TABLE 3.
Pooled estimates of the risk ratio (RR) obtained from the comparison of repair (reference) with replacement in the scenarios regarding dental amalgam.
Scenario 1 | Scenario 2 | Scenario 3 | Scenario 4 | Scenario 5 | Scenario 6 | Scenario 7 | Scenario 8 | |
---|---|---|---|---|---|---|---|---|
Africa | ||||||||
Egypt | 5.48 [3.79, 7.91] | 6.84 [4.45, 10.52] | 10.36 [6.25, 17.15] | 5.22 [3.31, 8.24] | 5.83 [3.96, 8.57] | 1.86 [1.32, 2.62] | 9.00 [5.63, 14.39] | 1.62 [1.25, 2.09] |
Libya | 4.40 [3.14, 6.16] | 5.91 [4.01, 8.72] | 12.83 [7.41, 22.21] | 11.00 [5.96, 20.29] | 7.25 [4.77, 11.01] | 1.41 [1.04, 1.90] | 27.17 [12.36, 59.69] | 1.52 [1.19, 1.95] |
Subtotal [95% CI] | 4.86 [3.79, 6.23] | 6.31 [4.73, 8.42] | 11.43 [7.88, 16.56] | 7.37 [3.51, 15.46] | 6.44 [4.85, 8.56] | 1.60 [1.22, 2.10] | 14.98 [4.84, 46.32] | 1.57 [1.31, 1.87] |
Heterogeneity | I 2 = 0% | I 2 = 0% | I 2 = 0% | I 2 = 74% | I 2 = 0% | I 2 = 31% | I 2 = 84% | I 2 = 0% |
Test for overall effect | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 |
Asia | ||||||||
Bangladesh | 6.00 [4.12, 8.74] | 0.94 [0.60, 1.46] | 4.09 [2.98, 5.61] | 4.43 [2.01, 9.78] | 2.17 [1.70, 2.78] | 0.74 [0.50, 1.12] | 15.40 [8.42, 28.15] | 0.35 [0.23, 0.52] |
India | 8.78 [5.64, 13.66] | 6.23 [4.17, 9.30] | 8.26 [5.38, 12.70] | 5.41 [3.60, 8.12] | 5.72 [3.94, 8.30] | 2.56 [1.88, 3.49] | 11.43 [6.89, 18.96] | 2.22 [1.71, 2.89] |
Indonesia | 6.95 [4.63, 10.44] | 7.56 [4.84, 11.79] | 7.79 [5.07, 11.97] | 9.14 [5.49, 15.24] | 6.90 [4.60, 10.37] | 4.00 [2.84, 5.63] | 40.50 [15.36, 106.81] | 2.55 [1.91, 3.40] |
Jordan | 4.08 [3.03, 5.50] | 6.55 [4.38, 9.78] | 7.17 [4.87, 10.57] | 11.44 [5.97, 21.94] | 6.04 [4.20, 8.68] | 1.22 [0.83, 1.79] | 61.33 [19.95, 188.53] | 1.49 [1.16, 1.92] |
Kazakhstan | 9.00 [5.62, 14.41] | 8.69 [5.42, 13.93] | 7.42 [4.83, 11.40] | 6.90 [4.54, 10.48] | 7.20 [4.75, 10.92] | 10.21 [6.16, 16.95] | 6.71 [4.47, 10.08] | 4.41 [2.72, 7.14] |
Malaysia | 1.16 [0.94, 1.44] | 2.06 [1.59, 2.66] | 2.29 [1.79, 2.93] | 1.47 [1.13, 1.90] | 1.93 [1.52, 2.45] | 1.40 [1.08, 1.83] | 2.00 [1.58, 2.54] | 1.08 [0.86, 1.36] |
Pakistan | 2.74 [2.11, 3.56] | 9.06 [5.74, 14.29] | 7.38 [4.92, 11.07] | 3.34 [2.34, 4.79] | 2.93 [2.23, 3.85] | 1.21 [0.83, 1.75] | 86.50 [21.80, 343.25] | 1.92 [1.48, 2.50] |
Palestine | 3.88 [2.85, 5.30] | 5.38 [3.68, 7.86] | 7.53 [4.90, 11.55] | 8.82 [4.91, 15.84] | 8.59 [5.45, 13.53] | 1.59 [1.12, 2.27] | 15.40 [8.43, 28.15] | 1.84 [1.40, 2.41] |
Saudi Arabia | 5.72 [3.96, 8.27] | 5.05 [3.33, 7.66] | 8.53 [5.41, 13.45] | 6.25 [3.85, 10.13] | 9.00 [5.72, 14.17] | 0.74 [0.51, 1.07] | 27.33 [12.45, 60.02] | 0.74 [0.56, 0.99] |
Singapore | 3.29 [2.46, 4.40] | 8.90 [4.80, 16.50] | 13.91 [7.85, 24.66] | 50.00 [6.99, 357.70] | 10.45 [5.86, 18.67] | 1.83 [0.69, 4.84] | 331.00 [20.79, 5269.87] | 2.42 [1.28, 4.57] |
Yemen | 4.29 [3.09, 5.96] | 3.22 [2.30, 4.50] | 5.30 [3.72, 7.54] | 3.91 [2.61, 5.87] | 5.22 [3.67, 7.44] | 1.02 [0.75, 1.38] | 8.94 [5.68, 14.09] | 1.13 [0.89, 1.44] |
Subtotal [95% CI] | 4.38 [2.91, 6.61] | 4.81 [3.14, 7.37] | 6.51 [4.64, 9.13] | 5.71 [3.51, 9.28] | 5.16 [3.50, 7.61] | 1.69 [1.12, 2.55] | 18.59 [7.66, 45.10] | 1.50 [1.08, 2.08] |
