Relationship between periodontitis and pre-eclampsia: a meta-analysis.

<h4>Background</h4>Studies have suggested controversial results regarding a possible association between pre-eclampsia (PE) and periodontal disease (PD) and no meta-analysis has been performed to clarify this issue.<h4>Methods</h4>A literature search of electronic databases w...

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Auteurs principaux: Fabrizio Sgolastra, Ambra Petrucci, Marco Severino, Roberto Gatto, Annalisa Monaco
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Langue:EN
Publié: Public Library of Science (PLoS) 2013
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Accès en ligne:https://doaj.org/article/65acd3042d3b4fd68d081fd946817021
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spelling oai:doaj.org-article:65acd3042d3b4fd68d081fd9468170212021-11-18T08:58:54ZRelationship between periodontitis and pre-eclampsia: a meta-analysis.1932-620310.1371/journal.pone.0071387https://doaj.org/article/65acd3042d3b4fd68d081fd9468170212013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23990948/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Studies have suggested controversial results regarding a possible association between pre-eclampsia (PE) and periodontal disease (PD) and no meta-analysis has been performed to clarify this issue.<h4>Methods</h4>A literature search of electronic databases was performed for articles published through March 24, 2013, followed by a manual search of several dental and medical journals. The meta-analysis was conducted according to the recommendations of the Cochrane Collaboration and PRISMA. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Heterogeneity was assessed with the χ(2)-based Cochran Q test and I(2) statistic. The level of significance was set at P <0.05.<h4>Results</h4>Fifteen studies were included, including three cohort and 12 case-control studies. A positive association was found between PE and PD (OR 2.17, 95% CI 1.38-3.41, P = 0.0008). However, a high and significant heterogeneity was found (χ(2) = 62.42, P<0.00001, I(2) = 75%). In most cases, subgroup analysis had low power to detect significant differences between PE and non-PE groups.<h4>Conclusion</h4>Based on the findings of the meta-analysis, PD appears to be a possible risk factor for PE. However, given the important differences in the definitions and diagnoses of PD and PE among the studies, as well as their lack of good methodological quality, future trials are needed to confirm the results of the present meta-analysis.Fabrizio SgolastraAmbra PetrucciMarco SeverinoRoberto GattoAnnalisa MonacoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 8, p e71387 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Fabrizio Sgolastra
Ambra Petrucci
Marco Severino
Roberto Gatto
Annalisa Monaco
Relationship between periodontitis and pre-eclampsia: a meta-analysis.
description <h4>Background</h4>Studies have suggested controversial results regarding a possible association between pre-eclampsia (PE) and periodontal disease (PD) and no meta-analysis has been performed to clarify this issue.<h4>Methods</h4>A literature search of electronic databases was performed for articles published through March 24, 2013, followed by a manual search of several dental and medical journals. The meta-analysis was conducted according to the recommendations of the Cochrane Collaboration and PRISMA. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Heterogeneity was assessed with the χ(2)-based Cochran Q test and I(2) statistic. The level of significance was set at P <0.05.<h4>Results</h4>Fifteen studies were included, including three cohort and 12 case-control studies. A positive association was found between PE and PD (OR 2.17, 95% CI 1.38-3.41, P = 0.0008). However, a high and significant heterogeneity was found (χ(2) = 62.42, P<0.00001, I(2) = 75%). In most cases, subgroup analysis had low power to detect significant differences between PE and non-PE groups.<h4>Conclusion</h4>Based on the findings of the meta-analysis, PD appears to be a possible risk factor for PE. However, given the important differences in the definitions and diagnoses of PD and PE among the studies, as well as their lack of good methodological quality, future trials are needed to confirm the results of the present meta-analysis.
format article
author Fabrizio Sgolastra
Ambra Petrucci
Marco Severino
Roberto Gatto
Annalisa Monaco
author_facet Fabrizio Sgolastra
Ambra Petrucci
Marco Severino
Roberto Gatto
Annalisa Monaco
author_sort Fabrizio Sgolastra
title Relationship between periodontitis and pre-eclampsia: a meta-analysis.
title_short Relationship between periodontitis and pre-eclampsia: a meta-analysis.
title_full Relationship between periodontitis and pre-eclampsia: a meta-analysis.
title_fullStr Relationship between periodontitis and pre-eclampsia: a meta-analysis.
title_full_unstemmed Relationship between periodontitis and pre-eclampsia: a meta-analysis.
title_sort relationship between periodontitis and pre-eclampsia: a meta-analysis.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/65acd3042d3b4fd68d081fd946817021
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