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Periodontitis impact in interleukin-6 serum levels in solid organ transplanted patients: a systematic review and meta-analysis

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMachado, Vanessa
dc.contributor.authorBotelho, João
dc.contributor.authorLopes, Joana
dc.contributor.authorPatrão, Mariana
dc.contributor.authorAlves, Ricardo
dc.contributor.authorChambrone, Leandro
dc.contributor.authorAlcoforado, Gil
dc.contributor.authorMendes, José João
dc.date.accessioned2025-07-30T11:43:37Z
dc.date.available2025-07-30T11:43:37Z
dc.date.issued2020-04
dc.description.abstractThis systematic review aimed to investigate the influence of periodontitis on post-transplant IL-6 serum levels of solid organ transplanted patients as compared to healthy subjects. Four databases (PubMed, Scholar, EMBASE, and CENTRAL) were searched up to February 2020 (PROSPERO CRD42018107817). Case-control and cohort studies on the association of IL-6 serum levels with a periodontal status of patients after solid organ transplantation were included. The risk of bias of observational studies was assessed through the Newcastle-Ottawa Scale (NOS). Random effects meta-analyses were thoroughly conducted. GRADE assessment provided quality evidence. Four case-control studies fulfilled the inclusion criteria (274 transplant recipients and 146 healthy controls), all of low risk of bias. Meta-analyses revealed significantly higher IL-6 levels in transplanted patients than healthy individuals with low-quality evidence (Mean Difference (MD): 2.55 (95% confidence interval (CI): 2.07, 3.03)). Transplanted patients with periodontitis have higher serum IL-6 levels than transplanted patients without periodontitis with moderate quality evidence (MD: 2.20 (95% CI: 1.00, 3.39)). We found low-quality evidence of higher IL-6 levels than healthy patients in patients with heart and kidney transplant. In these transplanted patients, there was moderate quality evidence that periodontitis is associated with higher IL-6 serum levels. Future research should consider the impact of such a difference in organ failure and systemic complications.eng
dc.identifier.citationMachado, V., Botelho, J., Lopes, J., Patrão, M., Alves, R., Chambrone, L., Alcoforado, G., & Mendes, J. J. (2020). Periodontitis Impact in Interleukin-6 Serum Levels in Solid Organ Transplanted Patients: A Systematic Review and Meta-Analysis. Diagnostics, 10(4), 184. https://doi.org/10.3390/diagnostics10040184
dc.identifier.doi10.3390/diagnostics10040184
dc.identifier.issn2075-4418
dc.identifier.urihttp://hdl.handle.net/10400.26/58266
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/diagnostics10040184
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPeriodontitis
dc.subjectPeriodontal diseases
dc.subjectTransplantation
dc.subjectinterleukin-6
dc.subjectsystematic review
dc.titlePeriodontitis impact in interleukin-6 serum levels in solid organ transplanted patients: a systematic review and meta-analysiseng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.startPage184
oaire.citation.titleDiagnostics
oaire.citation.volume10
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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