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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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// 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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Then, C.-K., Chi, N.-F., Chung, K.-H., Kuo, L., Liu, K.-H., Hu, C.-J., Shen, S.-C., & Lin, Y.-K. (2017) · PLOS ONE · doi:10.1371/journal.pone.0175187 · Cited by 35
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
- Publisher
- Impact Journals, LLC
- Published
- 2016-01-28
- Volume
- 7
- Issue
- 10
- Pages
- 11687-11695
- ISSN
- 1949-2553 (ISSN-L)
- PMC
- PMC4905503
- 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
- diamond
- doi.org
- 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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