Exploration
Accueil
Racine
Exploration
Accueil
Racine

Serveur d'exploration sur le patient édenté

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Baseline Caries Risk Assessment as a Predictor of Caries Incidence

Identifieur interne : 001386 ( Main/Exploration ); précédent : 001385; suivant : 001387

Baseline Caries Risk Assessment as a Predictor of Caries Incidence

Auteurs : Benjamin W. Chaffee [États-Unis] ; Jing Cheng [États-Unis] ; John D. B. Featherstone [États-Unis]

Source :

RBID : PMC:4417378

Abstract

Few studies have evaluated clinical outcomes following caries risk assessment in large datasets that reflect risk assessments performed during routine practice.

OBJECTIVE

From clinical records, compare 18-month caries incidence according to baseline caries risk designation.

METHODS

For this retrospective cohort study, data were collected from electronic records of non-edentulous adult patients who completed an oral examination and caries risk assessment (CRA) at a university instructional clinic from 2007 to 2012 (N=18,004 baseline patients). The primary outcome was the number of new decayed/restored teeth from the initial CRA to the ensuing oral examination, through June 30, 2013 (N=4468 patients with follow-up). We obtained doubly-robust estimates for 18-month caries increment by baseline CRA category (low, moderate, high, extreme), adjusted for patient characteristics (age, sex, payer type, race/ethnicity, number of teeth), provider type, and calendar year.

RESULTS

Adjusted mean decayed, restored tooth (DFT) increment from baseline to follow-up was greater with each rising category of baseline caries risk, from low (0.94), moderate (1.26), high (1.79), to extreme (3.26). The percentage of patients with any newly affected teeth (DFT increment >0) was similar among low-risk and moderate-risk patients (cumulative incidence ratio, RR: 1.01; 95% confidence interval, CI: 0.83, 1.23), but was increased relative to low-risk patients among high-risk (RR: 1.28; 95% CI: 1.10, 1.52), and extreme-risk patients (RR: 1.52; 95% CI: 1.23, 1.87).

CONCLUSIONS

These results lend evidence that baseline caries risk predicts future caries in this setting, supporting the use of caries risk assessment to identify candidate patients for more intensive preventive therapy.


Url:
DOI: 10.1016/j.jdent.2015.02.013
PubMed: 25731155
PubMed Central: 4417378


Affiliations:

Links toward previous steps (curation, corpus...)

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Baseline Caries Risk Assessment as a Predictor of Caries Incidence</title>
<author>
<name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758</wicri:regionArea>
<wicri:noRegion>94143-0758</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cheng, Jing" sort="Cheng, Jing" uniqKey="Cheng J" first="Jing" last="Cheng">Jing Cheng</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758</wicri:regionArea>
<wicri:noRegion>94143-0758</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Featherstone, John D B" sort="Featherstone, John D B" uniqKey="Featherstone J" first="John D. B." last="Featherstone">John D. B. Featherstone</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758</wicri:regionArea>
<wicri:noRegion>94143-0758</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">25731155</idno>
<idno type="pmc">4417378</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4417378</idno>
<idno type="RBID">PMC:4417378</idno>
<idno type="doi">10.1016/j.jdent.2015.02.013</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">002597</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002597</idno>
<idno type="wicri:Area/Pmc/Curation">002597</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002597</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000F92</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F92</idno>
<idno type="wicri:Area/Ncbi/Merge">005894</idno>
<idno type="wicri:Area/Ncbi/Curation">005894</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">005894</idno>
<idno type="wicri:doubleKey">0300-5712:2015:Chaffee B:baseline:caries:risk</idno>
<idno type="wicri:Area/Main/Merge">001389</idno>
<idno type="wicri:Area/Main/Curation">001386</idno>
<idno type="wicri:Area/Main/Exploration">001386</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Baseline Caries Risk Assessment as a Predictor of Caries Incidence</title>
<author>
<name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758</wicri:regionArea>
<wicri:noRegion>94143-0758</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cheng, Jing" sort="Cheng, Jing" uniqKey="Cheng J" first="Jing" last="Cheng">Jing Cheng</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758</wicri:regionArea>
<wicri:noRegion>94143-0758</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Featherstone, John D B" sort="Featherstone, John D B" uniqKey="Featherstone J" first="John D. B." last="Featherstone">John D. B. Featherstone</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Preventive and Restorative Dental Sciences, University of California San Francisco School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94143-0758</wicri:regionArea>
<wicri:noRegion>94143-0758</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of dentistry</title>
<idno type="ISSN">0300-5712</idno>
<idno type="eISSN">1879-176X</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P2">Few studies have evaluated clinical outcomes following caries risk assessment in large datasets that reflect risk assessments performed during routine practice.</p>
<sec id="S1">
<title>OBJECTIVE</title>
<p id="P3">From clinical records, compare 18-month caries incidence according to baseline caries risk designation.</p>
</sec>
<sec id="S2">
<title>METHODS</title>
<p id="P4">For this retrospective cohort study, data were collected from electronic records of non-edentulous adult patients who completed an oral examination and caries risk assessment (CRA) at a university instructional clinic from 2007 to 2012 (N=18,004 baseline patients). The primary outcome was the number of new decayed/restored teeth from the initial CRA to the ensuing oral examination, through June 30, 2013 (N=4468 patients with follow-up). We obtained doubly-robust estimates for 18-month caries increment by baseline CRA category (low, moderate, high, extreme), adjusted for patient characteristics (age, sex, payer type, race/ethnicity, number of teeth), provider type, and calendar year.</p>
</sec>
<sec id="S3">
<title>RESULTS</title>
<p id="P5">Adjusted mean decayed, restored tooth (DFT) increment from baseline to follow-up was greater with each rising category of baseline caries risk, from low (0.94), moderate (1.26), high (1.79), to extreme (3.26). The percentage of patients with any newly affected teeth (DFT increment >0) was similar among low-risk and moderate-risk patients (cumulative incidence ratio, RR: 1.01; 95% confidence interval, CI: 0.83, 1.23), but was increased relative to low-risk patients among high-risk (RR: 1.28; 95% CI: 1.10, 1.52), and extreme-risk patients (RR: 1.52; 95% CI: 1.23, 1.87).</p>
</sec>
<sec id="S4">
<title>CONCLUSIONS</title>
<p id="P6">These results lend evidence that baseline caries risk predicts future caries in this setting, supporting the use of caries risk assessment to identify candidate patients for more intensive preventive therapy.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
</list>
<tree>
<country name="États-Unis">
<noRegion>
<name sortKey="Chaffee, Benjamin W" sort="Chaffee, Benjamin W" uniqKey="Chaffee B" first="Benjamin W." last="Chaffee">Benjamin W. Chaffee</name>
</noRegion>
<name sortKey="Cheng, Jing" sort="Cheng, Jing" uniqKey="Cheng J" first="Jing" last="Cheng">Jing Cheng</name>
<name sortKey="Featherstone, John D B" sort="Featherstone, John D B" uniqKey="Featherstone J" first="John D. B." last="Featherstone">John D. B. Featherstone</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001386 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001386 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Santé
   |area=    EdenteV2
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4417378
   |texte=   Baseline Caries Risk Assessment as a Predictor of Caries Incidence
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:25731155" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a EdenteV2
Wicri

This area was generated with Dilib version V0.6.32.
Data generation: Thu Nov 30 15:26:48 2017. Site generation: Tue Mar 8 16:36:20 2022