Evidence map›Paper›PMID 38129844›Full record

SynthesisBMC oral health2023

Prevalence of oral mucosal lesions in patients with systemic Lupus Erythematosus: a systematic review and meta-analysis.

Fei Du, Wanying Qian, Xinna Zhang, Le Zhang, Jianwei Shang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Lupus Cheilitis: a clinical case report].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Article
  10. Article
  11. Oral Lesion Management in Juvenile SLE with Hepatosplenomegaly.International medical case reports journal · 2024
    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 at 2 institutions in 1 country.

Fei DuDepartment of Oral Pathology, School of Medicine, Tianjin Stomatological Hospital, Nankai University, No. 75 Dagu North Rd, Tianjin, 300041, China.
Wanying Qian *Department of Oral Pathology, School of Medicine, Tianjin Stomatological Hospital, Nankai University, No. 75 Dagu North Rd, Tianjin, 300041, China.
Xinna Zhang *Department of Oral Pathology, School of Medicine, Tianjin Stomatological Hospital, Nankai University, No. 75 Dagu North Rd, Tianjin, 300041, China.
Le Zhang *Department of Oral Pathology, School of Medicine, Tianjin Stomatological Hospital, Nankai University, No. 75 Dagu North Rd, Tianjin, 300041, China.
Jianwei ShangDepartment of Oral Pathology, School of Medicine, Tianjin Stomatological Hospital, Nankai University, No. 75 Dagu North Rd, Tianjin, 300041, China. luckyedu123@126.com.
Tianjin University · CNTianjin Stomatological Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic lupus erythematosus (SLE) is a chronic autoimmune disease that can cause a range of symptoms, including oral mucosal lesions (OMLs). The prevalence of OMLs in SLE patients and their associated factors have been studied in various regions, but the results are inconsistent. This study aims to evaluate the prevalence of OMLs in patients with SLE.

methodsObservational studies of OML prevalence in SLE patients published before 2022 were retrieved from PubMed, Embase, Web of Science, Google Scholar, and the Cochrane Library without language restriction. The quality of the studies was assessed using the Newcastle-Ottawa Scale (NOS) and Agency for Healthcare Research and Quality (AHRQ).

resultsOur meta-analysis included 113 studies with a total of 53,307 SLE patients. We found that the prevalence of OMLs in SLE patients was 31% (95% CI: 28%, 35%), with oral ulcers being present in 30% of SLE patients (95% CI: 26%, 33%). Subgroup analysis showed that the prevalence of OMLs varied significantly by region, disease activity, and sample size (p ≤ 0.01). However, gender and year of publication had little effect on the prevalence of OMLs (p = 0.78 and 0.30, respectively). Oral ulcers were significantly associated with age of onset (p = 0.02), geographic location (p < 0.01), and race (p < 0.01). We also found that the prevalence of oral erythema was 9%, oral candidiasis was 9%, petechiae was 8%, cheilitis was 6%, and white plaque was 3%.

conclusionsOur analysis showed that the prevalence of OMLs varied significantly by region and disease activity, and child-onset patients of Indian, Malay, and Caucasian descent were more likely to have oral ulcers. The high prevalence of OML in SLE patients emphasizes the importance of regular oral examination and management in the comprehensive care of individuals with SLE.

Indexed as

Candidiasis, OralLupus Erythematosus, SystemicOral UlcerHumansObservational Studies as TopicPrevalenceLupus Erythematosus, systemicMeta-analysisOral mucosal lesionsPrevalence

Identifiers

PMID38129844
PMCPMC10734171
OpenAlexW4390059052

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.