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前列腺炎症与牙周病之间的关系——一项系统评价与荟萃分析

Relationship between Prostate Inflammation and Periodontal Disease-A Systematic Review and Meta-Analysis.

作者信息

Ortíz de Urbina Comerón Pablo, Zubizarreta-Macho Álvaro, Lobo Galindo Ana Belén, Montiel-Company José María, Lorenzo-Gómez María-Fernanda, Flores Fraile Javier

机构信息

Department of Surgery, Faculty of Medicine and Dentistry, University of Salamanca, 37008 Salamanca, Spain.

Department of Implant Surgery, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain.

出版信息

J Clin Med. 2023 Sep 20;12(18):6070. doi: 10.3390/jcm12186070.

DOI:10.3390/jcm12186070
PMID:37763009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10531617/
Abstract

UNLABELLED: The aim of this systematic review and meta-analysis was to analyze the association between periodontal disease and prostate inflammation with a null hypothesis stating that periodontal disease does not increase the incidence of prostate inflammation. MATERIALS AND METHODS: A systematic literature review and meta-analysis of longitudinal observational cohort and case-control studies that evaluated the odds ratio or hazard ratio and confidence interval was undertaken based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations (2020). A total of four databases were consulted in the literature search: PubMed-Medline, Scopus, Embase, and Web of Science. After eliminating duplicated articles and applying the inclusion criteria, seven articles were selected for the qualitative and quantitative analyses. RESULTS: Four observational cohort studies and three observational cohort case-control studies were included in the meta-analysis. The four observational cohort studies were combined using the random effects model to estimate a hazard ratio of 1.32 with a confidence interval of 95% between 0.87 and 1.77. The meta-analysis presented high heterogeneity (Q test = 56.1; value < 0.001; I = 94.9%). Moreover, the three observational case-control studies were combined using the random effects model to estimate an odds ratio of 1.62 with a confidence interval of 95% between 1.41 and 1.84. The meta-analysis presented high heterogeneity (Q test = 1.07; value = 0.782; I = 0%). CONCLUSIONS: The incidence of periodontal disease does not increase the risk of the incidence of prostate inflammation.

摘要

未标注：本系统评价和荟萃分析的目的是分析牙周病与前列腺炎症之间的关联，零假设为牙周病不会增加前列腺炎症的发病率。 材料与方法：根据系统评价和荟萃分析的首选报告项目（PRISMA）建议（2020年），对评估优势比或风险比及置信区间的纵向观察性队列研究和病例对照研究进行了系统文献回顾和荟萃分析。在文献检索中总共查阅了四个数据库：PubMed-Medline、Scopus、Embase和科学网。在剔除重复文章并应用纳入标准后，选择了七篇文章进行定性和定量分析。 结果：荟萃分析纳入了四项观察性队列研究和三项观察性队列病例对照研究。四项观察性队列研究采用随机效应模型进行合并，以估计风险比为1.32，95%置信区间在0.87至1.77之间。荟萃分析呈现出高度异质性（Q检验=56.1；P值<0.001；I²=94.9%）。此外，三项观察性病例对照研究采用随机效应模型进行合并，以估计优势比为1.62，95%置信区间在1.41至1.84之间。荟萃分析呈现出低异质性（Q检验=1.07；P值=0.782；I²=0%）。 结论：牙周病的发病率不会增加前列腺炎症发病的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/c19866da6f91/jcm-12-06070-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/a46f3226c3e3/jcm-12-06070-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/eb9b94aebd2a/jcm-12-06070-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/34c1e45ad201/jcm-12-06070-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/331fbc9c4ef3/jcm-12-06070-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/c19866da6f91/jcm-12-06070-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/a46f3226c3e3/jcm-12-06070-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/eb9b94aebd2a/jcm-12-06070-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/34c1e45ad201/jcm-12-06070-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/331fbc9c4ef3/jcm-12-06070-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbf/10531617/c19866da6f91/jcm-12-06070-g005.jpg

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引用本文的文献

[1]
Chronic Periodontitis as a Risk Factor for Benign Prostatic Hyperplasia: A Cohort Study.

J Clin Med. 2025-2-14

[2]
Association between periodontal disease and systemic diseases: a cross-sectional analysis of current evidence.

Mil Med Res. 2024-12-4

本文引用的文献

[1]
The Efficacy of Flogofilm in the Treatment of Chronic Bacterial Prostatitis as an Adjuvant to Antibiotic Therapy: A Randomized Prospective Trial.

J Clin Med. 2023-4-9

[2]
Periodontitis Exacerbates Benign Prostatic Hyperplasia through Regulation of Oxidative Stress and Inflammation.

Oxid Med Cell Longev. 2021

[3]
The Association between Prostate-Specific Antigen Velocity (PSAV), Value and Acceleration, and of the Free PSA/Total PSA Index or Ratio, with Prostate Conditions.

J Clin Med. 2020-10-23

[4]
Granulomatous prostatitis mimicking prostate cancer in a patient with psoriatic arthritis: a case report.

Future Sci OA. 2020-6-17

[5]
Association of chronic periodontitis with prostatic hyperplasia and prostatitis: A population-based cohort study in Taiwan.

J Periodontol. 2021-1

[6]
Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline.

J Clin Periodontol. 2020-7

[7]
Unveiling the Link between Prostatitis and Periodontitis.

Contemp Clin Dent. 2018

[8]
Periodontal disease and risk of benign prostate hyperplasia: a cross-sectional study.

Mil Med Res. 2019-11-13

[9]
The association between clinically determined periodontal disease and prostate-specific antigen concentration in men without prostate cancer: the 2009-2010 National Health and Nutrition Examination Survey.

Cancer Causes Control. 2019-10-21

[10]
Association between oral pathogens and prostate cancer: building the relationship.

Am J Clin Exp Urol. 2019-2-18

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