牙假体的使用和死亡率:一个随时间变化的暴露分析与机器学习
1Associate Professor, Department of Dental Public Health, Institute of Science Tokyo, Bunkyo-ku, Japan.
The Journal of prosthetic dentistry
|June 6, 2025
概括
持续使用假牙与老年人更好的生存率有关,特别是那些天然牙较少的人. 这一发现强调了牙科护理对长寿的重要性.
科学领域:
- 老年学是指老年学的学科.
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
背景情况:
- 失去牙是已知的死亡风险因素.
- 牙假肢可以恢复口功能,并可能减轻死亡风险.
- 以前的研究往往忽略了随着时间的推移对假肢使用的变化.
研究的目的:
- 调查日语老年人随时间变化的假牙使用与死亡率之间的关联.
- 分析牙假肢使用变化如何影响生存概率.
- 根据自然牙数量,根据不同小组评估这种关联.
主要方法:
- 使用来自日本老年学评估研究 (n=47,698) 的数据进行前性队列研究.
- 到2022年 (中位数9.2年) 的所有原因死亡率的随访数据.
- 通过2013年,2016年和2019年的调查收集的随时间变化的暴露和共变量数据;使用了双重可靠的估计器.
主要成果:
- 19.0%的参与者在随访期间死亡;55.8%在基线使用牙科假肢.
- 与不使用相比,持续使用假牙与3.7%更高的生存概率有关.
- 这种联系在自然牙较少的人 (<10颗自然牙) 中更为明显.
结论:
- 持续使用假牙与日本老年人的生存概率增加有关.
- 假牙对生存的积极影响对于严重失去牙的人来说更大.
- 保持使用假牙可能是促进老年人长寿的关键因素.
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