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.

概括 延长寿命、减少牙齿脱落、增加牙周病、冠病和牙根病的发生 随着年龄的增长而出现的龋齿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尤为严重：是阿拉斯加原住民老年人的 3 倍 患有未经治疗的龋齿的可能性更高，患有牙周病的可能性是普通人的 1.7 倍 美国总人口。缺乏对这些口腔疾病预后的前瞻性研究， 特别是那些解构种族和民族差异的人。该研究项目的目标是 了解患有牙周病和/或龋齿的老年患者的结果并确定 疾病控制成功的预后因素，重点关注阿拉斯加原住民老年人。 我们的主要目标是分别估计牙周炎和龋齿的 36 个月成功率 总体老年患者以及阿拉斯加原住民/美洲印第安人老年人的管理。我们的次要目标 1) 确定医生、患者、口腔环境和牙齿层面的预后特征 与 36 个月成功的疾病控制策略相关； 2) 描述初始疾病诊断 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范围内进行前瞻性队列预后研究来实现这些目标 为阿拉斯加东南部的城市和偏远农村地区提供服务的组织。在这次观察中 研究中，大约 600 名患有牙周炎和/或龋齿的患者将被系统地纳入并 随访三年。有关口腔健康、患者和提供者特征以及诊断和治疗的数据 疾病管理策略将在基线时收集，并在入组后 3 年内每年收集。这 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 美国基于实践的严格前瞻性老年口腔健康研究，以及预后和治疗的不确定性 治疗口腔健康差异最大的患者口腔疾病时的预后因素。 通过预后研究，我们可以获得有关如何潜在改善临床决策的重要知识 改善阿拉斯加原住民老年人的口腔健康。