Review Article

Periodontal Disease and Age-Related Macular Degeneration: A Meta-Analysis of 112,240 Participants

Table 1

Characteristics and quality assessment of the included studies.

First author, published yearSample study periodStudy designFollow-up periodAge (yrs)AMD patients/participantsPD ascertainmentAMD ascertainmentAMD/age statusRisk estimates (95% CI)

Klein, 2008MESA; USA
2002-2004
Cross-sectional245-85265/5887Detailed questionnaireOcular fundus photographsEarly
Late
All#
(0.98-1.79)
1.49 (0.63-3.50)
1.34 (1.01-1.78)
Karesvuo, 2013NPHS; Finland
2000-2001
Cross-sectional1≥3054/1751Alveolar bone lossClinical diagnosis (0.90-4.30)
Wagley, 2015US NHAHES III; US
1988-1994
Cross-sectional6≥40940/8208>10% of sites with >3 mm of CALOcular fundus photographs

All&
(1.22-3.14)
1.32 (0.93-1.90)
1.36 (0.98-1.90)
Shin, 2017KNHANES; Korea
2008-2010 and 2012
Cross-sectional2≥40732/13072CP index scores 3 and 4Ocular fundus photographs

All&
(0.90-1.63)
0.91 (0.74-1.12)
1.03 (0.86-1.22)
Sun, 2019TNHIRD; China
2000-2012
Retrospective cohort13≥503014/83322ICD-9-CMICD-9-CM

All&
(1.34-1.64)
1.76 (1.57-1.97)
1.58 (1.46-1.70)

MESA: Multi-Ethnic Study of Atherosclerosis; NPHS: National Population Health Survey 2000; NHAHES: National Health and Nutrition Examination Survey; KNHANES: Korea National Health and Nutrition Examination Survey; TNHIRD: Taiwan National Health Insurance Research Database; ICD: International Classification of Diseases. #All data was calculated by pooling early AMD and late AMD using a fixed-effects model for the final analysis; &all data was calculated by pooling different age status using a fixed-effects model for the final analysis.