Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds
Identifieur interne : 005D80 ( Istex/Corpus ); précédent : 005D79; suivant : 005D81Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds
Auteurs : Xi Chen ; Jennifer J. J. ClarkSource :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2011-06.
English descriptors
- KwdEn :
- Anticholinergic, Arrival number, Caries, Carious, Commun, Commun dent, Dent, Dental, Dental backgrounds, Dental care, Dental caries, Dental conditions, Dental professionals, Different dimensions, Elderly patients, Epidemiol, Greater risk, Impairment, Jag, Jags june, Medication, Moderate impairment, More teeth, Multidimensional, Multidimensional approach, Multiple teeth, Negative binomial regressions, Older adults, Oral health, Oral hygiene, Participant, Physical disability, Poisson, Predictor, Present study, Prosthesis, Protective effect, Public health dent, Removable, Risk assessment, Risk factor, Risk factors, Spec care dentist, Study clinic, Study participants, Study period, Systemic health, Tooth, Tooth loss, Tooth loss events, Transferability, Treatment plan, Wheel chair.
- Teeft :
- Anticholinergic, Arrival number, Caries, Carious, Commun, Commun dent, Dent, Dental, Dental backgrounds, Dental care, Dental caries, Dental conditions, Dental professionals, Different dimensions, Elderly patients, Epidemiol, Greater risk, Impairment, Jag, Jags june, Medication, Moderate impairment, More teeth, Multidimensional, Multidimensional approach, Multiple teeth, Negative binomial regressions, Older adults, Oral health, Oral hygiene, Participant, Physical disability, Poisson, Predictor, Present study, Prosthesis, Protective effect, Public health dent, Removable, Risk assessment, Risk factor, Risk factors, Spec care dentist, Study clinic, Study participants, Study period, Systemic health, Tooth, Tooth loss, Tooth loss events, Transferability, Treatment plan, Wheel chair.
Abstract
OBJECTIVES: To introduce a multidimensional approach to assess risk of tooth loss for older adults with diverse medical and dental backgrounds.
Url:
DOI: 10.1111/j.1532-5415.2011.03425.x
Links to Exploration step
ISTEX:BC5CF94CE3DE936C994AA222F57D4D3B2AA37CE9Le document en format XML
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Journal compilation © 2011, The American Geriatrics Society</licence></availability><date type="published" when="2011-06"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds</title><title level="a" type="short">RISK ASSESSMENT FOR TOOTH LOSS IN OLDER ADULTS</title><author xml:id="author-0000"><persName><forename type="first">Xi</forename><surname>Chen</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>From the Departments of Dental Ecology</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Jennifer J.J.</forename><surname>Clark</surname><roleName type="degree">BS</roleName></persName><affiliation>Biostatistics, University of North Carolina, Chapel Hill, North Carolina.<address><country key="US"></country></address></affiliation></author><idno type="istex">BC5CF94CE3DE936C994AA222F57D4D3B2AA37CE9</idno><idno type="ark">ark:/67375/WNG-B40K3GPL-L</idno><idno type="DOI">10.1111/j.1532-5415.2011.03425.x</idno><idno type="unit">JGS3425</idno><idno type="supplier">3425</idno><idno type="toTypesetVersion">file:JGS.JGS3425.pdf</idno></analytic><monogr><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="alt">JOURNAL OF AMERICAN GERIATRICS SOCIETY</title><idno type="pISSN">0002-8614</idno><idno type="eISSN">1532-5415</idno><idno type="book-DOI">10.1111/(ISSN)1532-5415</idno><idno type="book-part-DOI">10.1111/jgs.2011.59.issue-6</idno><idno type="product">JGS</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">59</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1116">1116</biblScope><biblScope unit="page" to="1122">1122</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2011-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">OBJECTIVES: </hi> To introduce a multidimensional approach to assess risk of tooth loss for older adults with diverse medical and dental backgrounds.</p><p><hi rend="bold">DESIGN: </hi> Retrospective longitudinal study.</p><p><hi rend="bold">SETTING: </hi> Community‐based geriatric dental clinic in Minnesota.</p><p><hi rend="bold">PARTICIPANTS: </hi> Four hundred ninety‐one older adults who presented to the studied clinic as new patients between October 1999 and December 2006, remained dentate after finishing the initial treatment plan, and returned for care at least once thereafter were selected as participants.</p><p><hi rend="bold">INTERVENTION: </hi> All existing dental conditions were treated before enrollment. Comprehensive dental care was continually provided for all participants during follow‐up.</p><p><hi rend="bold">MEASUREMENTS: </hi> Demographic information, together with medical, dental, functional, and cognitive assessment at arrival, was abstracted from dental records. Logistic, Cox, Poisson, and negative‐binomial regressions were developed to assess risk of tooth loss from four dimensions: likelihood of tooth loss, time to first tooth loss, and frequency and rate of tooth loss per person‐year.