Associations of antibiotic use with risk of primary liver cancer in the Clinical Practice Research Datalink.

Abstract:

BACKGROUND:Use of antibiotics could alter human microbiota composition and decrease bacterial diversity. Such microbial dysbiosis may have implications in hepatocarcinogenesis; however, the association between antibiotic use and liver cancer risk has been minimally examined in humans. METHODS:We performed a nested case-control study (1195 primary liver cancer cases and 4640 matched controls) within the United Kingdom's Clinical Practice Research Datalink. Antibiotic use was obtained from prescription records. Multivariable-adjusted odds ratio (OR) and 95% confidence interval (CI) were estimated using conditional logistic regression. RESULTS:Ever-use of prescription antibiotics was associated with a slightly increased risk of liver cancer, compared to non-use (OR=1.22, 95% CI=1.03-1.45). However, there was no clear dose-response relationship by the number of prescriptions or cumulative dose of antibiotic use, suggesting a non-causal association. CONCLUSIONS:Our results do not support a role of antibiotic use in liver cancer development.

journal_name

Br J Cancer

authors

Yang B,Hagberg KW,Chen J,Sahasrabuddhe VV,Graubard BI,Jick S,McGlynn KA

doi

10.1038/bjc.2016.148

subject

Has Abstract

pub_date

2016-06-28 00:00:00

pages

85-9

issue

1

eissn

0007-0920

issn

1532-1827

pii

bjc2016148

journal_volume

115

pub_type

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