对于学龄前儿童的两种虫风险评估工具的预测有效性和成本效益分析
Cheng Menglin1, Chen Yawen1, Yu Xingru1
1Department of Stomatology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
BMC oral health
|August 20, 2025
概括
对于学龄前儿童的虫查,减少的Cariogram比Cariostat更敏感和更具成本效益. 这种简化模式有助于社区预防计划,特别是在资源有限的环境中.
科学领域:
- 儿童牙科
- 公共卫生
- 预防牙损伤
背景情况:
- 社区预防计划需要有效的工具来查学龄前儿童的虫风险.
- 评估选工具的预测有效性和成本效益对于优化资源分配至关重要.
研究的目的:
- 为了比较Cariostat的预测有效性和成本效益,以及在3-4岁儿童中减少脏风险查的Cariogram模型.
- 为社区牙预防计划选择适当的工具提供信息.
主要方法:
- 一项为期12个月的纵向研究,涉及156名学龄前儿童 (年龄为3-4岁).
- 使用Cariostat和一个减少的Cariogram模型进行牙风险评估.
- 随访口腔检查以记录发生率并计算预测性表现指标 (灵敏度,特异性,AUC).
- 成本效益分析,包括每位中高风险儿童的成本.
主要成果:
- 在12个月内,50.3%的儿童出现了新的.
- 与Cariostat (73. 17%) 相比,减少的Cariogram显示出更高的敏感性 (90. 24%).
- 两种模型的特异性和AUC是相似的.
- 降低卡里格拉的成本效益显著,每位正确查的儿童的成本降低了6倍,增量成本效益率为负.
结论:
- 减少的Cariogram模型优于Cariostat在社区基础上对学龄前儿童进行查,特别是在敏感性和成本效益方面.
- 其更高的灵敏度和更低的成本使其成为资源有限的环境中的一个有价值的工具.
- 这些发现支持使用缩小型牙图来指导儿童早期的预防性牙治疗策略.
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