Evidence map›Paper›PMID 38191383›Full record

ArticleBMC oral health2024

Postmenopausal women with HIV have increased tooth loss.

Sunil Wadhwa, Taylor R Finn, Karolina Kister, Satoko Matsumura, Michael Levit, Anyelina Cantos, Jayesh Shah, Bruno Bohn, Evanthia Lalla, John T Grbic and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.7field-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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Sunil WadhwaDivision of Orthodontics, Columbia University College of Dental Medicine, New York, NY, USA. sw2680@cumc.columbia.edu.
Taylor R FinnDivision of Orthodontics, Columbia University College of Dental Medicine, New York, NY, USA.
Karolina KisterDivision of Orthodontics, Columbia University College of Dental Medicine, New York, NY, USA.
Satoko MatsumuraDivision of Oral and Maxillofacial Radiology, Columbia University College of Dental Medicine, New York, NY, USA.
Michael LevitDivision of Orthodontics, Columbia University College of Dental Medicine, New York, NY, USA.
Anyelina CantosDivision of Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Jayesh ShahDivision of Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Bruno BohnDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Evanthia LallaDivision of Periodontics, Columbia University College of Dental Medicine, New York, NY, USA.
John T GrbicDivision of Foundational Sciences, Columbia University College of Dental Medicine, New York, NY, USA.
Ryan T DemmerDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Michael T YinDivision of Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Columbia University · USMinnesota Department of Health · US

Funding

Columbia Partnership for Prevention and Control of HIV/AIDS Clinical Trials UnitUM1AI069470 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAGDALENA ELZBIETA SOBIESZCZYK · 2012 to 2026
$44.8M
Columbia Collaborative HIV/AIDS Clinical Trials UnitU01AI069470 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HAMMER, SCOTT M · 2007 to 2011
$15.4M
Oral immune activation and alveolar bone loss in HIV-infected postmenopausal womenR01DE026924 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WADHWA, SUNIL, YIN, MICHAEL T · 2017 to 2021
$2.3M
Mentoring Research in Non-infectious Complications of HIVK24AI155230 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI YIN, MICHAEL T · 2021 to 2025
$940k
NIAID NIH HHS K24 AI155230NIAID NIH HHS U01 AI069470NIAID NIH HHS UM1 AI069470NIDCR NIH HHS R01 DE026924NIDCR NIH HHS R01-DE026924
6 · The paper itself

Abstract

backgroundWith effective antiretroviral therapy, people with HIV (PWH) are living longer and aging; the majority of PWH in the United States are now over the age of 50 and in women have gone through the menopause transition. Menopause potentiates skeletal bone loss at the spine, hip, and radius in PWH. The alveolar bone which surronds the teeth is different than long bones because it is derived from the neural crest. However, few studies have assessed the oral health and alveolar bone in middle aged and older women with HIV. Therefore, the objective of this study was to evaluate periodontal disease and alveolar bone microarchitecture in postmenopausal women with HIV.

methods135 self-reported postmenopausal women were recruited (59 HIV-, 76 HIV + on combination antiretroviral therapy with virological suppression) from a single academic center. The following parameters were measured: cytokine levels (IFN-γ, TNF-α, IL-1β, IL-2, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12p70, IL-13, IL-17 A, OPG, and RANKL) in gingival crevicular fluid, bleeding on probing, probing depth, clinical attachment loss, number of teeth present, alveolar crestal height, and alveolar bone microarchitecture.

resultsThe mean age of participants was 57.04+/-6.25 years and a greater proportion of women with HIV were black/African American (HIV + 68.42%, HIV- 23.73%; p < 0.001). There was no significant difference in bleeding on probing (p = 0.17) and attachment loss (p = 0.39) between women who were HIV infected vs. HIV uninfected. Women with HIV had significantly higher RANKL expression in Gingival Crevicular Fluid (HIV + 3.80+/-3.19 pg/ul, HIV- 1.29+/-2.14 pg/ul ; p < 0.001), fewer teeth present (HIV + 17.75+/-7.62, HIV- 22.79+/-5.70; p < 0.001), ), lower trabecular number (HIV + 0.08+/-0.01, HIV- 0.09+/-0.02; p = 0.004) and greater trabecular separation (HIV + 9.23+/-3.11, HIV- 7.99+/-3.23; p = 0.04) compared to women without HIV that remained significant in multivariate logistic regression analysis in a sub-cohort after adjusting for age, race/ethnicity, smoking status, and diabetes.

conclusionPostmenopausal women with HIV have deterioration of the alveolar trabecular bone microarchitecture that may contribute to greater tooth loss.

Indexed as

Periodontal DiseasesTooth LossAgedAgingAlveolar ProcessFemaleHumansMiddle AgedPostmenopauseAlveolar boneBone biologyComputed tomographyPeriodontal diseaseWomen’s health

Identifiers

PMID38191383
PMCPMC10775528
OpenAlexW4390662423

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.