美国食品和药物管理局确定的人口中美国牙合金修复的减少:2017-2023年
Journal of the American Dental Association (1939)
|September 7, 2024
概括
牙合金的使用在2017-2023年间大幅下降,特别是在弱势群体中. 然而,差异仍然存在,需要针对社会弱势群体进行有针对性的干预,以与的逐步减少努力保持一致.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 在牙科的材料科学.
- 健康差距 研究 研究 研究 研究
背景情况:
- 关于的米纳马塔公约要求逐步减少牙合金的使用.
- 追踪FDA识别的风险人群中的牙合金使用情况对于知情的材料选择至关重要.
- 优化牙科材料选择需要了解弱势患者群体的使用模式.
研究的目的:
- 分析牙合金修复安置率的趋势.
- 评估这些趋势,跨越不同的社会脆弱程度和付款人类型.
- 为了评估FDA确定特定的风险人群中的使用情况.
主要方法:
- 使用Epic的Cosmos电子健康记录 (2017-2023) 进行的回顾性观察研究.
- 按社会脆弱性指数 (SVI) 四分位数和付款人类型分层计算的牙合金修复率.
- 包括1,897,976名来自FDA识别的风险群体的患者 (孕妇,儿童<6岁,有神经或脏疾病的患者).
主要成果:
- 整体牙合金修复率从2017年的21.8%下降到2023年的4.1%.
- 在所有SVI四分位数和付款人类型中观察到一致的下降.
- 在社会上最脆弱的群体 (SVI四分位数4) 中,合并配位率的下降幅度最小.
结论:
- 牙合金的使用在FDA确定的人口中正在减少,符合米纳马塔公约的目标.
- 尽管总体下降,但在最脆弱的人群中,合金使用的差异仍然存在.
- 需要有针对性的干预措施来解决持续存在的差异,并改善对社会脆弱个体的护理.
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