</p><p><hi rend="bold">RESULTS: </hi> Although the traditional single‐dimensional risk assessment approach indicated that number of teeth being carious or retaining roots at arrival was the only contributing factor for tooth loss in older adults, the multidimensional approach found that risk factors of tooth loss differed when assessed from different perspectives. While likelihood of tooth loss and time to first tooth loss were associated only with dental factors, both dental and nondental factors were associated with frequency and rate of tooth loss.</p><p><hi rend="bold">CONCLUSION: </hi> A single‐dimensional risk assessment approach focusing on likelihood of tooth loss alone fails to provide a comprehensive risk profile for older adults. A multidimensional approach should be considered during assessment and treatment planning.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">tooth loss</term><term xml:id="k2">risk assessment</term><term xml:id="k3">older adults</term></keywords><keywords rend="tocHeading1"><term>Dental and Oral Health</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/BC5CF94CE3DE936C994AA222F57D4D3B2AA37CE9/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1532-5415</doi><issn type="print">0002-8614</issn><issn type="electronic">1532-5415</issn><idGroup><id type="product" value="JGS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF AMERICAN GERIATRICS SOCIETY">Journal of the American Geriatrics Society</title></titleGroup></publicationMeta><publicationMeta level="part" position="06106"><doi origin="wiley">10.1111/jgs.2011.59.issue-6</doi><numberingGroup><numbering type="journalVolume" number="59">59</numbering><numbering type="journalIssue" number="6">6</numbering></numberingGroup><coverDate startDate="2011-06">June 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="21" status="forIssue"><doi origin="wiley">10.1111/j.1532-5415.2011.03425.x</doi><idGroup><id type="unit" value="JGS3425"></id><id type="supplier" value="3425"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Dental and Oral Health</title></titleGroup><copyright>© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.5 mode:FullText" date="2011-06-13"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-06-07"></event><event type="firstOnline" date="2011-06-07"></event><event type="publishedOnlineFinalForm" date="2011-06-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-31"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1116">1116</numbering><numbering type="pageLast" number="1122">1122</numbering></numberingGroup><correspondenceTo>Address correspondence to Xi Chen, Department of Dental Ecology, University of North Carolina School of Dentistry, Campus Box 7450, Chapel Hill, NC 27599. E‐mail: <email normalForm="xi_chen@dentistry.unc.edu">xi_chen@dentistry.unc.edu</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JGS.JGS3425.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="5"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="38"></count><count type="wordTotal" number="6096"></count><count type="linksCrossRef" number="50"></count></countGroup><titleGroup><title type="main">Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds</title><title type="shortAuthors">CHEN AND CLARK</title><title type="short">RISK ASSESSMENT FOR TOOTH LOSS IN OLDER ADULTS</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Xi</givenNames><familyName>Chen</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Jennifer J.J.</givenNames><familyName>Clark</familyName><degrees>BS</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>From the Departments of Dental Ecology</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="US"><unparsedAffiliation>Biostatistics, University of North Carolina, Chapel Hill, North Carolina.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">tooth loss</keyword><keyword xml:id="k2">risk assessment</keyword><keyword xml:id="k3">older adults</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>OBJECTIVES: </b> To introduce a multidimensional approach to assess risk of tooth loss for older adults with diverse medical and dental backgrounds.</p><p><b>DESIGN: </b> Retrospective longitudinal study.</p><p><b>SETTING: </b> Community‐based geriatric dental clinic in Minnesota.</p><p><b>PARTICIPANTS: </b> Four hundred ninety‐one older adults who presented to the studied clinic as new patients between October 1999 and December 2006, remained dentate after finishing the initial treatment plan, and returned for care at least once thereafter were selected as participants.</p><p><b>INTERVENTION: </b> All existing dental conditions were treated before enrollment. Comprehensive dental care was continually provided for all participants during follow‐up.</p><p><b>MEASUREMENTS: </b> Demographic information, together with medical, dental, functional, and cognitive assessment at arrival, was abstracted from dental records. Logistic, Cox, Poisson, and negative‐binomial regressions were developed to assess risk of tooth loss from four dimensions: likelihood of tooth loss, time to first tooth loss, and frequency and rate of tooth loss per person‐year.