Evidence map›Paper›PMID 34972766›Full record

ArticleBMJ open2021

Diseases with oral manifestations among adult asthmatics in Finland: a population-based matched cohort study.

Riikka Lemmetyinen, Jussi Karjalainen, Anna But, Risto Renkonen, Juha Pekkanen, Jari Haukka, Sanna Toppila-Salmi

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. 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

7 authors at 2 institutions in 1 country.

Riikka LemmetyinenHaartman Institute, University of Helsinki, Helsinki, Uusimaa, Finland riikka.lemmetyinen@helsinki.fi.ORCID 0000-0003-0007-9866
Jussi KarjalainenAllergy Centre, Tampere University Hospital, Tampere, Finland.
Anna ButDepartment of Public Health, University of Helsinki, Helsinki, Uusimaa, Finland.
Risto RenkonenHaartman Instutute, Helsingin yliopisto, Helsinki, Uusimaa, Finland.
Juha PekkanenDepartment of Public Health, University of Helsinki, Helsinki, Uusimaa, Finland.
Jari HaukkaDepartment of Public Health, University of Helsinki, Helsinki, Uusimaa, Finland.ORCID 0000-0003-1450-6208
Sanna Toppila-SalmiSkin and Allergy Hospital, Helsinki, Uusimaa, Finland.ORCID 0000-0003-0890-6686
University of Helsinki · FITampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMany comorbidities are associated with adult asthma and may exacerbate the asthma burden of disease. This study aims to investigate the risk for major oral diseases or oral-manifesting diseases in asthmatic compared with non-asthmatic adults.

designWe conducted a population-based matched cohort study with a 13.8-year follow-up.

settingA baseline questionnaire was completed by participants in 1997 and follow-up data were extracted from the national hospital discharge registry of the National Institute for Health and Welfare in Finland from 1997 to 2014.

participantsA total of 1394 adults with asthma were matched with 2398 adults without asthma based on sex, age and area of residence. Asthmatic adults were identified from the Drug Reimbursement Register of the Finnish Social Insurance Institution based on a special drug reimbursement right resulting from asthma. Participants without asthma were identified from the Population Register. MAIN OUTCOMES AND MEASURES: Oral health-related primary diagnoses were retrieved using codes from the International Classification of Diseases, 10th edition and divided into groups of diseases. Cox's proportional hazards models stratified by matching unit and models matched and adjusted for pack-years, education level and body mass index (when possible) were used to evaluate the matched and further adjusted HRs for diseases comparing asthmatic and non-asthmatic cohorts.

resultsAdult asthma was associated with a higher risk for any oral-manifesting disease (adjusted HR 1.41, 95% CI 1.11 to 1.80), herpes zoster (adjusted HR 6.18, 95% CI 1.21 to 31.6), benign tumours of the oral cavity and pharynx (matched HR 1.94, 95% CI 1.05 to 3.56) and dermatological diseases (pemphigus, pemphigoid, dermatitis herpetiformis, psoriasis and lichen planus, HR 1.67, 95% CI 1.01 to 2.78).

conclusionsIn this study, adult asthmatics experienced a higher risk for a major oral disease or oral-manifesting disease.

Indexed as

AsthmaAdultCohort StudiesFinlandHumansProportional Hazards ModelsRisk FactorsAsthmaEPIDEMIOLOGYORAL MEDICINEPUBLIC HEALTH

Identifiers

PMID34972766
PMCPMC8720978
OpenAlexW4206509248

What OpenQuestion holds

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LicenceCC BY-NC
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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.