Evidence map›Paper›PMID 31969148›Full record

SynthesisBMC oral health2020

Effects of non-surgical periodontal therapy on systemic inflammation and metabolic markers in patients undergoing haemodialysis and/or peritoneal dialysis: a systematic review and meta-analysis.

Hui Yue, Xinxin Xu, Qin Liu, Xiaozhi Li, Yiting Xiao, Bo Hu

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Periodontal Treatment to Improve General Health and Manage Systemic Diseases.Advances in experimental medicine and biology · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Managing the Systemic Impact of Periodontitis.Medicina (Kaunas, Lithuania) · 2022
    Review
  14. Effects of Periodontal Treatment in Patients with Periodontitis and Kidney Failure: A Pilot Study.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. 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

6 authors at 3 institutions in 1 country.

Hui YueDepartment of Stomatology Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xinxin XuStomatological Hospital of Chongqing Medical University, No. 426 Songshibei Road, Chongqing, 401147, China.
Qin LiuSchool of Public Health and Management, Chongqing Medical University Chongqing, Chongqing, China.
Xiaozhi LiDepartment of Stomatology Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yiting XiaoDepartment of Stomatology Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Bo HuStomatological Hospital of Chongqing Medical University, No. 426 Songshibei Road, Chongqing, 401147, China. hubo@hospital.cqmu.edu.cn.ORCID 0000-0002-4641-1468
The Affiliated Yongchuan Hospital of Chongqing Medical University · CNStomatological Hospital of Chongqing Medical University · CNChongqing Public Health Medical Center · CN

Funding

Innovation Team Building at Institutions of Higher Education in Chongqing CXTDG201602006
6 · The paper itself

Abstract

backgroundThis systematic review aimed to investigate whether non-surgical periodontal therapy (NSPT) can reduce systemic inflammatory levels and improve metabolism in patients undergoing haemodialysis (HD) and/or peritoneal dialysis (PD).

methodsElectronic databases (PubMed, EMBASE, CENTRAL, CNKI, and WFPD) were searched for randomized controlled trials (RCTs) performed through July 2019. The risk of bias within studies was assessed with the Cochrane Collaboration's risk assessment tool. The systemic inflammatory and metabolic outcomes included the highly sensitive C-reactive protein (hs-CRP), interleukin 6 (IL-6), tumour necrosis factor-a (TNF-a), the albumin (Alb), and lipid metabolite levels. Meta-analyses (MAs) were performed to calculate the overall effect size where appropriate.

resultsFive RCTs were included in this study. Compared with untreated periodontitis groups, the dialysis patients after NSPT significantly showed decreased hs-CRP levels at less than or equal to 2 months (standardized mean difference: - 1.53, 95% confidence interval - 2.95 to - 0.11). No significant difference was found in IL-6 and Alb levels following NSPT at either the 3- or 6- month follow-ups. No MAs could be performed on the TNF-a level and the lipid metabolic markers.

conclusionsNSPT can moderately reduce serum hs-CRP levels in HD and/or PD patients, but did not significantly change IL-6 or Alb levels. For TNF-a and lipid metabolism markers, no sufficient evidence supports that these levels are changed after NSPT. Additional scientific research is necessary to assess the effects of NSPT on systemic inflammation and metabolic parameters in dialysis patients.

Indexed as

BiomarkersChronic PeriodontitisC-Reactive ProteinHumansInflammationInterleukin-6Kidney Failure, ChronicLipidsPeritoneal DialysisRenal DialysisTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinInterleukin-6LipidsTumor Necrosis Factor-alphaEnd-stage renal diseaseHaemodialysisNon-surgical periodontal treatmentPeritoneal dialysis

Identifiers

PMID31969148
PMCPMC6977292
OpenAlexW3006021263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.