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Published on: January 21, 2020
Selection bias in case-control studies on periodontitis: a systematic review
Rodrigo Lopez1, Flemming Scheutz, Marie Errboe
1Department of Community Oral Health and Pediatric Dentistry, Royal Dental College, Faculty of Health Sciences, University of Aarhus, Denmark. rlopez@odont.au.dk
Case-control studies on periodontitis often suffer from selection bias due to poor reporting. This research highlights inadequate methods in study design and control selection, impacting reliability.
Area of Science:
- Epidemiology
- Periodontology
Background:
- Case-control studies compare disease and exposure frequencies between diseased and control groups.
- These studies are valuable but susceptible to bias, particularly selection bias, if not conducted rigorously.
Purpose of the Study:
- To evaluate the reporting of case-control studies on periodontitis.
- To identify specific sources of selection bias in these studies.
Main Methods:
- Conducted an electronic literature search in PubMed, EMBASE, and Web of Science.
- Assessed case-control studies on periodontitis published in 2004 for indicators of selection bias.
Main Results:
- Few studies reported recruitment periods (31.1% cases, 20% controls), sampling methods (26.7% cases, 31.1% controls), or participation rates (8.9% cases, 6.7% controls).
- Appropriate control sources were used in 15.6% of studies, and adequate control selection strategies in only 8.9%.
Conclusions:
- Case-control studies investigating periodontitis are frequently inadequately conducted and reported.
- Significant deficiencies in reporting methods increase the risk of selection bias, compromising study validity.
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