在对评估母乳牙周炎和出生不良结果的观察性研究的元分析中未测量的混
May Salama1, Abdullah Al-Taiar1, Denise McKinney2
1Joint School of Public Health, Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, VA 23529, USA.
Journal of public health (Oxford, England)
|May 16, 2025
概括
孕产妇牙周炎与早产和低出生体重等不良分娩结果密切相关. 这一分析表明,这种关联是强大的,即使考虑到未测量的混因素.
科学领域:
- 产科和妇科 产科和妇科
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 孕产妇牙周炎与不良出生结果 (ABOs) 有关.
- 由于观察性研究和混合RCT结果中的混因素,确定因果关系是具有挑战性的.
- 这项研究调查了对母性牙周炎和ABO的元分析中未测量的混.
研究的目的:
- 评估未测量的混因素对母乳牙周炎和不良分娩结果 (早产或低出生体重) 的元分析的影响.
主要方法:
- 搜索了PubMed,MEDLINE,Cochrane,Embase和谷歌学者的系统性审查与元分析 (2002-2023年).
- 包括对母亲牙周炎和早产 (PTB) 或低出生体重 (LBW) 的观察性研究的评论.
- 使用E值模拟方法来评估随机效应元分析中未测量的混.
主要成果:
- 分析了来自9个元分析的62项研究.
- 即使具有强大的未测量混因子 (RR=3.00),80%的PTB和90%的LBW队列研究仍然保持了RR>2.00.
- 结果显示了对未测量的混的强度.
结论:
- 孕产妇牙周炎和不良分娩结果之间的关联似乎强大到未测量的混.
- 这些发现支持母亲牙周炎和出生不良结果之间的潜在因果关系.
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