The impact of different states of type 2 diabetes when stratified by baseline HbA1c on the periodontal outcomes of non‐surgical periodontal treatment: A systematic review and network meta‐analysis.
Background: Type 2 diabetes mellitus (T2DM) has been considered by many studies to have a bidirectional relationship with periodontitis. This systematic review and network meta‐analysis aimed to investigate the impact of different states of T2DM when stratified by baseline HbA1c on the clinical outc...
| Publicado en: | International Journal of Dental Hygiene Vol. 22; no. 2; pp. 401 - 414 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176474119&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176474119 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16015029 K8M jtl: International Journal of Dental Hygiene issn: 16015029 maglogo: Y pubinfo: dt: May2024 vid: 22 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 176474119 175585971 176474119 176474119 10.1111/idh.12789 176474119 ppf: 401 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The impact of different states of type 2 diabetes when stratified by baseline HbA1c on the periodontal outcomes of non‐surgical periodontal treatment: A systematic review and network meta‐analysis. aug: au: Kang, Shuai Liu, Zheng‐ya Yuan, Huan‐huan Wang, Shu‐min Pan, Ge‐ge Wei, Wei Jiang, Yi Hou, Yu affil: Institute of Stomatology, Chinese People's Liberation Army No.989 hospital, Luoyang, China sug: subj: Diabetes Mellitus, Type 2 Complications Chronic Periodontitis Therapy Dental Scaling Glycated Hemoglobin Human Meta Analysis Systematic Review Prospective Studies Qualitative Studies Confidence Intervals Descriptive Statistics Literature Review Bias (Research) PubMed Embase Cochrane Library ab: Background: Type 2 diabetes mellitus (T2DM) has been considered by many studies to have a bidirectional relationship with periodontitis. This systematic review and network meta‐analysis aimed to investigate the impact of different states of T2DM when stratified by baseline HbA1c on the clinical outcomes of non‐surgical periodontal treatment (NSPT). Methods: This study followed the Preferred Reporting Items for Meta‐Analyses (PRISMA) guidelines and involved an electronic literature search (from inception to the 2nd of January 2023). The study included at least two groups of patients: chronic periodontitis only (No‐DM) or periodontitis and well‐controlled/poorly controlled type 2 diabetes mellitus (WC/PC‐T2DM). Clinical outcomes included probing depth (PD) reduction, bleeding on probing reduction, and clinical attachment level (CAL) gain. Direct and indirect comparisons between groups were assessed by network meta‐analysis, thus allowing us to establish a treatment ranking. Results: Ten prospective cohort studies (11 data sets) were included for qualitative analysis and network meta‐analysis. The data included in this study had high consistency; in addition, a funnel plot and Egger's test showed that the articles had low publication bias. Network meta‐analysis showed that the effect of NSPT in the No‐DM group was significantly better than the WC‐T2DM group [weighted mean difference (WMD) = 0.09, 95% confidence interval (CI) (0.01, 0.18)] and the PC‐T2DM group [WMD = 0.09, 95% CI (0.01, 0.18)] in terms of CAL gain and better than the PC‐T2DM group [WMD = 0.15, 95% CI (0.02, 0.28)] in terms of PD reduction. According to the surface under the cumulative ranking value, the No‐DM group had the highest probability of achieving the best outcome following NSPT. Conclusions: Collectively, our analyses show that T2DM exerts significant effects on the outcomes of NSPT. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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