Evidence map›Paper›PMID 31713745›Full record

SynthesisClinical oral investigations2020

Effect of non-surgical periodontal therapy on renal function in chronic kidney disease patients with periodontitis: a systematic review and meta-analysis of interventional studies.

Dan Zhao, Abrar Tahir Khawaja, Lijian Jin, Kam Wa Chan, Maurizio Tonetti, Sydney Chi Wai Tang, George Pelekos

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Chronic Kidney Disease and Periodontitis Interplay-A Narrative Review.International journal of environmental research and public health · 2023
    Review
  8. Evolving evidence for relationships between periodontitis and systemic diseases: Position paper from the Canadian Dental Hygienists Association.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2022
    Review
  9. Effects of Periodontal Treatment in Patients with Periodontitis and Kidney Failure: A Pilot Study.International journal of environmental research and public health · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Oral Status and Oral-Related Quality of Life in Pre-Dialysis Chronic Kidney Disease Patients.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Dan ZhaoDepartment of Periodontology, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong, SAR, China.
Abrar Tahir KhawajaDepartment of Periodontology, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong, SAR, China.
Lijian JinDepartment of Periodontology, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong, SAR, China.
Kam Wa ChanDepartment of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, SAR, China.
Maurizio TonettiDepartment of Periodontology, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong, SAR, China.
Sydney Chi Wai TangDepartment of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, SAR, China.
George PelekosDepartment of Periodontology, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong, SAR, China. george47@hku.hk.ORCID http://orcid.org/0000-0003-1917-1988
University of Hong Kong · HK

Funding

University of Hong Kong NA
6 · The paper itself

Abstract

objectiveThis systematic review evaluated the impacts of non-surgical periodontal therapy (NSPT) in patients with chronic kidney disease (CKD) and periodontitis in order to explore causality and assess the potential benefits of co-management.

methodsThis systematic review and meta-analyses were conducted by searching MEDLINE, EMBASE, PubMed, Cochrane Library, and Open GREY. Interventional studies of adult patients suffering from CKD and periodontitis were investigated. Effect of NSPT on renal function was analyzed.

resultsA total of 109 participants from four case-series studies and 97 participants from one randomized controlled trial were included in this review. Sixty percent of the eligible studies (3/5) aimed at the effect of NSPT on nutritional status and systemic inflammation in dialysis patients. The other two studies concluded a beneficial impact of NSPT on estimated glomerular filtration rate (eGFR) in patients with CKD stages 2-4. Moreover, two meta-analyses were accomplished on eGFR and serum creatinine to evaluate the changes between baseline and 3-month follow-up. The pooled mean of eGFR was not significantly different pre- and post-NSPT using random and fixed-effect models. The change for creatinine was not significant using the random effect model but was significant when the fixed effect model was used (p < 0.001).

conclusionsThere is insufficient evidence to conclude the potential benefit of NSPT on renal function in CKD patients with periodontitis. CLINICAL RELEVANCE: Periodontitis contributes to the inflammatory burden and has been associated with impaired kidney function in many observational studies. However, well-designed clinical trials in pre-dialysis patients investigating the impact of NSPT on renal function-related parameters are missing.

Indexed as

AdultFemaleHumansMaleMiddle AgedNutritional StatusPeriodontitisRandomized Controlled Trials as TopicRenal DialysisRenal Insufficiency, ChronicChronic kidney diseaseMeta-analysisNon-surgical periodontal therapyPeriodontitisRenal functionSystematic review

Identifiers

PMID31713745
OpenAlexW2989013805

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.