</p><p><b>RESULTS: </b> Although the traditional single‐dimensional risk assessment approach indicated that number of teeth being carious or retaining roots at arrival was the only contributing factor for tooth loss in older adults, the multidimensional approach found that risk factors of tooth loss differed when assessed from different perspectives. While likelihood of tooth loss and time to first tooth loss were associated only with dental factors, both dental and nondental factors were associated with frequency and rate of tooth loss.</p><p><b>CONCLUSION: </b> A single‐dimensional risk assessment approach focusing on likelihood of tooth loss alone fails to provide a comprehensive risk profile for older adults. A multidimensional approach should be considered during assessment and treatment planning.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>RISK ASSESSMENT FOR TOOTH LOSS IN OLDER ADULTS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds</title></titleInfo><name type="personal"><namePart type="given">Xi</namePart><namePart type="family">Chen</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>From the Departments of Dental Ecology</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jennifer J.J.</namePart><namePart type="family">Clark</namePart><namePart type="termsOfAddress">BS</namePart><affiliation>Biostatistics, University of North Carolina, Chapel Hill, North Carolina.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2011-06</dateIssued><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">5</extent><extent unit="formulas">0</extent><extent unit="references">38</extent><extent unit="linksCrossRef">50</extent><extent unit="words">6096</extent></physicalDescription><abstract>OBJECTIVES: To introduce a multidimensional approach to assess risk of tooth loss for older adults with diverse medical and dental backgrounds.</abstract><abstract>DESIGN: Retrospective longitudinal study.</abstract><abstract>SETTING: Community‐based geriatric dental clinic in Minnesota.</abstract><abstract>PARTICIPANTS: Four hundred ninety‐one older adults who presented to the studied clinic as new patients between October 1999 and December 2006, remained dentate after finishing the initial treatment plan, and returned for care at least once thereafter were selected as participants.</abstract><abstract>INTERVENTION: All existing dental conditions were treated before enrollment. Comprehensive dental care was continually provided for all participants during follow‐up.</abstract><abstract>MEASUREMENTS: Demographic information, together with medical, dental, functional, and cognitive assessment at arrival, was abstracted from dental records. Logistic, Cox, Poisson, and negative‐binomial regressions were developed to assess risk of tooth loss from four dimensions: likelihood of tooth loss, time to first tooth loss, and frequency and rate of tooth loss per person‐year.</abstract><abstract>RESULTS: Although the traditional single‐dimensional risk assessment approach indicated that number of teeth being carious or retaining roots at arrival was the only contributing factor for tooth loss in older adults, the multidimensional approach found that risk factors of tooth loss differed when assessed from different perspectives. While likelihood of tooth loss and time to first tooth loss were associated only with dental factors, both dental and nondental factors were associated with frequency and rate of tooth loss.</abstract><abstract>CONCLUSION: A single‐dimensional risk assessment approach focusing on likelihood of tooth loss alone fails to provide a comprehensive risk profile for older adults. A multidimensional approach should be considered during assessment and treatment planning.</abstract><subject lang="en"><genre>keywords</genre><topic>tooth loss</topic><topic>risk assessment</topic><topic>older adults</topic></subject><relatedItem type="host"><titleInfo><title>Journal of the American Geriatrics Society</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0002-8614</identifier><identifier type="eISSN">1532-5415</identifier><identifier type="DOI">10.1111/(ISSN)1532-5415</identifier><identifier type="PublisherID">JGS</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>59</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>1116</start><end>1122</end><total>7</total></extent></part></relatedItem><identifier type="istex">BC5CF94CE3DE936C994AA222F57D4D3B2AA37CE9</identifier><identifier type="ark">ark:/67375/WNG-B40K3GPL-L</identifier><identifier type="DOI">10.1111/j.1532-5415.2011.03425.x</identifier><identifier type="ArticleID">JGS3425</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Inc</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/BC5CF94CE3DE936C994AA222F57D4D3B2AA37CE9/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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