Development of a Predictive Model for Chewing Difficulty Using EuroQol-5 Dimension Among Korean Older Adults.

IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Han-Nah Kim, Nam-Hee Kim
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引用次数: 0

Abstract

Objectives: We aimed to develop a predictive model for chewing difficulty using the EuroQol-5 dimension measure (EQ-5D).

Methods: We included 6643 individuals aged ≥ 65 years (mean age: 72.6 ± 4.96 years; women: 3761 [56.6%]) who had completed the sixth (2013-2015) and seventh (2016-2018) Korea National Health and Nutrition Examination Survey (KNHANES). The participants were further divided into young-old (65-74 years) and old-old (≥ 75 years) adults. Data from the sixth KNHANES were used to establish an internal validation model (overall, young-old and old-old adult populations were 3472, 2271 and 1201, respectively). Data from the seventh KNHANES were used to establish an external validation model (overall, young-old and old-old adult populations were 3171, 1879 and 1292 participants, respectively). We evaluated chewing difficulty using the EQ-5D (Model 1) and comparative models, subjective oral health status indicators (SOHSI) and objective oral health status indicators (OOHSI).

Results: Compared with SOHSI and OOHSI, EQ-5D showed similar predictive utility for chewing difficulty in both the internal and external validation models.

Conclusions: Effect sizes, quantified using Cohen's d, indicated that EQ-5D parameters had a moderate impact on the prediction accuracy for chewing difficulties.

利用 EuroQol-5 维度建立韩国老年人咀嚼困难预测模型
目的方法:我们纳入了 6643 名年龄≥ 65 岁的个体(平均年龄:72.6 ± 4.96 岁;女性:3761 [56.6%]),他们完成了第六次(2013-2015 年)和第七次(2015-2016 年)调查:我们纳入了完成第六次(2013-2015 年)和第七次(2016-2018 年)韩国国民健康与营养调查(KNHANES)的 6643 名年龄≥ 65 岁的个体(平均年龄:72.6 ± 4.96 岁;女性:3761 [56.6%])。参与者又被分为年轻成人(65-74 岁)和老年成人(≥ 75 岁)。第六次韩国国民健康与营养调查的数据被用于建立内部验证模型(总体、年轻-老年和高龄成年人分别为 3472 人、2271 人和 1201 人)。第七次 KNHANES 的数据被用来建立外部验证模型(总体、年轻-老年和年老-成年参与者人数分别为 3171、1879 和 1292 人)。我们使用 EQ-5D(模型 1)和比较模型、主观口腔健康状况指标(SOHSI)和客观口腔健康状况指标(OOHSI)对咀嚼困难进行了评估:结果:与 SOHSI 和 OOHSI 相比,EQ-5D 在内部和外部验证模型中对咀嚼困难的预测效用相似:使用 Cohen's d 量化的效应大小表明,EQ-5D 参数对咀嚼困难预测准确性的影响适中。
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来源期刊
International journal of dental hygiene
International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.00
自引率
8.30%
发文量
78
审稿时长
>12 weeks
期刊介绍: International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.
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