Arthur C. Macedo, Fernando Valentim Bitencourt, André Oliveira Vilela de Faria, Isabella Harb Bizzi, Daniella de Freitas Pereira Ângelo Durço, Claudia Britto Azevedo, Martin Morris, Karen dos Santos Ferreira, Leonardo Cruz De Souza, Ana Miriam Velly
{"title":"轻度认知障碍或痴呆症患者口面部疼痛的患病率：系统回顾与荟萃分析。","authors":"Arthur C. Macedo, Fernando Valentim Bitencourt, André Oliveira Vilela de Faria, Isabella Harb Bizzi, Daniella de Freitas Pereira Ângelo Durço, Claudia Britto Azevedo, Martin Morris, Karen dos Santos Ferreira, Leonardo Cruz De Souza, Ana Miriam Velly","doi":"10.1111/ger.12740","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Background</h3>\n \n <p>This systematic review investigated the prevalence of orofacial pain in patients with mild cognitive impairment (MCI) or dementia.</p>\n </section>\n \n <section>\n \n <h3> Materials and methods</h3>\n \n <p>The search was conducted in five databases (Medline (Ovid), Embase (Ovid), CINAHL, Scopus and LILACS), in three grey literature sources and in included articles' reference lists. Three independent reviewers performed study selection, quality appraisal and data extraction. The risk of bias was assessed with the National Institutes of Health tool. Prevalence was calculated using the random-effects model. Subgroup analysis and meta-regression were used to explore the heterogeneity of results.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The database and grey literature search led to 12 246 results, from which nine studies were included; a further four were selected through citation searching. The total sample comprised 6115 patients with dementia and 84 with MCI. All studies had high risk of bias. The overall estimated pooled prevalence of orofacial pain among dementia participants was 19.0% (95% CI, 11.0%-27.0%; <i>I</i>\n <sup>2</sup>, 97.1%, <i>P</i> < .001). Only one study included MCI participants, among which the prevalence of orofacial pain was 20.5%. Subgroup analysis demonstrated that the different sources of diagnosis might explain the heterogeneity. A higher prevalence of orofacial pain was observed in dementia participants aged over 80 years or living in nursing homes. Meta-regression analysis showed a nonlinear relationship between age and the prevalence of orofacial pain.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The pooled data from the primary studies revealed that 2 out of 10 patients with dementia have orofacial pain. Further research is needed to clarify the magnitude in individuals with MCI.</p>\n </section>\n </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 3","pages":"335-345"},"PeriodicalIF":2.0000,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12740","citationCount":"0","resultStr":"{\"title\":\"Prevalence of orofacial pain in individuals with mild cognitive impairment or dementia: A systematic review and meta-analysis\",\"authors\":\"Arthur C. Macedo, Fernando Valentim Bitencourt, André Oliveira Vilela de Faria, Isabella Harb Bizzi, Daniella de Freitas Pereira Ângelo Durço, Claudia Britto Azevedo, Martin Morris, Karen dos Santos Ferreira, Leonardo Cruz De Souza, Ana Miriam Velly\",\"doi\":\"10.1111/ger.12740\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>This systematic review investigated the prevalence of orofacial pain in patients with mild cognitive impairment (MCI) or dementia.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and methods</h3>\\n \\n <p>The search was conducted in five databases (Medline (Ovid), Embase (Ovid), CINAHL, Scopus and LILACS), in three grey literature sources and in included articles' reference lists. Three independent reviewers performed study selection, quality appraisal and data extraction. The risk of bias was assessed with the National Institutes of Health tool. Prevalence was calculated using the random-effects model. 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Prevalence of orofacial pain in individuals with mild cognitive impairment or dementia: A systematic review and meta-analysis
Background
This systematic review investigated the prevalence of orofacial pain in patients with mild cognitive impairment (MCI) or dementia.
Materials and methods
The search was conducted in five databases (Medline (Ovid), Embase (Ovid), CINAHL, Scopus and LILACS), in three grey literature sources and in included articles' reference lists. Three independent reviewers performed study selection, quality appraisal and data extraction. The risk of bias was assessed with the National Institutes of Health tool. Prevalence was calculated using the random-effects model. Subgroup analysis and meta-regression were used to explore the heterogeneity of results.
Results
The database and grey literature search led to 12 246 results, from which nine studies were included; a further four were selected through citation searching. The total sample comprised 6115 patients with dementia and 84 with MCI. All studies had high risk of bias. The overall estimated pooled prevalence of orofacial pain among dementia participants was 19.0% (95% CI, 11.0%-27.0%; I2, 97.1%, P < .001). Only one study included MCI participants, among which the prevalence of orofacial pain was 20.5%. Subgroup analysis demonstrated that the different sources of diagnosis might explain the heterogeneity. A higher prevalence of orofacial pain was observed in dementia participants aged over 80 years or living in nursing homes. Meta-regression analysis showed a nonlinear relationship between age and the prevalence of orofacial pain.
Conclusions
The pooled data from the primary studies revealed that 2 out of 10 patients with dementia have orofacial pain. Further research is needed to clarify the magnitude in individuals with MCI.
期刊介绍：
The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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