Cost-effectiveness of mandibular two-implant overdentures and conventional dentures in the edentulous elderly.
Identifieur interne : 007220 ( Main/Exploration ); précédent : 007219; suivant : 007221Cost-effectiveness of mandibular two-implant overdentures and conventional dentures in the edentulous elderly.
Auteurs : G. Heydecke [Canada] ; J R Penrod ; Y. Takanashi ; J P Lund ; J S Feine ; J M ThomasonSource :
- Journal of dental research [ 0022-0345 ] ; 2005.
Descripteurs français
- KwdFr :
- Analyse coût-bénéfice, Canada, Coûts des soins de santé, Femelle, Humains, Implants dentaires (psychologie), Implants dentaires (économie), Mandibule, Mâchoire édentée (psychologie), Mâchoire édentée (rééducation et réadaptation), Mâchoire édentée (économie), Mâle, Overdenture (économie), Pose d'implant dentaire endo-osseux (psychologie), Pose d'implant dentaire endo-osseux (économie), Profil d'impact de la maladie, Prothèse dentaire complète inférieure (psychologie), Prothèse dentaire complète inférieure (économie), Qualité de vie, Sujet âgé.
- MESH :
- psychologie : Implants dentaires, Mâchoire édentée, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure.
- rééducation et réadaptation : Mâchoire édentée.
- économie : Implants dentaires, Mâchoire édentée, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure.
- Analyse coût-bénéfice, Canada, Coûts des soins de santé, Femelle, Humains, Mandibule, Mâle, Profil d'impact de la maladie, Qualité de vie, Sujet âgé.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Aged, Canada, Cost-Benefit Analysis, Dental Implantation, Endosseous (economics), Dental Implantation, Endosseous (psychology), Dental Implants (economics), Dental Implants (psychology), Denture, Complete, Lower (economics), Denture, Complete, Lower (psychology), Denture, Overlay (economics), Female, Health Care Costs, Humans, Jaw, Edentulous (economics), Jaw, Edentulous (psychology), Jaw, Edentulous (rehabilitation), Male, Mandible, Quality of Life, Sickness Impact Profile.
- MESH :
- chemical , economics : Dental Implants.
- chemical , psychology : Dental Implants.
- geographic : Canada.
- economics : Dental Implantation, Endosseous, Denture, Complete, Lower, Denture, Overlay, Jaw, Edentulous.
- psychology : Dental Implantation, Endosseous, Denture, Complete, Lower, Jaw, Edentulous.
- rehabilitation : Jaw, Edentulous.
- Aged, Cost-Benefit Analysis, Female, Health Care Costs, Humans, Male, Mandible, Quality of Life, Sickness Impact Profile.
Abstract
Implementation of new therapies is usually governed by financial considerations, so efficacy studies should also include cost comparisons. The cost and effectiveness of mandibular conventional dentures (CD, n = 30) and two-implant overdentures (IOD, n = 30) were compared in elderly subjects. Effectiveness (Oral Health Impact Profile, OHIP-20) and cost were measured up to one year post-treatment. Data for subsequent years were estimated by the Delphi method. Using an average life expectancy of 17.9 years, the equalized annual costs (in Canadian dollars) were dollar 399 for CD and dollar 625 for IOD (p < 0.001), and the equalized annual values for the outcome (OHIP-20) were 47.0 for CD and 31.3 for IOD treatment (p < 0.05). These values translate into a yearly additional cost for IOD treatment of dollar 14.41 per OHIP-20 point. These results are key to the implementation of programs to provide this form of therapy for edentulous adults.
