Evidence map›Paper›PMID 39101529›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2024

Differences in Cumulative Long-Term Care Costs by Dental Visit Pattern Among Japanese Older Adults: The JAGES Cohort Study.

Sakura Kiuchi, Kenji Takeuchi, Masashige Saito, Taro Kusama, Noriko Nakazawa, Kinya Fujita, Katsunori Kondo, Jun Aida, Ken Osaka

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sakura KiuchiFrontier Research Institute for Interdisciplinary Sciences, Tohoku University, Aoba-ku, Sendai, Japan.
Kenji TakeuchiDepartment of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Aoba-ku, Sendai, Japan.ORCID 0000-0001-8769-8955
Masashige SaitoFaculty of Social Welfare, Nihon Fukushi University, Mihama, Aichi, Japan.
Taro KusamaDepartment of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Aoba-ku, Sendai, Japan.
Noriko NakazawaDepartment of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Aoba-ku, Sendai, Japan.
Kinya FujitaDepartment of Gerontological Evaluation, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Katsunori KondoDepartment of Gerontological Evaluation, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Jun AidaDepartment of Oral Health Promotion, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Ken OsakaDepartment of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Aoba-ku, Sendai, Japan.

Funding

Japan Agency for Medical Research and Development 19dk0110037h0001Japan Society for the Promotion of Science 18H00953Open Innovation Platform with Enterprises, Research Institute and Academia JPMJOP1831
6 · The paper itself

Abstract

backgroundLong-term care (LTC) costs create burdens on aging societies. Maintaining oral health through dental visits may result in shorter LTC periods, thereby decreasing LTC costs; however, this remains unverified. We examined whether dental visits in the past 6 months were associated with cumulative LTC insurance (LTCI) costs.

methodsThis cohort study of the Japan Gerontological Evaluation Study targeted independent adults aged≥65 years in 2010 over an 8-year follow-up. We used data from a self-reported questionnaire and LTCI records from the municipalities. The outcome was cumulative LTCI costs, and exposure was dental visits within 6 months for prevention, treatment, and prevention or treatment. A 2-part model was used to estimate the differences in the predicted cumulative LTCI costs and 95% confidence intervals (CIs) for each dental visit.

resultsThe mean age of the 8 429 participants was 73.7 years (standard deviation [SD] = 6.0), and 46.1% were men. During the follow-up period, 17.6% started using LTCI services. The mean cumulative LTCI cost was USD 4 877.0 (SD = 19 082.1). The predicted cumulative LTCI costs were lower among those had dental visits than among those who did not. The differences in predicted cumulative LTCI cost were -USD 1 089.9 (95% CI = -1 888.5 to -291.2) for dental preventive visits, -USD 806.7 (95% CI = -1 647.4 to 34.0) for treatment visits, and -USD 980.6 (95% CI = -1 835.7 to -125.5) for preventive or treatment visits.

conclusionsDental visits, particularly preventive visits, were associated with lower cumulative LTCI costs. Maintaining oral health through dental visits may effectively reduce LTCI costs.

Indexed as

Insurance, Long-Term CareLong-Term CareAgedAged, 80 and overCohort StudiesDental CareDental Care for AgedEast Asian PeopleFemaleHealth Care CostsHumansJapanMaleOral HealthEpidemiologyHealth servicesPublic health

Identifiers

PMID39101529
PMCPMC11369224

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.