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A preliminary report of the cost-effectiveness of tooth replacement strategies for partially dentate elders.

Identifieur interne : 003C62 ( Ncbi/Merge ); précédent : 003C61; suivant : 003C63

A preliminary report of the cost-effectiveness of tooth replacement strategies for partially dentate elders.

Auteurs : Gerald Mckenna [Irlande (pays)] ; P Finbarr Allen ; Noel Woods ; Denis O'Mahony ; Cristiane Damata ; Michael Cronin ; Charles Normand

Source :

Gerodontology [ 1741-2358 ] ; 2013.

RBID : pubmed:22404081

Descripteurs français

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Cost-Benefit Analysis, Dental Care (economics), Denture Design, Denture, Partial, Fixed, Resin-Bonded (economics), Denture, Partial, Fixed, Resin-Bonded (psychology), Denture, Partial, Removable (economics), Denture, Partial, Removable (psychology), Female, Follow-Up Studies, Humans, Ireland, Jaw, Edentulous, Partially (psychology), Jaw, Edentulous, Partially (rehabilitation), Laboratories, Dental (economics), Male, Oral Health, Quality of Life, Time Factors, Treatment Outcome.
MESH :
- geographic : Ireland.
- economics : Dental Care, Denture, Partial, Fixed, Resin-Bonded, Denture, Partial, Removable, Laboratories, Dental.
- psychology : Denture, Partial, Fixed, Resin-Bonded, Denture, Partial, Removable, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially.
- Aged, Aged, 80 and over, Cost-Benefit Analysis, Denture Design, Female, Follow-Up Studies, Humans, Male, Oral Health, Quality of Life, Time Factors, Treatment Outcome.

Abstract

To compare the cost-effectiveness of conventional treatment using partial dentures with functionally orientated treatment to replace missing teeth for partially dentate elders using a randomised controlled clinical trial.

