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牙周病与幽门螺杆菌的关系:观察性研究的更新荟萃分析。

The association between periodontal diseases and helicobacter pylori: an updated meta-analysis of observational studies.

机构信息

Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Department of Physical Medicine and Rehabilitation, School of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.

出版信息

BMC Oral Health. 2023 Jul 26;23(1):523. doi: 10.1186/s12903-023-03232-3.

Abstract

INTRODUCTION

Various studies have examined the association between periodontitis and helicobacter pylori and reported conflicting results. The aimed of this systematic review and meta-analysis estimating the association between these two variables.

METHODS

Electronic databases including PubMed (Medline), Scopus, Web of Sciences and Medline (Elsevier) were searched using the relevant keywords. All observational studies comparing the association between periodontitis and helicobacter pylori were considered. The Newcastle - Ottawa Quality Assessment Scale (NOS) checklist was used for assessing quality of included studies. All statistical analyses were completed using STATA (Version 16).

RESULTS

Twenty-three studies with 8,638 patients (15 case-control with 2,366 patients and 8 cross-sectional with 6,272 patients) were included in this meta-analysis. After combining the selected studies, the odds of presence the Helicobacter pylori infection in patients with the periodontal disease was 2.47 (OR: 2.47; 95% CI: 2.01, 3.03; I: 50.87%; P: 0.001). Also, the odds after combining case-control studies was 2.77 (OR: 2.77; % 95 CI: 2.11, 3.66; I: 37.16%; P: 0.049) and after combining cross-sectional analytical ones, it was equal to 2.07 (OR: 2.07; 95% CI: 1.62, 2.65; I: 43.25%; P: 0.050).

CONCLUSION

Based on the results of this meta-analysis, the association between Helicobacter pylori infection and the periodontal disease is evident.

摘要

简介

许多研究都考察了牙周炎与幽门螺杆菌之间的关联,并报告了相互矛盾的结果。本系统评价和荟萃分析旨在评估这两个变量之间的关联。

方法

使用相关的关键词在电子数据库中进行检索,包括 PubMed(Medline)、Scopus、Web of Sciences 和 Medline(Elsevier)。纳入了比较牙周炎与幽门螺杆菌之间关联的所有观察性研究。使用纽卡斯尔-渥太华质量评估量表(NOS)检查表评估纳入研究的质量。所有统计分析均使用 STATA(版本 16)完成。

结果

这项荟萃分析纳入了 23 项研究,涉及 8638 名患者(15 项病例对照研究,涉及 2366 名患者;8 项横断面研究,涉及 6272 名患者)。综合这些研究后,患有牙周病的患者中存在幽门螺杆菌感染的几率为 2.47(OR:2.47;95%CI:2.01,3.03;I²:50.87%;P:0.001)。此外,综合病例对照研究后的比值比为 2.77(OR:2.77;95%CI:2.11,3.66;I²:37.16%;P:0.049),综合横断面分析研究后的比值比为 2.07(OR:2.07;95%CI:1.62,2.65;I²:43.25%;P:0.050)。

结论

基于这项荟萃分析的结果,幽门螺杆菌感染与牙周病之间存在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5192/10369707/5adde1a2faa8/12903_2023_3232_Fig1_HTML.jpg

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