Question · asked by 1 review

Edentulous (0 remaining teeth) vs 1-32 remaining teeth: 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
Edentulous (0 remaining teeth)
Comparison
1-32 remaining teeth
Outcome
Atherosclerotic cardiovascular disease (ACVD)-related events (morbidity and mortality)

In prospective cohorts, the multivariable-adjusted HR for ACVD-related events in edentulous adults (0 teeth) vs adults with 1-32 teeth was 1.21 (95% CI 1.07 to 1.36; 5 studies, I2=35%); 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 · 50%Very low 0 · 0%Low 0 · 0%Moderate 2 · 50%High 0 · 0%
FindingEffectStudiesGRADE certainty
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
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
In prospective cohorts, the multivariable-adjusted HR for ACVD-related events in edentulous adults (0 teeth) vs adults with 1-32 teeth was 1.21 (95% CI 1.07 to 1.36; 5 studies, I2=35%); 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 1.21 [1.07, 1.36]5 studies · 101938 participantsModerate
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
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
In prospective cohorts, the crude HR for ACVD-related events in edentulous adults (0 teeth) vs adults with 1-32 teeth was 1.89 (95% CI 1.80 to 1.99; 3 studies, I2=0%); 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 1.89 [1.80, 1.99]3 studies · 98122 participantsGRADE not reported
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
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
In prospective cohorts, edentulous adults (0 teeth) had a higher cumulative incidence of ACVD-related events than adults with 1-32 teeth (RR 2.93, 95% CI 1.92 to 4.50; 10 cohort studies, I2=99%); 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
RR 2.93 [1.92, 4.50]10 studies · 4697021 participantsModerate
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
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
In prospective cohorts, the age/sex-adjusted HR for ACVD-related events in edentulous adults (0 teeth) vs adults with 1-32 teeth was 1.49 (95% CI 1.39 to 1.58; 4 studies, I2=0%); 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 1.49 [1.39, 1.58]4 studies · 44937 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

The same intervention and outcome, asked in another population or against another comparator.

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.