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<title xml:lang="en">A comparison of periodontal status in the two regional, population-based studies of SHIP and INVEST</title>
<author>
<name sortKey="Holtfreter, Birte" sort="Holtfreter, Birte" uniqKey="Holtfreter B" first="Birte" last="Holtfreter">Birte Holtfreter</name>
<affiliation>
<nlm:aff id="A1">Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name>
<affiliation>
<nlm:aff id="A2">Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bernhardt, Olaf" sort="Bernhardt, Olaf" uniqKey="Bernhardt O" first="Olaf" last="Bernhardt">Olaf Bernhardt</name>
<affiliation>
<nlm:aff id="A1">Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Papapanou, Panos N" sort="Papapanou, Panos N" uniqKey="Papapanou P" first="Panos N." last="Papapanou">Panos N. Papapanou</name>
<affiliation>
<nlm:aff id="A3">Section of Oral and Diagnostic Sciences, Division of Periodontics, Columbia University College of Dental Medicine, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schwahn, Christian" sort="Schwahn, Christian" uniqKey="Schwahn C" first="Christian" last="Schwahn">Christian Schwahn</name>
<affiliation>
<nlm:aff id="A4">Department of Prosthodontics, Gerodontology, and Biomaterials, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kocher, Thomas" sort="Kocher, Thomas" uniqKey="Kocher T" first="Thomas" last="Kocher">Thomas Kocher</name>
<affiliation>
<nlm:aff id="A1">Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
<affiliation>
<nlm:aff id="A2">Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Institut National de la Santé et de la Recherche Médicale, Unité 738, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">École des Hautes Études en Santé Publique, Paris et Rennes, France</nlm:aff>
</affiliation>
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<idno type="pmc">3499632</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499632</idno>
<idno type="RBID">PMC:3499632</idno>
<idno type="doi">10.1111/jcpe.12018</idno>
<date when="2012">2012</date>
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<title xml:lang="en" level="a" type="main">A comparison of periodontal status in the two regional, population-based studies of SHIP and INVEST</title>
<author>
<name sortKey="Holtfreter, Birte" sort="Holtfreter, Birte" uniqKey="Holtfreter B" first="Birte" last="Holtfreter">Birte Holtfreter</name>
<affiliation>
<nlm:aff id="A1">Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name>
<affiliation>
<nlm:aff id="A2">Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bernhardt, Olaf" sort="Bernhardt, Olaf" uniqKey="Bernhardt O" first="Olaf" last="Bernhardt">Olaf Bernhardt</name>
<affiliation>
<nlm:aff id="A1">Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Papapanou, Panos N" sort="Papapanou, Panos N" uniqKey="Papapanou P" first="Panos N." last="Papapanou">Panos N. Papapanou</name>
<affiliation>
<nlm:aff id="A3">Section of Oral and Diagnostic Sciences, Division of Periodontics, Columbia University College of Dental Medicine, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schwahn, Christian" sort="Schwahn, Christian" uniqKey="Schwahn C" first="Christian" last="Schwahn">Christian Schwahn</name>
<affiliation>
<nlm:aff id="A4">Department of Prosthodontics, Gerodontology, and Biomaterials, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kocher, Thomas" sort="Kocher, Thomas" uniqKey="Kocher T" first="Thomas" last="Kocher">Thomas Kocher</name>
<affiliation>
<nlm:aff id="A1">Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
<affiliation>
<nlm:aff id="A2">Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Institut National de la Santé et de la Recherche Médicale, Unité 738, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">École des Hautes Études en Santé Publique, Paris et Rennes, France</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of clinical periodontology</title>
<idno type="ISSN">0303-6979</idno>
<idno type="eISSN">1600-051X</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">To compare the prevalence of periodontal disease between two randomly selected population-based studies (the Oral Infections and Vascular Disease Epidemiology Study (INVEST) and the Study of Health in Pomerania (SHIP)) and address relevant methodological issues.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Comparison was restricted to 55–81-years-olds. Attachment loss (AL), probing depth (PD), and tooth count were assessed in INVEST (full-mouth, six sites) and SHIP (half-mouth, four sites). Subjects were classified according to the CDC/AAP case definition. Recording protocols were standardized. Mixed linear or logistic models were used to compare INVEST with SHIP.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Mean half-mouth AL was lower in INVEST vs. SHIP (INVEST: 2.9mm versus SHIP: 4.0mm, p<0.05). Findings were similar across multiple periodontal disease definitions. After equalisation of recording protocols and adjustment for periodontal risk factors, mean AL and PD were 1.2mm and 0.3mm lower in INVEST vs. SHIP (p<0.001). The odds for severe periodontitis (CDC/AAP) was 0.2-fold in INVEST vs. SHIP (p<0.001). Confounding effects of age, gender, race/ethnicity, education, and use of interdental care devices were highest as indicated by change-in-estimate for study.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">Implementation of the proposed method for comparison of epidemiological studies revealed that periodontitis was less prevalent in INVEST compared to SHIP, even after extensive risk-factor adjustment.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">0425123</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4645</journal-id>
