牙周炎和全身性疾病:共变性选择的影响
N Z Bashir1, B A R Woolf1,2,3, S Burgess1,4
1MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.
Journal of dental research
|July 18, 2025
概括
牙周炎与心血管疾病等全身性疾病之间的联系对统计模型选择非常敏感. 仔细选择共变量对于准确研究牙周炎和整体健康至关重要.
科学领域:
- 牙周病学 牙周病学
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 观察性研究经常将牙周炎与全身性疾病联系起来,但混因素很常见.
- 方法的变化,特别是共变量选择,对这些关联有很大的影响.
研究的目的:
- 评估共变量选择如何影响牙周炎和全身疾病之间的估计关联.
- 通过使用现实世界的数据,检查对心血管疾病和认知功能的影响.
主要方法:
- 使用了来自国家健康和营养检查调查的数据,包括全口腔牙周评估.
- 采用多元分析和规范曲线来探索基于共变量选择的393216个统计模型.
- 分析了与心血管疾病和认知功能的关联.
主要成果:
- 根据所选的共变量,对牙周炎 - 系统性疾病联系的估计有很大差异,有时显示相反的效应 (Janus效应).
- 严重牙周炎和心血管疾病的几率比率从0.81到1.51.
- 牙周炎和认知功能的系数从-1.56到0.50不等.
结论:
- 牙周炎和全身健康之间的关系对统计模型选择非常敏感.
- 多元分析是解决牙周科研中模型选择挑战的宝贵工具.
- 强调严格的共同变量选择对于理解牙周炎与全身性疾病的联系至关重要.
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