机构:[1]Department of Stomatology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou.中山大学附属第三医院[2]Department of Urology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou.中山大学附属第三医院[3]School of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.[4]The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.深圳市中医院深圳医学信息中心[5]Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, TX, USA.
The objective of this meta-analysis is to evaluate the association between the presence of Helicobacter pylori (H pylori) and periodontal disease (PD).
PubMed and EMBASE databases were searched to identify eligible articles published from inception up to April 2018. Further articles were retrieved through a manual search of recent reviews. Cross-sectional studies, case-control studies and cohort studies reporting the association between H pylori and PD were included. The pooled odds ratio (OR) and their 95% confidence interval (CI) were calculated.
Four case-control studies and nine cross-sectional studies were included. A total of 6800 patients were included in this review. The odds for oral H pylori positivity was 2.31 times (95% CI: 1.99-2.68) greater than those without H pylori. Subgroup analyses involving different study locations, designs, and types of study population showed the similar results. The pooled OR for the gastric disease patients was the largest (3.50, 95% CI: 2.22-5.53, five articles). Stomach H pylori was also significantly associated with PD, with OR 2.90 (95% CI: 1.37-6.14, two articles).
This meta-analysis supports an association between H pylori and PD. More well-designed studies, especially prospective cohort studies are necessary to confirm these results.
基金:
This study was funded by National Natural Science Foundation of China
(81774451), the Natural Science Foundation of Guangdong Province
(2017A030313827), and the Outstanding Youth Foundation of Guangdong
Province Colleges and Universities (YQ2015041).
第一作者机构:[1]Department of Stomatology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou.
共同第一作者:
通讯作者:
通讯机构:[3]School of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.[*1]School of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, China
推荐引用方式(GB/T 7714):
Chen Zheng,Cai Jiarong,Chen Yi-Ming,et al.A meta-analysis of the association between the presence of Helicobacter pylori and periodontal diseases.[J].MEDICINE.2019,98(22):doi:10.1097/MD.0000000000015922.
APA:
Chen Zheng,Cai Jiarong,Chen Yi-Ming,Wei Jiaming,Li Hui-Biao...&Chen Xin-Lin.(2019).A meta-analysis of the association between the presence of Helicobacter pylori and periodontal diseases..MEDICINE,98,(22)
MLA:
Chen Zheng,et al."A meta-analysis of the association between the presence of Helicobacter pylori and periodontal diseases.".MEDICINE 98..22(2019)