DOI: 10.1111/j.1741-2358.2012.00665.x
PubMed: 22404081

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pubmed:22404081

Le document en format XML

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<country xml:lang="fr">Irlande (pays)</country>
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<author><name sortKey="Allen, P Finbarr" sort="Allen, P Finbarr" uniqKey="Allen P" first="P Finbarr" last="Allen">P Finbarr Allen</name>
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<term>Aged, 80 and over</term>
<term>Cost-Benefit Analysis</term>
<term>Dental Care (economics)</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed, Resin-Bonded (economics)</term>
<term>Denture, Partial, Fixed, Resin-Bonded (psychology)</term>
<term>Denture, Partial, Removable (economics)</term>
<term>Denture, Partial, Removable (psychology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Ireland</term>
<term>Jaw, Edentulous, Partially (psychology)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Laboratories, Dental (economics)</term>
<term>Male</term>
<term>Oral Health</term>
<term>Quality of Life</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse coût-bénéfice</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Irlande</term>
<term>Laboratoires dentaires (économie)</term>
<term>Mâchoire partiellement édentée (psychologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Prothèse dentaire partielle amovible (psychologie)</term>
<term>Prothèse dentaire partielle amovible (économie)</term>
<term>Prothèse dentaire partielle fixe à liaison résine (psychologie)</term>
<term>Prothèse dentaire partielle fixe à liaison résine (économie)</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
<term>Santé buccodentaire</term>
<term>Soins dentaires (économie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ireland</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Dental Care</term>
<term>Denture, Partial, Fixed, Resin-Bonded</term>
<term>Denture, Partial, Removable</term>
<term>Laboratories, Dental</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse dentaire partielle fixe à liaison résine</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Denture, Partial, Fixed, Resin-Bonded</term>
<term>Denture, Partial, Removable</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Laboratoires dentaires</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse dentaire partielle fixe à liaison résine</term>
<term>Soins dentaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cost-Benefit Analysis</term>
<term>Denture Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Oral Health</term>
<term>Quality of Life</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Analyse coût-bénéfice</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Irlande</term>
<term>Mâle</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">To compare the cost-effectiveness of conventional treatment using partial dentures with functionally orientated treatment to replace missing teeth for partially dentate elders using a randomised controlled clinical trial.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22404081</PMID>
<DateCompleted><Year>2015</Year>
<Month>11</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>08</Month>
<Day>05</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1741-2358</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>30</Volume>
<Issue>3</Issue>
<PubDate><Year>2013</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Gerodontology</Title>
<ISOAbbreviation>Gerodontology</ISOAbbreviation>
</Journal>
<ArticleTitle>A preliminary report of the cost-effectiveness of tooth replacement strategies for partially dentate elders.</ArticleTitle>
<Pagination><MedlinePgn>207-13</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1741-2358.2012.00665.x</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the cost-effectiveness of conventional treatment using partial dentures with functionally orientated treatment to replace missing teeth for partially dentate elders using a randomised controlled clinical trial.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In many countries, including the Republic of Ireland, the only publically funded treatment option offered to partially dentate older patients is a removable partial denture. However, evidence suggests that these removable prostheses are unpopular with patients and can potentially increase the risk of further dental disease and subsequent tooth loss.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fourty-four partially dentate patients aged 65 years and older were recruited. Patients were randomly assigned to the two treatment arms of the study. The conventional treatment group received removable partial dentures to replace all missing natural teeth. The functionally orientated group was restored to a Shortened Dental Arch (SDA) of 10 occluding contacts using resin-bonded bridgework (RBB). The costs associated with each treatment were recorded. Effectiveness was measured in terms of the impact on oral health-related quality of life (OHRQoL) using OHIP-14.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Both groups reported improvements in OHRQoL 1 month after completion of treatment. The conventional treatment group required 8.3 clinic visits as compared to 4.4 visits for the functionally orientated group. The mean total treatment time was 183 min 19 s for the conventional group vs. 124 min 8 s for the functionally orientated group. The average cost of treatment for the conventional group was 487.74 Euros compared to 356.20 Euros for the functional group.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Functionally orientated treatment was more cost-effective than conventional treatment in terms of treatment effect and opportunity costs to the patients' time.</AbstractText>
<CopyrightInformation>© 2012 John Wiley & Sons A/S and The Gerodontology Society. Published by John Wiley & Sons Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McKenna</LastName>
<ForeName>Gerald</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Ireland. g.mckenna@ucc.ie</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Allen</LastName>
<ForeName>P Finbarr</ForeName>
<Initials>PF</Initials>
</Author>
<Author ValidYN="Y"><LastName>Woods</LastName>
<ForeName>Noel</ForeName>
<Initials>N</Initials>
</Author>
<Author ValidYN="Y"><LastName>O'Mahony</LastName>
<ForeName>Denis</ForeName>
<Initials>D</Initials>
</Author>
<Author ValidYN="Y"><LastName>DaMata</LastName>
<ForeName>Cristiane</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cronin</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Normand</LastName>
<ForeName>Charles</ForeName>
<Initials>C</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2012</Year>
<Month>03</Month>
<Day>08</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Gerodontology</MedlineTA>
<NlmUniqueID>8215850</NlmUniqueID>
<ISSNLinking>0734-0664</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>D</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003362" MajorTopicYN="N">Cost-Benefit Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003729" MajorTopicYN="N">Dental Care</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003779" MajorTopicYN="N">Denture Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016379" MajorTopicYN="N">Denture, Partial, Fixed, Resin-Bonded</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003832" MajorTopicYN="N">Denture, Partial, Removable</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007494" MajorTopicYN="N" Type="Geographic">Ireland</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007754" MajorTopicYN="N">Laboratories, Dental</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009909" MajorTopicYN="N">Oral Health</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">cost-effectiveness</Keyword>
<Keyword MajorTopicYN="N">elderly</Keyword>
<Keyword MajorTopicYN="N">partially dentate</Keyword>
<Keyword MajorTopicYN="N">prosthodontics</Keyword>
<Keyword MajorTopicYN="N">quality of life</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year>
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<ArticleId IdType="doi">10.1111/j.1741-2358.2012.00665.x</ArticleId>
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<name sortKey="Damata, Cristiane" sort="Damata, Cristiane" uniqKey="Damata C" first="Cristiane" last="Damata">Cristiane Damata</name>
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<name sortKey="O Mahony, Denis" sort="O Mahony, Denis" uniqKey="O Mahony D" first="Denis" last="O'Mahony">Denis O'Mahony</name>
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A preliminary report of the cost-effectiveness of tooth replacement strategies for partially dentate elders.

A preliminary report of the cost-effectiveness of tooth replacement strategies for partially dentate elders.

Source :

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Abstract

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