New coronal caries in older adults: Implications for prevention
New coronal caries in older adults: Implications for prevention
复制标题
DOI：
10.1177/154405910508400806
复制
发表时间：
2005-08-01
影响因子：
7.6
通讯作者：
Zlobin, N
中科院分区：
文献类型：
--
作者：
Griffin, SO;Griffin, PM;Zlobin, N
为了描述美国老年人冠状面龋的程度和严重程度，并记录他们对预防干预的需求，我们系统地回顾了冠状面龋发病率、增量和发病率的研究。我们提取了6项研究，并使用随机效应模型（95%置信区间[95%CI]）计算了汇总指标。我们通过检查结果指标与基线人群风险和研究特征之间的相关性来检验异质性并确定相关因素。我们在调整结果后重新计算了汇总指标，排除了检查者的逆转。不同研究的发病率和增量差异显著。调整研究以排除检查者逆转显著降低异质性。在调整后的北美研究中，每年的发病率为每100个表面1.4个表面（95% CI = 1.0-1.9），或每人每年约1个新的龋面。这些比率等于或高于儿童，表明需要预防龋齿服务。
To characterize the extent and severity of coronal caries among older US adults and document their need for prevention interventions, we systematically reviewed studies on coronal caries incidence, increment, and attack rate. We abstracted six studies and calculated summary measures using a random-effects model (95% confidence interval [ 95% CI]). We tested for heterogeneity and identified associated factors by examining the correlation between outcome measures and baseline population risk and study characteristics. We re-calculated summary measures after adjusting outcomes that netted out examiner reversals. Incidence and increment varied significantly by study. Adjusting studies for netting out examiner reversals reduced heterogeneity significantly. Annual attack rate among adjusted North American studies was 1.4 surfaces per 100 surfaces ( 95% CI = 1.0-1.9), or approximately 1 new carious surface per person per year. These rates are equal to or higher than those in children and indicate a need for caries-prevention services.