The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database
Background: This study analyzes the prognostic factors affecting the survival rate of root-resected molars by using a representative population-based dataset. Materials and Methods: A total of 635,216 eligible patients were enrolled from a representative cohort composed of one million of Taiwan′s po...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=1;spage=1;epage=8;aulast=Yuh |
| _version_ | 1818020443883307008 |
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| author | Da-Yo Yuh Fu-Gong Lin Wen-Hui Fang Wu-Chien Chien Chi-Hsiang Chung Lian-Ping Mau E-Chin Shen Earl Fu Yi-Shing Shieh Ren-Yeong Huang |
| author_facet | Da-Yo Yuh Fu-Gong Lin Wen-Hui Fang Wu-Chien Chien Chi-Hsiang Chung Lian-Ping Mau E-Chin Shen Earl Fu Yi-Shing Shieh Ren-Yeong Huang |
| author_sort | Da-Yo Yuh |
| collection | DOAJ |
| description | Background: This study analyzes the prognostic factors affecting the survival rate of root-resected molars by using a representative population-based dataset. Materials and Methods: A total of 635,216 eligible patients were enrolled from a representative cohort composed of one million of Taiwan′s population. The tooth-related factors influencing the survival rates of root-resected teeth were examined on 516 molars, in 492 patients. Cox regression was performed to statistically analyze the factors. Results: The overall survival rate for the root-resected molars was 91.7%. Of the analyzed factors with respect to root-resection procedures, whether or not concomitant flap surgery was performed in the medical institutions, the dental arch and tooth location demonstrated a considerable influence on the treatment and decision-making. The main reasons and results of root-resected molars receiving root-resection therapy in hospitals were the periodontal-compromised conditions, whereas, the root-resected molars that received root-resection therapy in private practice clinics were caused by caries/endodontic reasons. After adjusting for other factors, in the outcome of root-resected molars, a higher risk of extraction occurrence was seen in hospitals than in private practice clinics (hazard ratio = 2.03; 95% CI = 1.04 to 3.98; P = 0.039). Conclusions: Of the analyzed prognostic factors, medical institutions significantly affect the treatment decision and survival of root-resected molars. Therefore, a comprehensive evaluation, risk assessment, and treatment plan should be executed before the root-resection procedure is performed. |
| first_indexed | 2024-04-14T08:05:27Z |
| format | Article |
| id | doaj.art-954651a7672f48d082510017d51e9559 |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-04-14T08:05:27Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-954651a7672f48d082510017d51e95592022-12-22T02:04:45ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642014-01-013411810.4103/1011-4564.129380The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative databaseDa-Yo YuhFu-Gong LinWen-Hui FangWu-Chien ChienChi-Hsiang ChungLian-Ping MauE-Chin ShenEarl FuYi-Shing ShiehRen-Yeong HuangBackground: This study analyzes the prognostic factors affecting the survival rate of root-resected molars by using a representative population-based dataset. Materials and Methods: A total of 635,216 eligible patients were enrolled from a representative cohort composed of one million of Taiwan′s population. The tooth-related factors influencing the survival rates of root-resected teeth were examined on 516 molars, in 492 patients. Cox regression was performed to statistically analyze the factors. Results: The overall survival rate for the root-resected molars was 91.7%. Of the analyzed factors with respect to root-resection procedures, whether or not concomitant flap surgery was performed in the medical institutions, the dental arch and tooth location demonstrated a considerable influence on the treatment and decision-making. The main reasons and results of root-resected molars receiving root-resection therapy in hospitals were the periodontal-compromised conditions, whereas, the root-resected molars that received root-resection therapy in private practice clinics were caused by caries/endodontic reasons. After adjusting for other factors, in the outcome of root-resected molars, a higher risk of extraction occurrence was seen in hospitals than in private practice clinics (hazard ratio = 2.03; 95% CI = 1.04 to 3.98; P = 0.039). Conclusions: Of the analyzed prognostic factors, medical institutions significantly affect the treatment decision and survival of root-resected molars. Therefore, a comprehensive evaluation, risk assessment, and treatment plan should be executed before the root-resection procedure is performed.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=1;spage=1;epage=8;aulast=YuhMolarfurcation defectstreatment outcomeprognosis |
| spellingShingle | Da-Yo Yuh Fu-Gong Lin Wen-Hui Fang Wu-Chien Chien Chi-Hsiang Chung Lian-Ping Mau E-Chin Shen Earl Fu Yi-Shing Shieh Ren-Yeong Huang The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database Journal of Medical Sciences Molar furcation defects treatment outcome prognosis |
| title | The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database |
| title_full | The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database |
| title_fullStr | The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database |
| title_full_unstemmed | The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database |
| title_short | The impact of medical institutions on the treatment decisions and outcome of root-resected molars: A retrospective claims analysis from a representative database |
| title_sort | impact of medical institutions on the treatment decisions and outcome of root resected molars a retrospective claims analysis from a representative database |
| topic | Molar furcation defects treatment outcome prognosis |
| url | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=1;spage=1;epage=8;aulast=Yuh |
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