp or jagged teeth, toothache or crooked teeth

Tobacco and alcohol

Moderate

Zheng et al.[51]

China

1989–1990

CCH

M + F

18–80

OCs (tongue and mouth)

Incident cases diagnosed by histology

404

404

808

Routine visits or because of oral ulceration and toothache

NG

Strong

Franco et al.[43]

Brazil

1986–1988

CCH

M + F

< 40–≥ 70

OCs (tongue, gum, and mouth)

Incident cases diagnosed by histopathology

232

464

696

Never, < once a year, ≥ once a year

Age, sex, study site, and admission period

Strong

Elwood et al. [2]

Canada

1977–1980

CCH

M + F

20–94

HNCs (tongue, mouth, oropharynx, hypo-pharynx, and larynx)

Incident cases

374

374

748

No regular dental care versus no special dental care

Socioeconomic status, marital status, alcohol, and cigarette consumption

Strong

  1. CCH case-control with hospital based controls, CCP case-control with population based controls, CCPH case-control with hospital- and population-based controls, M males, F females, M + F males and females, NG not given, OCs oral cancers, HNCs head and neck cancers, UADTCs upper aerodigestive tract cancers