Seniors Oral Health in Southeast Alaska

阿拉斯加东南部的老年人口腔健康

• 批准号: 10735574
• 负责人: Joana Cunha-Cruz
• 金额: $ 61.41万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-03 至 2028-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10735574
• 关键词: Address; Affect; Aging; Alaska; Alaska Native; American Indians; Applications Grants; Caring; Characteristics; Clinical; Clinical Research; Clinical Trials; Data; Dedications; Dental; Dental Care; Dental General Practice; Dental Records; Dental caries; Diagnosis; Disease Management; Disparity; Elderly; Enrollment; Ensure; Environment; Ethnic Origin; Ethnic Population; Geographic Locations; Geriatric Dentistry; Goals; Health; Healthcare; Individual; Inequality; Interdisciplinary Study; Knowledge; Lesion; Life; Longevity; Managed Care; Mouth Diseases; National Institute of Dental and Craniofacial Research; Observational Study; Oral; Oral Examination; Oral cavity; Oral health; Outcome; Patient Outcomes Assessments; Patients; Periodontal Diseases; Periodontitis; Population; Population Group; Prognosis; Prognostic Factor; Prospective Studies; Prospective cohort; Protocols documentation; Provider; Public Health; Questionnaires; Race; Recommendation; Reporting; Research; Research Personnel; Research Project Grants; Rural; Science; Strategic Planning; Tooth Loss; Tooth structure; Treatment Efficacy; Uncertainty; United States; Visual; aging population; burden of illness; clinical decision-making; craniofacial; disease diagnosis; disorder control; economic disparity; electronic data; ethnic difference; ethnic disparity; experience; follow-up; geographic disparity; health care service organization; health disparity; health inequalities; health related quality of life; improved; innovation; personalized health care; practice setting; primary outcome; prognostic; prospective; racial difference; racial disparity; radiological imaging; secondary outcome; success; tribal healthcare

SUMMARY The increase in longevity, reduction in tooth loss, increase in periodontal diseases and coronal and root dental caries with aging are contributing to an increased number of seniors with oral health care needs. Dental caries and periodontal diseases disproportionately affect Alaska Native older adults: they are 3 times more likely to have untreated dental caries and 1.7 times more likely to have periodontal disease than the overall United States population. Prospective studies on the prognosis of these oral disorders are lacking, particularly those deconstructing racial and ethnic differences. The goal of this research project is to understand outcomes of geriatric patients with periodontal diseases and/or dental caries and identify prognostic factors for success in disease control, with a focus on Alaska Native seniors. Our primary aim is to estimate, separately, 36-month success rates for periodontitis and dental caries management for geriatric patients overall, and for Alaska Native/American Indian seniors. Our secondary aims are 1) to ascertain practitioner-, patient-, oral environment- and tooth-level prognostic characteristics associated with 36-month successful disease control strategies; and 2) to describe initial disease diagnosis and management strategies used by practitioners, and associated factors. We will accomplish these aims by conducting a prospective cohort prognosis study within a tribal healthcare organization serving urban and remote rural geographical locations in Southeast Alaska. In this observational study, approximately 600 patients with periodontitis and/or dental caries will be systematically enrolled and followed up for three years. Data on oral health, patient, and provider characteristics as well as diagnosis and disease management strategies will be collected at baseline, and yearly up to 3 years after enrollment. This study is innovative and highly relevant to public health and clinical research because it addresses the lack of rigorous prospective US practice-based geriatric oral health research, and the uncertainty in prognosis and prognostic factors when managing oral disorders in patients suffering the greatest oral health disparities. Through prognosis research, we can gain important knowledge on how to potentially improve clinical decision making for better Alaska Native geriatric oral health.

摘要 延长寿命，减少牙齿脱落，增加牙周病和牙冠、牙根 随着年龄的增长，龋齿正在导致越来越多的老年人需要口腔保健。 龋齿和牙周病对阿拉斯加原住民老年人的影响不成比例：它们是 更有可能患上未经治疗的龋齿，患牙周病的可能性是 美国总人口。这些口腔疾病的预后缺乏前瞻性研究， 尤其是那些解构种族和民族差异的问题。这项研究项目的目标是 了解患有牙周病和/或龋齿的老年患者的预后，并确定 疾病控制成功的预测因素，重点是阿拉斯加原住民老年人。 我们的主要目标是分别评估牙周炎和龋齿36个月的成功率。 老年患者的整体管理，以及阿拉斯加土著/美洲印第安人老年人的管理。我们的次要目标 1)确定从业者、患者、口腔环境和牙齿水平的预后特征 与36个月成功的疾病控制战略有关；以及2)描述初步疾病诊断 和从业者使用的管理策略，以及相关因素。 我们将通过在部落医疗保健中进行前瞻性队列预后研究来实现这些目标 服务于阿拉斯加东南部城市和偏远农村地理位置的组织。在这个观察站里 这项研究将系统地招募大约600名牙周炎和/或龋齿患者，并 随访了三年。有关口腔健康、患者和提供者特征的数据以及诊断和 疾病管理策略将在基线收集，并在注册后3年内每年收集。这 这项研究具有创新性，与公共卫生和临床研究高度相关，因为它解决了缺乏 严谨的基于美国实践的老年口腔健康研究，以及预后和 口腔健康差异最大的患者在处理口腔疾病时的预后因素。 通过预测研究，我们可以获得关于如何潜在地改善临床决策的重要知识。 为更好的阿拉斯加土著老年人口腔健康而努力。