Evidence map›Paper›PMID 33855657›Full record

ArticleClinical oral investigations2021

Bidirectional relationship between temporomandibular disorder and ankylosing spondylitis: a population-based cohort study.

Yi-Fang Huang, Chung-Ta Chang, Chih-Hsin Muo, Kuan-Ming Chiu, Chun-Hao Tsai, Shih-Ping Liu

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05839925 (Prevalence of Temporomandibular Joint Dysfunction in Patients With Ankylosing Spondylitis and Comparison of the Findings With Healthy Controls), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% 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.

NCT05839925 completednot on this mapstarted 2022, after this paper: background citation

Prevalence of Temporomandibular Joint Dysfunction in Patients With Ankylosing Spondylitis and Comparison of the Findings With Healthy Controls

TypeobservationalSponsorIstanbul Physical Medicine Rehabilitation Training and Research HospitalRan2022 to 2023Enrolled223ConditionsAnkylosing SpondylitisArmsDiagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I and II
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
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 5 institutions in 1 country.

Yi-Fang HuangDepartment of General Dentistry, Chang Gung Memorial Hospital, Linkou, 33305, Taiwan.
Chung-Ta ChangSchool of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, 11031, Taiwan. chungta2001@gmail.com.ORCID http://orcid.org/0000-0002-9211-1407
Chih-Hsin MuoManagement Office for Health Data, China Medical University Hospital, Taichung, 40402, Taiwan.
Kuan-Ming ChiuDivision of Cardiovascular Surgery, Cardiovascular Center, Far Eastern Memorial Hospital, New Taipei City, 22056, Taiwan.
Chun-Hao TsaiDepartment of Orthopedics, China Medical University Hospital, Taichung, 40402, Taiwan.
Shih-Ping LiuProgram for Aging, College of Medicine, China Medical University, No. 91, Hsueh-Shih Road, Taichung, 40402, Taiwan. spliu@mail.cmuh.org.tw.
China Medical University · TWAsia Eastern University of Science and Technology · TWAsia University · TWChang Gung University · TWFar Eastern Memorial Hospital · TW

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3I0152Clinical Trial Center, China Medical University Hospital DMR-109-126Far Eastern Memorial Hospital FEMH-2020-C-030Ministry of Health and Welfare MOHW109-TDU-B-212-114004Ministry of Science and Technology, Taiwan MOST 108-2321-B-039-003
6 · The paper itself

Abstract

objectivesThis study aimed to determine the relation between temporomandibular disorder (TMD) and ankylosing spondylitis (AS) bidirectionally and ascertain the important comorbidities for AS occurrence in TMD patients. MATERIALS AND

methodsWe conducted this population-based cohort study through Longitudinal Health Insurance Database, Taiwan. Study 1 investigated the risk of TMD in AS patients. Study 2 assessed the risk of AS in TMD patients.

resultsIn total, 3204 AS patients and 12,816 age-matched and gender-matched comparisons were enrolled in study 1. The TMD incidence in the AS cohort was 2.88-fold higher when compared with the comparisons (1.54 vs. 0.53 per 10,000 person-years). After adjusting for age, gender, and comorbidity, the AS cohort had a 2.66-fold (95% CI = 1.79-3.97) increased risk of TMD occurrence (P < 0.0001). The second study recruited 4998 TMD patients and 19,991 age-matched and gender-matched comparisons. Both TMD and comparison cohorts showed similar AS risk (HR = 1.49, 95% CI = 0.91-2.43, P = 0.1108) in the adjusted model. Study 2 identified a 3.66-fold increased risk of AS occurrence in TMD patients with comorbidity, including parapsoriasis, rheumatoid arthritis, osteoporosis, Cushing's syndrome, and climacteric arthritis (P < 0.012).

conclusionsAS appears to significantly impact the occurrence of TMD. TMD might play a synergic role in AS development. CLINICAL RELEVANCE: Clinicians have to be vigilant about the increased risk of TMD in AS patients and take care of AS disease activity and prognosis. The symptoms and signs of TMD could be a predictor of AS in patients with the aforementioned comorbidities.

Indexed as

Spondylitis, AnkylosingTemporomandibular Joint DisordersCohort StudiesComorbidityHumansIncidenceRisk FactorsAnkylosing spondylitisASBidirectional analysisPopulation-basedTemporomandibular disorderTMD

Identifiers

PMID33855657
OpenAlexW3154107807

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Registered trials

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.