A 5-year study of attachment loss in community-dwelling older adults : incidence density
Identifieur interne : 002417 ( Main/Merge ); précédent : 002416; suivant : 002418A 5-year study of attachment loss in community-dwelling older adults : incidence density
Auteurs : J. D. Beck [États-Unis] ; L. Cusmano [États-Unis] ; W. Greene-Helms [États-Unis] ; G. G. Koch [États-Unis] ; S. Offenbacher [États-Unis]Source :
- Journal of periodontal research [ 0022-3484 ] ; 1997.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
This is the second of three papers that present trends in attachment loss and tooth loss over a 5-yr period in a population of community-dwelling elderly blacks and whites. The first paper in this series showed that in addition to subject attrition during the 5 yr of the study, teeth also were lost. This loss of subjects and teeth resulted in trends that were not always consistent over time, because people were lost from the study and teeth with more active and advanced periodontal disease were more likely to be lost. In these instances, the incidence density (time-to-event) analytic strategy is useful. Incidence density is the average rate of occurrence for a fixed follow-up period. In 1988, the University of North Carolina School of Dentistry initiated the Piedmont 65 + Dental Study, which was designed to elicit 800 dentate respondents in the 5-county area who were examined again at 18, 36 and 60 months. Our findings indicated that for every 1000 sites followed for 1 yr in this population, 20.6 sites will experience attachment loss of 3 + mm. Incidence densities varied greatly by subgroup, indicating that certain characteristics predispose sites for attachment loss. A multivariate logistic regression model indicated that people who are smokers, Porphyromonas gingivalis positive, have 5 or more missing teeth, are not high school graduates, and have not had a dental visit in the last 5 yr are at higher risk of attachment loss. Posterior teeth and mesiobuccal sites are at higher risk. We conclude that incidence density analyses are useful for longitudinal periodontal data and we illustrate the use of incidence density rates to plan clinical trials.
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000801
- to stream PascalFrancis, to step Curation: 000A71
- to stream PascalFrancis, to step Checkpoint: 000817
Links to Exploration step
Pascal:97-0484665Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">A 5-year study of attachment loss in community-dwelling older adults : incidence density</title><author><name sortKey="Beck, J D" sort="Beck, J D" uniqKey="Beck J" first="J. D." last="Beck">J. D. Beck</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dental Ecology, University of North Carolina</s1><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Dental Ecology, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Cusmano, L" sort="Cusmano, L" uniqKey="Cusmano L" first="L." last="Cusmano">L. Cusmano</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Biostatistics, University of North Carolina</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Biostatistics, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Greene Helms, W" sort="Greene Helms, W" uniqKey="Greene Helms W" first="W." last="Greene-Helms">W. Greene-Helms</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Biostatistics, University of North Carolina</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Biostatistics, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Koch, G G" sort="Koch, G G" uniqKey="Koch G" first="G. G." last="Koch">G. G. Koch</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Biostatistics, University of North Carolina</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Biostatistics, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Offenbacher, S" sort="Offenbacher, S" uniqKey="Offenbacher S" first="S." last="Offenbacher">S. Offenbacher</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Periodontics and Dental Research Center, University of North Carolina</s1><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Periodontics and Dental Research Center, University of North Carolina</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">97-0484665</idno><date when="1997">1997</date><idno type="stanalyst">PASCAL 97-0484665 INIST</idno><idno type="RBID">Pascal:97-0484665</idno><idno type="wicri:Area/PascalFrancis/Corpus">000801</idno><idno type="wicri:Area/PascalFrancis/Curation">000A71</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000817</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000817</idno><idno type="wicri:doubleKey">0022-3484:1997:Beck J:a:year:study</idno><idno type="wicri:Area/Main/Merge">002417</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A 5-year study of attachment loss in community-dwelling older adults : incidence density</title><author><name sortKey="Beck, J D" sort="Beck, J D" uniqKey="Beck J" first="J. D." last="Beck">J. D. Beck</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dental Ecology, University of North