<journal-id journal-id-type="nlm-ta">J Clin Periodontol</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Clin. Periodontol.</journal-id>
<journal-title-group>
<journal-title>Journal of clinical periodontology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0303-6979</issn>
<issn pub-type="epub">1600-051X</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23061920</article-id>
<article-id pub-id-type="pmc">3499632</article-id>
<article-id pub-id-type="doi">10.1111/jcpe.12018</article-id>
<article-id pub-id-type="manuscript">NIHMS408344</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>A comparison of periodontal status in the two regional, population-based studies of SHIP and INVEST</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Holtfreter</surname>
<given-names>Birte</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Demmer</surname>
<given-names>Ryan T.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bernhardt</surname>
<given-names>Olaf</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Papapanou</surname>
<given-names>Panos N.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schwahn</surname>
<given-names>Christian</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kocher</surname>
<given-names>Thomas</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Desvarieux</surname>
<given-names>Moise</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany</aff>
<aff id="A2">
<label>2</label>
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</aff>
<aff id="A3">
<label>3</label>
Section of Oral and Diagnostic Sciences, Division of Periodontics, Columbia University College of Dental Medicine, New York, NY, USA</aff>
<aff id="A4">
<label>4</label>
Department of Prosthodontics, Gerodontology, and Biomaterials, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Germany</aff>
<aff id="A5">
<label>5</label>
Institut National de la Santé et de la Recherche Médicale, Unité 738, Paris, France</aff>
<aff id="A6">
<label>6</label>
École des Hautes Études en Santé Publique, Paris et Rennes, France</aff>
<author-notes>
<corresp id="FN1">Correspondence address: Ernst-Moritz-Arndt-University Greifswald, University Medicine, Department of Restorative Dentistry, Periodontology and Endodontology, Unit of Periodontology, Dr. rer. nat. Birte Holtfreter, Rotgerberstr. 8, 17475 Greifswald, Germany, Tel: +49 – 38 34 – 86 73 97, Fax: +49 – 38 34 – 86 71 71,
<email>birte.holtfreter@uni-greifswald.de</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>26</day>
<month>9</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>10</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>12</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>12</month>
<year>2013</year>
</pub-date>
<volume>39</volume>
<issue>12</issue>
<fpage>1115</fpage>
<lpage>1124</lpage>
<abstract>
<sec id="S1">
<title>Objectives</title>
<p id="P1">To compare the prevalence of periodontal disease between two randomly selected population-based studies (the Oral Infections and Vascular Disease Epidemiology Study (INVEST) and the Study of Health in Pomerania (SHIP)) and address relevant methodological issues.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Comparison was restricted to 55–81-years-olds. Attachment loss (AL), probing depth (PD), and tooth count were assessed in INVEST (full-mouth, six sites) and SHIP (half-mouth, four sites). Subjects were classified according to the CDC/AAP case definition. Recording protocols were standardized. Mixed linear or logistic models were used to compare INVEST with SHIP.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Mean half-mouth AL was lower in INVEST vs. SHIP (INVEST: 2.9mm versus SHIP: 4.0mm, p<0.05). Findings were similar across multiple periodontal disease definitions. After equalisation of recording protocols and adjustment for periodontal risk factors, mean AL and PD were 1.2mm and 0.3mm lower in INVEST vs. SHIP (p<0.001). The odds for severe periodontitis (CDC/AAP) was 0.2-fold in INVEST vs. SHIP (p<0.001). Confounding effects of age, gender, race/ethnicity, education, and use of interdental care devices were highest as indicated by change-in-estimate for study.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">Implementation of the proposed method for comparison of epidemiological studies revealed that periodontitis was less prevalent in INVEST compared to SHIP, even after extensive risk-factor adjustment.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Cross-cultural comparison</kwd>
<kwd>Periodontal disease</kwd>
<kwd>Attachment loss</kwd>
<kwd>Probing depth</kwd>
<kwd>Periodontal risk factors</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R21 DE021820 || DE</award-id>
</award-group>
<award-group>
<funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R01 DE015649 || DE</award-id>
</award-group>
<award-group>
<funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R01 DE013094 || DE</award-id>
</award-group>
<award-group>
<funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R00 DE018739 || DE</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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