Systematic review and assessment of systematic reviews examining the effect of periodontal treatment on glycemic control in patients with diabetes
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Systematic review and assessment of systematic reviews examining the effect of periodontal treatment on glycemic control in patients with diabetes

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Systematic review and assessment of systematic reviews examining the effect of periodontal treatment on glycemic control in patients with diabetes

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dc.contributor.author Hasuike, Akira es
dc.contributor.author Iguchi, Shinya es
dc.contributor.author Suzuki, Daigo es
dc.contributor.author Kawano, Eisuke es
dc.contributor.author Sato, Shuichi es
dc.date.accessioned 2017-07-24T07:14:28Z
dc.date.available 2017-07-24T07:14:28Z
dc.date.issued 2017 es
dc.identifier.uri http://hdl.handle.net/10550/59818
dc.description.abstract There have been several systematic reviews(SRs) on whether periodontal treatment for an individual with both periodontal disease and diabetes can improve diabetes outcomes. The purpose of this investigation was to conduct a systematic review (SR) of previous meta-analyses, and to assess the methodological quality of the SRs examining the effects of periodontal treatment and diabetes. (PROSPERO Registration # CRD 42015023470). We searched five electronic databases and identified previous meta-analyses of randomized controlled trials published through July 2015. In cases where the meta-analysis did not meet our criteria, the meta-analyses were recalculated. General characteristics of each included trial were abstracted, analyzed, and compared. The mean difference, 95% confidence intervals (CIs) and the I2 statistic were abstracted or recalculated. The Assessment of Multiple Systematic Reviews Instrument (AMSTAR) was used to assess methodological quality. Of the 475 citations screened, nine systematic reviews were included. In total, 13 meta-analyses included in nine SRs were examined. In comparability analyses, meta-analyses in four SRs did not meet our criteria, and were recalcuated. Of these 13 meta-analyses, 10 suggested significant effects of periodontal treatment on HbA1c improvement. Mean differences found in the 13 meta-analyses ranged from -0.93 to 0.13. AMSTAR assessment revealed six SRs with moderate and three with high overall quality. We can conclude that there is a significant effect of periodontal treatment on improvement of HbA1c in diabetes patients, although the effect size is extremely small. In addition to the small effect size, not all SRs could be considered of high quality. es
dc.source Hasuike, Akira ; Iguchi, Shinya ; Suzuki, Daigo ; Kawano, Eisuke ; Sato, Shuichi. Systematic review and assessment of systematic reviews examining the effect of periodontal treatment on glycemic control in patients with diabetes. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 22 2 2017: 5- es
dc.title Systematic review and assessment of systematic reviews examining the effect of periodontal treatment on glycemic control in patients with diabetes es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.21555 es

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