Metabolic disorders and the risk of head and neck cancer: a protocol for a systematic review and meta-analysis.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
04 05 2022
Historique:
entrez: 4 5 2022
pubmed: 5 5 2022
medline: 7 5 2022
Statut: epublish

Résumé

Head and neck cancer squamous cell carcinoma (HNSCC) is the sixth most common cancer internationally. Established risk factors include smoking, alcohol and presence of human papillomavirus (HPV). The incidence rate of new disease continues to rise, despite falls in alcohol consumption and a reduction in smoking, the rising rates are unlikely to be solely attributed to HPV status alone. Obesity and its associated conditions such as type 2 diabetes (T2D) are implicated in the risk and progression of a variety of cancers, but there is paucity of evidence regarding its role in HNSCC. A systematic review of cohort studies, reporting a risk of incident HNSCC, will be included. A systematic search strategy has been developed, multiple databases will be searched from January 1966 to November 2021, including Cochrane Library, OVID SP versions of Medline and EMBASE. The primary outcome will be incident HNSCC based on exposures of T2D, obesity, dyslipidaemia and hypertension as defined by the WHO. A combined risk effect across studies will be calculated using meta-analysis, although depending on the heterogeneity in study design, exposure and outcome reporting this may not be possible. No ethical approval is required for this systematic review. The review will be published in a relevant peer-review journal and findings will be presented at scientific meetings in both poster and oral presentation form. This study has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) with study registration number CRD42021250520. This protocol has been developed in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidance statement.

Identifiants

pubmed: 35508337
pii: bmjopen-2021-058392
doi: 10.1136/bmjopen-2021-058392
pmc: PMC9073393
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e058392

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Department of Health
Pays : United Kingdom

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Alexander Gormley (A)

Bristol Dental School, Faculty of Health Sciences, University of Bristol, Bristol, UK.
Bristol Dental Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.

Charlotte Richards (C)

School of Dentistry, Cardiff University, Cardiff, UK.

Francesca Spiga (F)

Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.
MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.

Emily Gray (E)

Bristol Dental Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.

Joanna Hooper (J)

Library and Information Services, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.

Barry Main (B)

Bristol Dental School, Faculty of Health Sciences, University of Bristol, Bristol, UK.
Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.

Emma E Vincent (EE)

MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.
School of Cellular and Molecular Medicine, Faculty of Life Sciences, University of Bristol, Bristol, UK.

Rebecca Richmond (R)

Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.
MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.

Julian Higgins (J)

Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.
MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.

Mark Gormley (M)

Bristol Dental School, Faculty of Health Sciences, University of Bristol, Bristol, UK mark.gormley@bristol.ac.uk.
MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK.

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Classifications MeSH