PMID- 25468899 OWN - NLM STAT- MEDLINE DCOM- 20150730 LR - 20181113 IS - 1940-6215 (Electronic) IS - 1940-6207 (Print) IS - 1940-6215 (Linking) VI - 7 IP - 12 DP - 2014 Dec TI - Proton pump inhibitors and histamine 2 blockers are associated with improved overall survival in patients with head and neck squamous carcinoma. PG - 1258-69 LID - 10.1158/1940-6207.CAPR-14-0002 [doi] AB - It has been postulated that gastroesophageal reflux plays a role in the etiology of head and neck squamous cell carcinomas (HNSCC) and contributes to complications after surgery or during radiotherapy. Antacid medications are commonly used in patients with HNSCC for the management of acid reflux; however, their relationship with outcomes has not been well studied. Associations between histamine receptor-2 antagonists (H2RA) and proton pump inhibitors (PPI) use and treatment outcomes were determined in 596 patients with previously untreated HNSCC enrolled in our SPORE epidemiology program from 2003 to 2008 (median follow-up 55 months). Comprehensive clinical information was entered prospectively in our database. Risk strata were created on the basis of possible confounding prognostic variables (age, demographics, socioeconomics, tumor stage, primary site, smoking status, HPV16 status, and treatment modality); correlations within risk strata were analyzed in a multivariable model. Patients taking antacid medications had significantly better overall survival (OS; PPI alone: P < 0.001; H2RA alone, P = 0.0479; both PPI + H2RA, P = 0.0133). Using multivariable Cox models and adjusting for significant prognostic covariates, both PPIs and H2RAs used were significant prognostic factors for OS, but only H2RAs use for recurrence-free survival in HPV16-positive oropharyngeal patients. We found significant associations between the use of H2RAs and PPIs, alone or in combination, and various clinical characteristics. The findings in this large cohort study indicate that routine use of antacid medications may have significant therapeutic benefit in patients with HNSCC. The reasons for this association remain an active area of investigation and could lead to identification of new treatment and prevention approaches with agents that have minimal toxicities. CI - (c)2014 American Association for Cancer Research. FAU - Papagerakis, Silvana AU - Papagerakis S AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. Department of Periodontics-Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan. silvanap@umich.edu. FAU - Bellile, Emily AU - Bellile E AD - Center for Cancer Biostatistics, University of Michigan, Ann Arbor, Michigan. FAU - Peterson, Lisa A AU - Peterson LA AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. FAU - Pliakas, Maria AU - Pliakas M AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. FAU - Balaskas, Katherine AU - Balaskas K AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. FAU - Selman, Sara AU - Selman S AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. FAU - Hanauer, David AU - Hanauer D AD - Clinical Informatics, Comprehensive Cancer Center Bioinformatics Core, University of Michigan, Ann Arbor, Michigan. Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan. FAU - Taylor, Jeremy M G AU - Taylor JM AD - Center for Cancer Biostatistics, University of Michigan, Ann Arbor, Michigan. Department of Biostatistics, University of Michigan Medical School, Ann Arbor, Michigan. FAU - Duffy, Sonia AU - Duffy S AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. School of Nursing, University of Michigan, Ann Arbor, Michigan. Department of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan. VA Ann Arbor Healthcare System, University of Michigan, Ann Arbor, Michigan. FAU - Wolf, Gregory AU - Wolf G AD - Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School, Ann Arbor, Michigan. LA - eng GR - KL2 TR001118/TR/NCATS NIH HHS/United States GR - P50 CA097248/CA/NCI NIH HHS/United States GR - UL1 TR001120/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Prev Res (Phila) JT - Cancer prevention research (Philadelphia, Pa.) JID - 101479409 RN - 0 (Histamine H2 Antagonists) RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/drug therapy/*mortality/pathology MH - Female MH - Follow-Up Studies MH - Gastroesophageal Reflux/drug therapy/*mortality/pathology MH - Head and Neck Neoplasms/drug therapy/*mortality/pathology MH - Histamine H2 Antagonists/*therapeutic use MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - Prospective Studies MH - Proton Pump Inhibitors/*therapeutic use MH - Retrospective Studies MH - Survival Rate PMC - PMC4372797 MID - NIHMS656701 COIS- Conflict of interest: None. EDAT- 2014/12/04 06:00 MHDA- 2015/08/01 06:00 PMCR- 2015/03/25 CRDT- 2014/12/04 06:00 PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/08/01 06:00 [medline] PHST- 2015/03/25 00:00 [pmc-release] AID - 1940-6207.CAPR-14-0002 [pii] AID - 10.1158/1940-6207.CAPR-14-0002 [doi] PST - ppublish SO - Cancer Prev Res (Phila). 2014 Dec;7(12):1258-69. doi: 10.1158/1940-6207.CAPR-14-0002.