Carolina</s1><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Dental Ecology, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Cusmano, L" sort="Cusmano, L" uniqKey="Cusmano L" first="L." last="Cusmano">L. Cusmano</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Biostatistics, University of North Carolina</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Biostatistics, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Greene Helms, W" sort="Greene Helms, W" uniqKey="Greene Helms W" first="W." last="Greene-Helms">W. Greene-Helms</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Biostatistics, University of North Carolina</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Biostatistics, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Koch, G G" sort="Koch, G G" uniqKey="Koch G" first="G. G." last="Koch">G. G. Koch</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Biostatistics, University of North Carolina</s1><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Biostatistics, University of North Carolina</wicri:noRegion></affiliation></author><author><name sortKey="Offenbacher, S" sort="Offenbacher, S" uniqKey="Offenbacher S" first="S." last="Offenbacher">S. Offenbacher</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Periodontics and Dental Research Center, University of North Carolina</s1><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Periodontics and Dental Research Center, University of North Carolina</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of periodontal research</title><title level="j" type="abbreviated">J. periodontal res.</title><idno type="ISSN">0022-3484</idno><imprint><date when="1997">1997</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of periodontal research</title><title level="j" type="abbreviated">J. periodontal res.</title><idno type="ISSN">0022-3484</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Complication</term><term>Edentulousness</term><term>Elderly</term><term>Evolution</term><term>Follow up study</term><term>Gingival attachment</term><term>Loss</term><term>Periodontitis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parodontite</term><term>Perte</term><term>Attachement gingival</term><term>Evolution</term><term>Edentation</term><term>Etude longitudinale</term><term>Complication</term><term>Vieillard</term><term>Densité incidence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This is the second of three papers that present trends in attachment loss and tooth loss over a 5-yr period in a population of community-dwelling elderly blacks and whites. The first paper in this series showed that in addition to subject attrition during the 5 yr of the study, teeth also were lost. This loss of subjects and teeth resulted in trends that were not always consistent over time, because people were lost from the study and teeth with more active and advanced periodontal disease were more likely to be lost. In these instances, the incidence density (time-to-event) analytic strategy is useful. Incidence density is the average rate of occurrence for a fixed follow-up period. In 1988, the University of North Carolina School of Dentistry initiated the Piedmont 65 + Dental Study, which was designed to elicit 800 dentate respondents in the 5-county area who were examined again at 18, 36 and 60 months. Our findings indicated that for every 1000 sites followed for 1 yr in this population, 20.6 sites will experience attachment loss of 3 + mm. Incidence densities varied greatly by subgroup, indicating that certain characteristics predispose sites for attachment loss. A multivariate logistic regression model indicated that people who are smokers, Porphyromonas gingivalis positive, have 5 or more missing teeth, are not high school graduates, and have not had a dental visit in the last 5 yr are at higher risk of attachment loss. Posterior teeth and mesiobuccal sites are at higher risk. We conclude that incidence density analyses are useful for longitudinal periodontal data and we illustrate the use of incidence density rates to plan clinical trials.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Beck, J D" sort="Beck, J D" uniqKey="Beck J" first="J. D." last="Beck">J. D. Beck</name></noRegion><name sortKey="Cusmano, L" sort="Cusmano, L" uniqKey="Cusmano L" first="L." last="Cusmano">L. Cusmano</name><name sortKey="Greene Helms, W" sort="Greene Helms, W" uniqKey="Greene Helms W" first="W." last="Greene-Helms">W. Greene-Helms</name><name sortKey="Koch, G G" sort="Koch, G G" uniqKey="Koch G" first="G. G." last="Koch">G. G. Koch</name><name sortKey="Offenbacher, S" sort="Offenbacher, S" uniqKey="Offenbacher S" first="S." last="Offenbacher">S. Offenbacher</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002417 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 002417 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV1
|flux= Main
|étape= Merge
|type= RBID
|clé= Pascal:97-0484665
|texte= A 5-year study of attachment loss in community-dwelling older adults : incidence density
}}
| This area was generated with Dilib version V0.6.33. |  |