Evidence map›Paper›PMID 41485009›Full record

ArticleBMC public health2026

Oral health and chronic kidney disease in Brazil: a population-based analysis of the 2019 National Health Survey.

Lillian de Oliveira Silva Macêdo, Cassiano Augusto Braga Silva, Luis Gustavo Modelli de Andrade

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Lillian de Oliveira Silva MacêdoDepartment of Internal Medicine, UNESP, Univ Estadual Paulista, Av. Prof. Montenegro - Distrito de, Botucatu City, Sao Paulo, 18618-687, Brazil.ORCID 0009-0008-3328-5950
Cassiano Augusto Braga SilvaDepartment of Internal Medicine, UNESP, Univ Estadual Paulista, Av. Prof. Montenegro - Distrito de, Botucatu City, Sao Paulo, 18618-687, Brazil.ORCID 0000-0002-7126-5028
Luis Gustavo Modelli de AndradeDepartment of Internal Medicine, UNESP, Univ Estadual Paulista, Av. Prof. Montenegro - Distrito de, Botucatu City, Sao Paulo, 18618-687, Brazil. Gustavo.modelli@unesp.br.ORCID 0000-0002-0230-0766

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmerging evidence suggests a bidirectional relationship between oral health and chronic kidney disease (CKD), yet population-based data from upper-middle-income countries remain limited. This study aimed to evaluate the association between oral health indicators and CKD in a nationally representative sample of Brazilian adults.

methodsWe conducted a cross-sectional, nationally representative analysis using data from the 2019 Brazilian National Health Survey (PNS), which employed a three-stage stratified cluster sampling design. The outcome was CKD, and the main exposures were self-related oral health, tooth loss, toothbrushing frequency, and eating difficulty due to oral conditions. Multivariable survey-weighted logistic regression models were used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs), controlling for age, sex, race/ethnicity, diabetes, and hypertension.

resultsThe study included 279,382 individuals, representing a weighted population of over 209 million Brazilians. Poor self-rated oral health was associated with higher odds of CKD (OR: 2.15; 95% CI: 1.56-2.97). Complete tooth loss showed a trend toward an association with CKD (adjusted OR: 1.30; 95% CI: 1.00-1.69; p = 0.050), and oral health-related eating difficulty was associated with higher odds of CKD (adjusted OR: 2.06; 95% CI: 1.45-2.93). In contrast, brushing teeth three times per day was associated with lower odds of CKD (adjusted OR: 0.43; 95% CI: 0.14-0.81). Fewer than half of participants reported visiting a dentist within the past year, and only 22.6% utilized public dental services.

conclusionOral health conditions, including poor hygiene practices, tooth loss, and eating difficulties are significantly associated with CKD. These findings highlight the need to integrate oral health into chronic disease prevention strategies, particularly within public health systems in upper-middle-income countries.

Indexed as

Oral HealthRenal Insufficiency, ChronicAdolescentAdultAgedBrazilCross-Sectional StudiesFemaleHealth SurveysHumansMaleMiddle AgedYoung AdultBrazilian National Health SurveyChronic kidney diseaseOral healthTooth loss

Identifiers

PMID41485009
PMCPMC12866485

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.