Confounding and effect modification:: possible explanation for variation in the results on the association between oral and systemic diseases

被引:32
作者
Ylöstalo, PV
Knuuttila, ML
机构
[1] Univ Oulu, Inst Dent, Dept Periodontol & Geriatr Dent, Oulu 90014, Finland
[2] Oulu Univ Hosp, Oral & Maxillofacial Dept, Oulu, Finland
关键词
cardiovascular diseases; confounding; effect modification; oral diseases;
D O I
10.1111/j.1600-051X.2005.00886.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives: There is large variation in the results of studies on the association between periodontitis and systemic diseases. The variation might be explained by the fact that the association between periodontitis and systemic diseases is confounded, or the association might be modified by extraneous factors. In this article, we show, using simple examples, how confounding and effect modification may cause variation in results. In addition, these examples show that uncontrolled or partially controlled confounders can induce spurious associations. Conclusion: Confounding and effect modification may explain the variation in the results of studies on the association between periodontitis and systemic diseases.
引用
收藏
页码:104 / 108
页数:5
相关论文
共 15 条
[1]   An overview of relations among causal modelling methods [J].
Greenland, S ;
Brumback, B .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2002, 31 (05) :1030-1037
[2]   Periodontitis-systemic disease associations in the presence of smoking - causal or coincidental? [J].
Hujoel, PP ;
Drangsholt, M ;
Spiekerman, C ;
DeRouen, TA .
PERIODONTOLOGY 2000, 2002, 30 :51-60
[3]   The role of cigarette smoking in the association between periodontal disease and coronary heart disease [J].
Hyman, JJ ;
Winn, DM ;
Reid, BC .
JOURNAL OF PERIODONTOLOGY, 2002, 73 (09) :988-994
[4]  
Kinane D.F., 2005, PERIODONTOL 2000, V39, P91
[5]   Systematic review of the effect of smoking on nonsurgical periodontal therapy [J].
Labriola, A ;
Needleman, I ;
Moles, DR .
PERIODONTOLOGY 2000, 2005, 37 :124-137
[6]   Directed acyclic graphs (DAGs): an aid to assess confounding in dental research [J].
Merchant, AT ;
Pitiphat, W .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2002, 30 (06) :399-404
[7]   PERIODONTAL FINDINGS IN ADULT TWINS [J].
MICHALOWICZ, BS ;
AEPPLI, D ;
VIRAG, JG ;
KLUMP, DG ;
HINRICHS, JE ;
SEGAL, NL ;
BOUCHARD, TJ ;
PIHLSTROM, BL .
JOURNAL OF PERIODONTOLOGY, 1991, 62 (05) :293-299
[8]   Evidence of a substantial genetic basis for risk of adult periodontitis [J].
Michalowicz, BS ;
Diehl, SR ;
Gunsolley, JC ;
Sparks, BS ;
Brooks, CN ;
Koertge, TE ;
Califano, JV ;
Burmeister, JA ;
Schenkein, HA .
JOURNAL OF PERIODONTOLOGY, 2000, 71 (11) :1699-1707
[9]  
Miettinen O. S., 1985, Theoretical epidemiology: principles of occurrence research in medicine
[10]   Etiologic research - Needed revisions of concepts and principles [J].
Miettinen, OS .
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 1999, 25 (06) :484-490