DOI: 10.1177/154405910508400903
PubMed: 16109986
Affiliations:
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Le document en format XML
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Takanashi</name></author><author><name sortKey="Lund, J P" sort="Lund, J P" uniqKey="Lund J" first="J P" last="Lund">J P Lund</name></author><author><name sortKey="Feine, J S" sort="Feine, J S" uniqKey="Feine J" first="J S" last="Feine">J S Feine</name></author><author><name sortKey="Thomason, J M" sort="Thomason, J M" uniqKey="Thomason J" first="J M" last="Thomason">J M Thomason</name></author></analytic><series><title level="j">Journal of dental research</title><idno type="ISSN">0022-0345</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Canada</term><term>Cost-Benefit Analysis</term><term>Dental Implantation, Endosseous (economics)</term><term>Dental Implantation, Endosseous (psychology)</term><term>Dental Implants (economics)</term><term>Dental Implants (psychology)</term><term>Denture, Complete, Lower (economics)</term><term>Denture, Complete, Lower (psychology)</term><term>Denture, Overlay (economics)</term><term>Female</term><term>Health Care Costs</term><term>Humans</term><term>Jaw, Edentulous (economics)</term><term>Jaw, Edentulous (psychology)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Male</term><term>Mandible</term><term>Quality of Life</term><term>Sickness Impact Profile</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse coût-bénéfice</term><term>Canada</term><term>Coûts des soins de santé</term><term>Femelle</term><term>Humains</term><term>Implants dentaires (psychologie)</term><term>Implants dentaires (économie)</term><term>Mandibule</term><term>Mâchoire édentée (psychologie)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâchoire édentée (économie)</term><term>Mâle</term><term>Overdenture (économie)</term><term>Pose d'implant dentaire endo-osseux (psychologie)</term><term>Pose d'implant dentaire endo-osseux (économie)</term><term>Profil d'impact de la maladie</term><term>Prothèse dentaire complète inférieure (psychologie)</term><term>Prothèse dentaire complète inférieure (économie)</term><term>Qualité de vie</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" type="chemical" qualifier="economics" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" type="chemical" qualifier="psychology" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Implants dentaires</term><term>Mâchoire édentée</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Denture, Complete, Lower</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Implants dentaires</term><term>Mâchoire édentée</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cost-Benefit Analysis</term><term>Female</term><term>Health Care Costs</term><term>Humans</term><term>Male</term><term>Mandible</term><term>Quality of Life</term><term>Sickness Impact Profile</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse coût-bénéfice</term><term>Canada</term><term>Coûts des soins de santé</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâle</term><term>Profil d'impact de la maladie</term><term>Qualité de vie</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Implementation of new therapies is usually governed by financial considerations, so efficacy studies should also include cost comparisons. The cost and effectiveness of mandibular conventional dentures (CD, n = 30) and two-implant overdentures (IOD, n = 30) were compared in elderly subjects. Effectiveness (Oral Health Impact Profile, OHIP-20) and cost were measured up to one year post-treatment. Data for subsequent years were estimated by the Delphi method. Using an average life expectancy of 17.9 years, the equalized annual costs (in Canadian dollars) were dollar 399 for CD and dollar 625 for IOD (p < 0.001), and the equalized annual values for the outcome (OHIP-20) were 47.0 for CD and 31.3 for IOD treatment (p < 0.05). These values translate into a yearly additional cost for IOD treatment of dollar 14.41 per OHIP-20 point. These results are key to the implementation of programs to provide this form of therapy for edentulous adults.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><noCountry><name sortKey="Feine, J S" sort="Feine, J S" uniqKey="Feine J" first="J S" last="Feine">J S Feine</name><name sortKey="Lund, J P" sort="Lund, J P" uniqKey="Lund J" first="J P" last="Lund">J P Lund</name><name sortKey="Penrod, J R" sort="Penrod, J R" uniqKey="Penrod J" first="J R" last="Penrod">J R Penrod</name><name sortKey="Takanashi, Y" sort="Takanashi, Y" uniqKey="Takanashi Y" first="Y" last="Takanashi">Y. Takanashi</name><name sortKey="Thomason, J M" sort="Thomason, J M" uniqKey="Thomason J" first="J M" last="Thomason">J M Thomason</name></noCountry><country name="Canada"><region name="Québec"><name sortKey="Heydecke, G" sort="Heydecke, G" uniqKey="Heydecke G" first="G" last="Heydecke">G. Heydecke</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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