A possible link between ankylosing spondylitis and periodontitis

a systematic review and meta-analysis

Tiara Ratz, Linda E Dean, Fabiola Atzeni, Christopher Reeks, Gary J Macfarlane, Tatiana Macfarlane (Lead / Corresponding author)

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVE: The aim of this study was to examine the link between AS and periodontitis.

METHODS: Medline, Embase, AMED, CINAHL, Web of Science and Google Scholar were searched to identify eligible studies that were selected and reviewed independently by at least two authors.

RESULTS: Six case-control studies were included in the review. Study size ranged from 90 to 40 926 participants. The prevalence of periodontitis ranged from 38% to 88% in AS patients and from 26% to 71% in controls. As there was low-level heterogeneity (I(2) = 13%), using fixed effects analysis the overall pooled estimate of the odds ratios for periodontitis was 1.85 (95% CI 1.72, 1.98). There was no evidence of publication bias.

CONCLUSION: The results led to the need for a further large study with sufficient statistical power to detect the desired effect size, taking into account potential confounding factors and using validated measures of AS and periodontitis.

Original languageEnglish
Pages (from-to)500-10
Number of pages11
JournalRheumatology
Volume54
Issue number3
Early online date10 Sep 2014
DOIs
Publication statusPublished - Mar 2015

Fingerprint

Periodontitis
Ankylosing Spondylitis
Meta-Analysis
Publication Bias
Case-Control Studies
Odds Ratio

Keywords

  • Case-Control Studies
  • Humans
  • Periodontitis
  • Prevalence
  • Risk Factors
  • Spondylitis, Ankylosing
  • Journal Article
  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review

Cite this

Ratz, Tiara ; Dean, Linda E ; Atzeni, Fabiola ; Reeks, Christopher ; Macfarlane, Gary J ; Macfarlane, Tatiana. / A possible link between ankylosing spondylitis and periodontitis : a systematic review and meta-analysis. In: Rheumatology. 2015 ; Vol. 54, No. 3. pp. 500-10.
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A possible link between ankylosing spondylitis and periodontitis : a systematic review and meta-analysis. / Ratz, Tiara; Dean, Linda E; Atzeni, Fabiola; Reeks, Christopher; Macfarlane, Gary J; Macfarlane, Tatiana (Lead / Corresponding author).

In: Rheumatology, Vol. 54, No. 3, 03.2015, p. 500-10.

Research output: Contribution to journalArticle

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T1 - A possible link between ankylosing spondylitis and periodontitis

T2 - a systematic review and meta-analysis

AU - Ratz, Tiara

AU - Dean, Linda E

AU - Atzeni, Fabiola

AU - Reeks, Christopher

AU - Macfarlane, Gary J

AU - Macfarlane, Tatiana

N1 - © The Author 2014. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

PY - 2015/3

Y1 - 2015/3

N2 - OBJECTIVE: The aim of this study was to examine the link between AS and periodontitis.METHODS: Medline, Embase, AMED, CINAHL, Web of Science and Google Scholar were searched to identify eligible studies that were selected and reviewed independently by at least two authors.RESULTS: Six case-control studies were included in the review. Study size ranged from 90 to 40 926 participants. The prevalence of periodontitis ranged from 38% to 88% in AS patients and from 26% to 71% in controls. As there was low-level heterogeneity (I(2) = 13%), using fixed effects analysis the overall pooled estimate of the odds ratios for periodontitis was 1.85 (95% CI 1.72, 1.98). There was no evidence of publication bias.CONCLUSION: The results led to the need for a further large study with sufficient statistical power to detect the desired effect size, taking into account potential confounding factors and using validated measures of AS and periodontitis.

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KW - Meta-Analysis

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