研究化水的有效性
Darshini Ramasubbu1, Jonathan Lewney2, Brett Duane3
1Dublin Dental University Hospital, Trinity College Dublin, Dublin, Republic of Ireland. ramasubd@tcd.ie.
Evidence-based dentistry
|July 3, 2024
概括
化水对口腔健康的益处很小,牙科治疗和缺失和填充牙 (DMFT) 的减少很小. 然而,由于程序成本较低,它为公共部门提供了积极的投资回报.
科学领域:
- 公共卫生 公共卫生
- 牙科研究 牙科研究
- 卫生经济学 卫生经济学
背景情况:
- 水化是一种公共卫生措施,以防止牙.
- 它在英国国家卫生服务 (NHS) 中的有效性和成本效益需要持续评估.
研究的目的:
- 评估水化对NHS牙科治疗和腐烂缺失和填充牙 (DMFT) 的影响.
- 评估公共部门对化水的成本效益.
主要方法:
- 使用10年NHS治疗索赔数据的回顾性队列研究.
- 分配了个性化化物暴露;参与者使用倾向分数进行匹配.
- 分析包括回归模型和增量成本效益比率 (ICER) 计算.
主要成果:
- 最佳化组的侵袭性治疗减少了3%,DMFT的平均水平降低了2%.
- 缺失牙没有显著的差异;在大多数被剥夺的牙中,侵入性治疗的最大减少.
- 水化为每人节省了22.26英,为NHS节省了5.5%的成本.
结论:
- 水化显示出极少的口腔健康益处和NHS牙科服务利用率的小幅减少.
- 由于程序成本较低而牙科治疗费用较高,该干预措施为公共部门带来了积极的投资回报.
- 该研究没有考虑初始化计划的设置成本.
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