Question · asked by 1 review

Higher number of lost teeth (per one additional lost tooth) vs Fewer lost teeth (continuous, per-tooth increment): Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality)

Population
Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies
Intervention
Higher number of lost teeth (per one additional lost tooth)
Comparison
Fewer lost teeth (continuous, per-tooth increment)
Outcome
Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality)

Each additional lost tooth was associated with a multivariable-adjusted HR of 1.02 (95% CI 1.01 to 1.03) for ACVD-related events (13 studies, I2=75%), statistically significant; GRADE per-analysis ratings reported in Supplementary File 7 (not available in provided sources).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 2 · 66.7%Very low 0 · 0%Low 1 · 33.3%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Higher number of lost teeth (per one additional lost tooth) vs Fewer lost teeth (continuous, per-tooth increment)
Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report, Multivariable-adjusted
Each additional lost tooth was associated with a multivariable-adjusted HR of 1.02 (95% CI 1.01 to 1.03) for ACVD-related events (13 studies, I2=75%), statistically significant; GRADE per-analysis ratings reported in Supplementary File 7 (not available in provided sources).
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) All outcomes
HR 1.02 [1.01, 1.03]13 studies · 4639644 participantsLow
Higher number of lost teeth (per one additional lost tooth) vs Fewer lost teeth (continuous, per-tooth increment)
Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report, Crude
Each additional lost tooth was associated with a crude HR of 1.01 (95% CI 0.99 to 1.03) for ACVD-related events (1 study, I2 not applicable (single study)), not statistically significant; GRADE per-analysis ratings reported in Supplementary File 7 (not available in provided sources).
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) All outcomes
HR 1.01 [0.99, 1.03]1 study · 1385 participantsGRADE not reported
Higher number of lost teeth (per one additional lost tooth) vs Fewer lost teeth (continuous, per-tooth increment)
Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report, Adjusted for age/sex
Each additional lost tooth was associated with a age/sex-adjusted HR of 1.01 (95% CI 1.00 to 1.03) for ACVD-related events (7 studies, I2=79%), not statistically significant; GRADE per-analysis ratings reported in Supplementary File 7 (not available in provided sources).
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) All outcomes
HR 1.01 [1.00, 1.03]7 studies · 4546574 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of Survival Data.
2021 All outcomes
Before 17 June 2020140Not applicable
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.