Cited by 19Head and Neck Cancer StudiesCancer, Stress, Anesthesia, and Immune ResponseOral Health Pathology and Treatment

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Antidepressants in association with reducing risk of oral cancer occurrence: a nationwide population-based cohort and nested case-control studies

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Abstract

// Chia-Min Chung 1, 2 , Tzer-Min Kuo 1 , Shang-Lun Chiang 1, 3 , Zhi-Hong Wang 1 , Chung-Chieh Hung 2, 4 , Hsien-Yuan Lane 2, 4 , Chiu-Shong Liu 5 , Ying-Chin Ko 1, 2 1 Environment-Omics-Disease Research Center, China Medical University Hospital, Taichung, Taiwan 2 Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan 3 Department of Health Risk Management, College of Public Health, China Medical University, Taichung, Taiwan 4 Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan 5 Department of Family Medicine, China Medical University Hospital, Taichung, Taiwan Correspondence to: Ying-Chin Ko, e-mail: ycko0406@gmail.com Keywords: oral cancer, antidepressants, cohort Received: September 08, 2015 Accepted: January 20, 2016 Published: January 28, 2016 ABSTRACT Objectives: Several studies suggested that antidepressant use may increase or decrease the risk of cancer occurrence, depending on specific cancer types. The possible carcinogenic effect of antidepressants has received substantial attention; however, evidence remains inconclusive. Here we investigated associations between the use of antidepressants and occurrences of oral cancer (OC). Methods: Two million samples were randomly collected from the National Health Insurance Research Database in Taiwan, which covers 98% of the total population (23 million). All patients from2000 to 2009 were followed up. We identified 5103 patients newly diagnosed with OC after antidepressants use in addition to 20,412 non-OC matched subjects and 95,452 unmatched non-OC subjects. Results: In nested case control analysis, factors associating with OC, including age [OR = 1.02; 95% confidence interval (CI) = 1.01–1.03) and male (OR = 5.30; 95% CI = 4.92–5.70) were independently associated with increased risk of OC. Based on the functions of antidepressants, antidepressants treatment medications were further classified to investigate risk of OC. Selective serotonin reuptake inhibitors (OR = 0.61; 95% CI = 0.53–0.70) and tricyclic antidepressants (OR = 0.57; 95% CI = 0.52–0.63) were associated with reduced risk of OC. The risk of developing OC among subjects taking antidepressants was less than 26% [hazard ratio (HR) =0.74; 95% CI = 0.68–0.81] in prospective cohort study. The effect of a cumulative duration and dose was a significantly reduced risk of OC. Conclusions: The association between antidepressant use and decreasing OC risk were demonstrated by both prospective and nested case–control studies.

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  • The 30-day criterion for antidepressant users is widely accepted in other studies.

    “and this criterion is widely accepted in other studies [40-42].”

    From Risk analysis of use of different classes of antidepressants on subsequent dementia: A nationwide cohort study in Taiwan (2017) · cites this paper as [40]

    In Materials and Methods > Study patients (page unavailable), the paper defines antidepressant exposure as a prescription for at least one month, supporting its use of a roughly 30-day criterion. It does not say that this criterion is widely accepted or used in other studies. (LLM, conf=0.86)

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Metadata

Authors
Chung, C.-M., Kuo, T.-M., Chiang, S.-L., Wang, Z.-H., Hung, C.-C., Lane, H.-Y., Liu, C.-S., & Ko, Y.-C.
Affiliations
  • China Medical University (TW)
  • China Medical University Hospital (TW)
Venue
Oncotarget
Published
2016-01-28
Volume
7
Issue
10
Pages
11687-11695
ISSN
1949-2553 (ISSN-L)
OpenAlex
W2291972362
Cited by
19
References
3
Citations by year
2026: 2 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2018: 3 · 2017: 3
FWCI
1.88
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Oncotarget (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • China Medical University Hospital
  • Ministry of Science and Technology, Taiwan (MOST104-2314-B039-002, MOST104-2314-B039-003)
  • China Medical University
  • Division of Materials Research
Topics
  • Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
  • Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
Keywords
oral cancer, antidepressants, selective serotonin reuptake inhibitors, tricyclic antidepressants, mirtazapine, cancer risk factors, sex differences in cancer risk, age and cancer risk, Taiwan National Health Insurance Research Database
MeSH terms
Antidepressive Agents, Female, Humans, Male, Middle Aged, Mouth Neoplasms, Risk Factors, Taiwan, Cohort Studies, Case-Control Studies, Databases, Factual

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