Heterogeneity | I 2 = 94% | I 2 = 92% | I 2 = 88% | I 2 = 91% | I 2 = 93% | I 2 = 93% | I 2 = 92% | I 2 = 93% |
Test for overall effect | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p = 0.01 | p < 0.001 | p = 0.02 |
Europe | ||||||||
Croatia | 3.27 [2.52, 4.24] | 4.29 [3.15, 5.82] | 12.67 [7.77, 20.65] | 6.84 [4.48, 10.46] | 4.94 [3.61, 6.76] | 1.68 [1.29, 2.19] | 206.00 [29.16, 1455.53] | 1.53 [1.23, 1.89] |
Greece | 6.52 [4.44, 9.58] | 6.35 [4.32, 9.32] | 14.73 [8.30, 26.12] | 14.00 [6.45, 30.39] | 8.28 [5.33, 12.85] | 1.02 [0.76, 1.38] | 173.00 [24.51, 1221.27] | 1.53 [1.18, 1.99] |
Poland | 3.08 [2.30, 4.12] | 5.09 [3.45, 7.51] | 6.13 [4.18, 9.00] | 6.44 [3.48, 11.92] | 8.13 [5.03, 13.16] | 3.08 [1.84, 5.17] | 54.67 [17.81, 167.81] | 8.77 [5.22, 14.73] |
Portugal | 1.01 [0.82, 1.24] | 1.77 [1.41, 2.21] | 5.21 [3.71, 7.31] | 4.05 [2.73, 6.01] | 2.02 [1.60, 2.55] | 1.00 [0.72, 1.39] | 60.00 [19.53, 184.34] | 1.41 [1.08, 1.85] |
Spain | 3.16 [2.36, 4.22] | 3.50 [2.57, 4.76] | 4.41 [3.15, 6.18] | 5.27 [3.28, 8.45] | 4.31 [3.08, 6.04] | 1.40 [1.00, 1.96] | 10.57 [6.39, 17.48] | 2.63 [1.90, 3.65] |
Turkey | 1.62 [1.30, 2.03] | 2.50 [1.92, 3.25] | 3.75 [2.78, 5.06] | 12.25 [6.28, 23.90] | 4.69 [3.35, 6.57] | 0.70 [0.50, 0.98] | 28.00 [12.75, 61.49] | 1.21 [0.95, 1.54] |
Subtotal [95% CI] | 2.61 [1.54, 4.42] | 3.53 [2.36, 5.30] | 6.53 [4.35, 9.81] | 6.88 [4.77, 9.92] | 4.79 [2.98, 7.69] | 1.28 [0.91, 1.81] | 47.19 [16.50, 134.95] | 2.03 [1.35, 3.04] |
Heterogeneity | I 2 = 96% | I 2 = 91% | I 2 = 85% | I 2 = 65% | I 2 = 91% | I 2 = 85% | I 2 = 84% | I 2 = 93% |
Test for overall effect | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p = 0.16 | p < 0.001 | p < 0.001 |
South America | ||||||||
Colombia | 7.21 [4.69, 11.08] | 11.50 [6.64, 19.92] | 7.89 [5.08, 12.26] | 3.68 [2.33, 5.83] | 5.36 [3.71, 7.75] | 1.31 [0.82, 2.08] | 52.33 [17.04, 160.72] | 1.18 [0.87, 1.61] |
Ecuador | 5.50 [3.75, 8.07] | 5.20 [3.57, 7.57] | 7.37 [4.78, 11.36] | 5.90 [3.90, 8.94] | 4.96 [3.47, 7.10] | 3.38 [2.41, 4.73] | 13.45 [7.56, 23.96] | 3.83 [2.71, 5.41] |
Subtotal [95% CI] | 6.20 [4.66, 8.25] | 7.54 [3.41, 16.67] | 7.62 [5.59, 10.38] | 4.71 [2.97, 7.49] | 5.15 [3.98, 6.66] | 2.13 [0.84, 5.39] | 24.53 [6.02, 99.91] | 2.12 [0.66, 6.82] |
Heterogeneity | I 2 = 0% | I 2 = 82% | I 2 = 0% | I 2 = 55% | I 2 = 0% | I 2 = 91% | I 2 = 80% | I 2 = 96% |
Test for overall effect | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p = 0.11 | p < 0.001 | p = 0.21 |
Total [95% CI] | 3.94 [2.93, 5.31] | 4.70 [3.59, 6.16] | 6.94 [5.53, 8.71] | 6.04 [4.51, 8.08] | 5.14 [4.02, 6.57] | 1.59 [1.24, 2.03] | 24.22 [13.05, 44.95] | 1.70 [1.37, 2.10] |
Heterogeneity | I 2 = 95% | I 2 = 91% | I 2 = 85% | I 2 = 87% | I 2 = 90% | I 2 = 90% | I 2 = 95% | I 2 = 91% |
Test for overall effect | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.001 |
Test for subgroup differences | p = 0.04 | p = 0.10 | p = 0.12 | p = 0.59 | p = 0.60 | p = 0.62 | p = 0.46 | p = 0.63 |
Note: A p‐value of < 0.05 was considered significant.