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Cost-effectiveness of tooth replacement strategies for partially dentate elderly: a randomized controlled clinical trial.

Identifieur interne : 004B45 ( Ncbi/Merge ); précédent : 004B44; suivant : 004B46

Cost-effectiveness of tooth replacement strategies for partially dentate elderly: a randomized controlled clinical trial.

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

Source :

RBID : pubmed:24251386

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English descriptors

Abstract

To conduct a cost-effectiveness analysis comparing two different tooth replacement strategies for partially dentate older patients, namely partial removable dental prostheses (RDP) and functionally orientated treatment based on the shortened dental arch concept (SDA).

DOI: 10.1111/cdoe.12085
PubMed: 24251386

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pubmed:24251386

Le document en format XML

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<nlm:affiliation>Cork University Dental School and Hospital, University College Cork, Cork, Ireland.</nlm:affiliation>
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<name sortKey="Allen, Finbarr" sort="Allen, Finbarr" uniqKey="Allen F" first="Finbarr" last="Allen">Finbarr Allen</name>
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<name sortKey="Woods, Noel" sort="Woods, Noel" uniqKey="Woods N" first="Noel" last="Woods">Noel Woods</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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<name sortKey="Cronin, Michael" sort="Cronin, Michael" uniqKey="Cronin M" first="Michael" last="Cronin">Michael Cronin</name>
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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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<term>Denture, Partial, Fixed (economics)</term>
<term>Denture, Partial, Removable (economics)</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Ireland</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Oral Health</term>
<term>Quality of Life</term>
<term>Tooth Loss (rehabilitation)</term>
<term>Treatment Outcome</term>
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<term>Analyse coût-bénéfice</term>
<term>Femelle</term>
<term>Humains</term>
<term>Irlande</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Perte dentaire (rééducation et réadaptation)</term>
<term>Prothèse dentaire partielle amovible (économie)</term>
<term>Prothèse partielle fixe (économie)</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
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<term>Tooth Loss</term>
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<term>Mâchoire partiellement édentée</term>
<term>Perte dentaire</term>
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<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
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<term>Aged</term>
<term>Cost-Benefit Analysis</term>
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<term>Geriatric Assessment</term>
<term>Humans</term>
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<front>
<div type="abstract" xml:lang="en">To conduct a cost-effectiveness analysis comparing two different tooth replacement strategies for partially dentate older patients, namely partial removable dental prostheses (RDP) and functionally orientated treatment based on the shortened dental arch concept (SDA).</div>
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<DateCompleted>
<Year>2015</Year>
<Month>04</Month>
<Day>07</Day>
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<DateRevised>
<Year>2015</Year>
<Month>06</Month>
<Day>24</Day>
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<ISSN IssnType="Electronic">1600-0528</ISSN>
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<Volume>42</Volume>
<Issue>4</Issue>
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<Year>2014</Year>
<Month>Aug</Month>
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<Title>Community dentistry and oral epidemiology</Title>
<ISOAbbreviation>Community Dent Oral Epidemiol</ISOAbbreviation>
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<ArticleTitle>Cost-effectiveness of tooth replacement strategies for partially dentate elderly: a randomized controlled clinical trial.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To conduct a cost-effectiveness analysis comparing two different tooth replacement strategies for partially dentate older patients, namely partial removable dental prostheses (RDP) and functionally orientated treatment based on the shortened dental arch concept (SDA).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ninety-two partially dentate older patients completed a randomized controlled clinical trial. Patients were randomly allocated to two treatment groups: the RDP group and the SDA group. Treatment effect was measured using impact on oral health-related quality of life (OHrQOL), and the costs involved in providing and maintaining care were recorded for all patients. Patients were followed for 12 months after treatment intervention. All treatment was provided by a single operator.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The total cost of achieving the minimally important clinical difference (MID) in OHrQOL for an average patient in the RDP group was €464.64. For the SDA group, the cost of achieving the MID for an average patient was €252.00. The cost-effectiveness ratio was therefore 1:1.84 in favour of SDA treatment.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">With an increasingly ageing population, many patients will continue to benefit from removable prostheses to replace their missing natural teeth. From a purely economic standpoint, the results from this analysis suggest that the treatment of partially dentate older adults should be focused on functionally orientated treatment because it is simply more cost-effective.</AbstractText>
<CopyrightInformation>© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation>
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<Language>eng</Language>
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<RefSource>Evid Based Dent. 2015 Mar;16(1):19-20</RefSource>
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<Keyword MajorTopicYN="N">Cost-effectiveness</Keyword>
<Keyword MajorTopicYN="N">elderly</Keyword>
<Keyword MajorTopicYN="N">partially dentate</Keyword>
<Keyword MajorTopicYN="N">prosthodontics</Keyword>
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