Abstract
BackgroundThe evidence for association between Epstein-Barr virus (EBV) infection and risk of oral squamous cell carcinoma (OSCC) is inconsistent in the literature. Therefore, this meta-analysis was conducted to clarify this association.MethodsA literature search was conducted in electronic databases for English- and Chinese-language publications until March 31, 2017 to include eligible case-control studies. The pooled odds ratio (OR) and 95% confidence interval (95% CI) were estimated to determine the association between EBV infection and OSCC risk using a fixed- or random-effects model based on heterogeneity. Publication bias was assessed using funnel plot analysis.ResultsA total of 13 case-control studies with 686 OSCC patients and 433 controls were included based on predetermined inclusion and exclusion criteria. The pooled OR with 95% CI between EBV infection and OSCC risk was 5.03 (1.80–14.01) with significant heterogeneity observed (I2 = 87%). The subgroup analysis indicates that the year of publication, study location, economic level, sample size, tissue type, detection method and marker, control type, and language might explain potential sources of heterogeneity. Publication bias was not observed, and sensitivity analysis showed stable results.ConclusionsThe results of the current meta-analysis suggest that EBV infection is statistically associated with increased risk of OSCC. However, additional high-quality studies with larger sample sizes are needed to further confirm the relationship between EBV and OSCC.
Highlights
Oral squamous cell carcinoma (OSCC) is the most common subset (90%) of oral cancer with a global incidence of 275,000 cases annually [1], the sixth leading malignancy worldwide [2]
The results of the current meta-analysis suggest that Epstein-Barr virus (EBV) infection is statistically associated with increased risk of OSCC
It has been demonstrated that individuals with Epstein-Barr virus (EBV) infection might be at increased risk for OSCC
Summary
Editor: Edward Gershburg, Southern Illinois University School of Medicine, UNITED STATES Received: May 15, 2017 Accepted: October 9, 2017 Published: October 24, 2017. A literature search was conducted in electronic databases for English- and Chinese-language publications until March 31, 2017 to include eligible case-control studies. The pooled odds ratio (OR) and 95% confidence interval (95% CI) were estimated to determine the association between EBV infection and OSCC risk using a fixed- or random-effects model based on heterogeneity. Publication bias was assessed using funnel plot analysis. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript
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