Evidence map›Paper›PMID 34850592›Full record

SynthesisClinical and experimental dental research2022

Systematic review of studies examining contribution of oral health variables to risk prediction models for undiagnosed Type 2 diabetes and prediabetes.

Ingrid Glurich, Neel Shimpi, Barb Bartkowiak, Richard L Berg, Amit Acharya

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical and experimental dental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Ingrid GlurichCenter for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.ORCID 0000-0001-5988-569X
Neel ShimpiCenter for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.
Barb BartkowiakMarshfield Clinic GE Magnin Medical Library, Marshfield Clinic Health System, Marshfield, Wisconsin, USA.
Richard L BergOffice of Research Computing and Analytics, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.
Amit AcharyaCenter for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.ORCID 0000-0003-2806-3524

Funding

Delta Dental Foundation
6 · The paper itself

Abstract

objectiveTo conduct systematic review applying "preferred reporting items for systematic reviews and meta-analyses statement" and "prediction model risk of assessment bias tool" to studies examining the performance of predictive models incorporating oral health-related variables as candidate predictors for projecting undiagnosed diabetes mellitus (Type 2)/prediabetes risk. MATERIALS AND

methodsLiterature searches undertaken in PubMed, Web of Science, and Gray literature identified eligible studies published between January 1, 1980 and July 31, 2018. Systematically reviewed studies met inclusion criteria if studies applied multivariable regression modeling or informatics approaches to risk prediction for undiagnosed diabetes/prediabetes, and included dental/oral health-related variables modeled either independently, or in combination with other risk variables.

resultsEligibility for systematic review was determined for seven of the 71 studies screened. Nineteen dental/oral health-related variables were examined across studies. "Periodontal pocket depth" and/or "missing teeth" were oral health variables consistently retained as predictive variables in models across all systematically reviewed studies. Strong performance metrics were reported for derived models by all systematically reviewed studies. The predictive power of independently modeled oral health variables was marginally amplified when modeled with point-of-care biological glycemic measures in dental settings. Meta-analysis was precluded due to high inter-study variability in study design and population diversity.

conclusionsPredictive modeling consistently supported "periodontal measures" and "missing teeth" as candidate variables for predicting undiagnosed diabetes/prediabetes. Validation of predictive risk modeling for undiagnosed diabetes/prediabetes across diverse populations will test the feasibility of translating such models into clinical practice settings as noninvasive screening tools for identifying at-risk individuals following demonstration of model validity within the defined population.

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateHumansMass ScreeningOral HealthResearch Designdiabetes mellitusoral healthrisk assessmentsystematic review

Identifiers

PMID34850592
PMCPMC8874063

What OpenQuestion holds

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Registered trials

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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.