Routine Data Analyses for Estimating the Caries Treatment Experience of Children

Autor:	Michael Raedel, Stefanie Samietz, Steffen Bohm, Heinz-Werner Priess, Michael H. Walter, Yvonne Wagner
Rok vydání:	2021
Předmět:	Data Analysis medicine.medical_specialty Adolescent Dental Caries Susceptibility Surrogate variable Permanent dentition Oral Health Dental Caries Oral health Environmental health Epidemiology medicine Health insurance Humans Tooth Deciduous Child Dental Health Surveys Caries treatment General Dentistry Aged business.industry Gold standard Infant Child Preschool business Caries experience Research Article
Zdroj:	Caries Res
ISSN:	1421-976X 0008-6568
Popis:	Oral health surveys are considered the gold standard for assessing the caries experience of children. Analyses of routine data offer additional opportunities not yet fully explored. This study aimed at estimating the caries treatment experience by mining an insurance claims database. Comprehensive claims data sets were extracted from the data warehouse of a major health insurance company (BARMER, Germany). A surrogate variable for caries experience was formed that reflected the proportion of children without any former potentially caries-related treatment (filling, root canal treatment, and extraction) at ages from 1 to 14 years. The statistical calculations were based on Kaplan-Meier survival analyses. The evaluation for the permanent dentition comprised N = 593,330 children at 6 years and N = 114,568 at 12 years. At 12 years of age, 66.8% had not yet experienced potentially caries-related treatments. This value hints at a significantly higher caries experience at 12 years compared to available epidemiological data. For the deciduous dentition, the respective rates were 74.0% at 6 years and 45.8% at 10 years. Although various sources of bias have to be taken into account, the potential of routine data mining is evident. The approach is supplemental to oral health surveys. It can be useful in coming closer to reality when estimating the caries experience of children. From our results, we conclude that the oral health of up to 14-year-olds in Germany remains in urgent need of improvement.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dbf332e2eba8d7153523dcad9ba3d168 https://doi.org/10.1159/000518075 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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