Global, regional, and national burden and quality of care index (QCI) of oral disorders: a systematic analysis of the global burden of disease study 1990-2017.
Burden of disease
Edentulism
Oral disorders
Periodontitis
Quality of care
Tooth caries
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
20 Jan 2024
20 Jan 2024
Historique:
received:
07
06
2022
accepted:
19
12
2023
medline:
20
1
2024
pubmed:
20
1
2024
entrez:
19
1
2024
Statut:
epublish
Résumé
Oral disorders are still a major global public health challenge, considering their perpetuating and chronic nature. Currently, there is no direct index to measure the quality of care on a population scale. Hence, we aim to propose a new index to measure the quality of care for oral disorders worldwide. We generated our database using the data from the Global Burden of Disease (GBD) study 2017. Among different variables such as prevalence, incidence, years lived with disability, and disability-adjusted life years, we utilised principal component analysis (PCA) to determine the component that bears the greatest proportion of information to generate the novel quality of care index (QCI) for oral disorders. Global QCI for oral disorders gradually increased from 1990 to 2017 (from 70.5 to 74.6). No significant gender disparity was observed during this period, and the gender disparity ratio (GDR) was considered optimal in 1990 and 2017. Between 1990 and 2017, the age-standardised QCI for all oral disorders increased in all the SDI regions. The highest QCI for all oral disorders in 2017 belonged to high-middle SDI countries (=80.24), and the lowest YLDs rate was seen in the low SDI quintile. In 1990, the quality of care in European, Central Asian, and Central and South American countries was in the lowest quintiles, whereas the North American, East Asian, Middle Eastern, and some African countries had the highest quality of dental care. Maynmar (=100), Uganda (=92.5), Taiwan (=92.0), China (=92.5), and the United States (=89.2) were the five countries with the highest age-standardised QCI. Nicaragua (=41.3), Belgium (=40.2), Venezuela (=38.4), Sierra Leone (=30.5), and the Gambia (=30.3) were the five countries with the least age-standardised QCI values. The quality of care for all oral disorders showed an increasing trend on a global scale from 1990 to 2017. However, the QCI distribution was not homogenous among various regions. To prevent the exacerbation of imminent disparities in this regard, better attention to total tooth loss in high-income countries and prioritising primary healthcare provision in low-income countries are recommended for oral disorders.
Sections du résumé
BACKGROUND
BACKGROUND
Oral disorders are still a major global public health challenge, considering their perpetuating and chronic nature. Currently, there is no direct index to measure the quality of care on a population scale. Hence, we aim to propose a new index to measure the quality of care for oral disorders worldwide.
METHODS
METHODS
We generated our database using the data from the Global Burden of Disease (GBD) study 2017. Among different variables such as prevalence, incidence, years lived with disability, and disability-adjusted life years, we utilised principal component analysis (PCA) to determine the component that bears the greatest proportion of information to generate the novel quality of care index (QCI) for oral disorders.
RESULTS
RESULTS
Global QCI for oral disorders gradually increased from 1990 to 2017 (from 70.5 to 74.6). No significant gender disparity was observed during this period, and the gender disparity ratio (GDR) was considered optimal in 1990 and 2017. Between 1990 and 2017, the age-standardised QCI for all oral disorders increased in all the SDI regions. The highest QCI for all oral disorders in 2017 belonged to high-middle SDI countries (=80.24), and the lowest YLDs rate was seen in the low SDI quintile. In 1990, the quality of care in European, Central Asian, and Central and South American countries was in the lowest quintiles, whereas the North American, East Asian, Middle Eastern, and some African countries had the highest quality of dental care. Maynmar (=100), Uganda (=92.5), Taiwan (=92.0), China (=92.5), and the United States (=89.2) were the five countries with the highest age-standardised QCI. Nicaragua (=41.3), Belgium (=40.2), Venezuela (=38.4), Sierra Leone (=30.5), and the Gambia (=30.3) were the five countries with the least age-standardised QCI values.
CONCLUSION
CONCLUSIONS
The quality of care for all oral disorders showed an increasing trend on a global scale from 1990 to 2017. However, the QCI distribution was not homogenous among various regions. To prevent the exacerbation of imminent disparities in this regard, better attention to total tooth loss in high-income countries and prioritising primary healthcare provision in low-income countries are recommended for oral disorders.
Identifiants
pubmed: 38243206
doi: 10.1186/s12903-023-03808-z
pii: 10.1186/s12903-023-03808-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
116Informations de copyright
© 2024. The Author(s).
Références
Peres MA, Macpherson LM, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet. 2019;394(10194):249–60.
pubmed: 31327369
doi: 10.1016/S0140-6736(19)31146-8
Shoaee S, Saeedi Moghaddam S, Masinaei M, Sofi-Mahmudi A, Hessari H, Heydari M-H, et al. Trends in dental caries of deciduous teeth in Iran: a systematic analysis of the national and sub-national data from 1990 to 2017. BMC Oral Health. 2022;22(1):634.
pubmed: 36564764
pmcid: 9789600
doi: 10.1186/s12903-022-02634-z
Kassebaum N, Smith A, Bernabé E, Fleming T, Reynolds A, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96(4):380–7.
pubmed: 28792274
doi: 10.1177/0022034517693566
Righolt A, Jevdjevic M, Marcenes W, Listl S. Global-, regional-, and country-level economic impacts of dental diseases in 2015. J Dent Res. 2018;97(5):501–7.
pubmed: 29342371
doi: 10.1177/0022034517750572
Guay AH. The differences between dental and medical care: implications for dental benefit plan design. J Am Dent Assoc. 2006;137(6):801–6.
pubmed: 16803810
doi: 10.14219/jada.archive.2006.0293
Shoaee S, Heydari M-H, Hessari H, Mehrdad N, Khalilazar L, Hatami B, et al. Development and initial validation of the comprehensive geriatric Oral health assessment tool. Clin Exp Dent Res. 2023;9(5):879–86.
pubmed: 37767734
pmcid: 10582220
doi: 10.1002/cre2.791
Shoaee S, Masinaei M, Moghaddam SS, Sofi-Mahmudi A, Hessari H, Shamsoddin E, Heydari MH, Larijani B, Fakhrzadeh H, Farzadfar F. National and subnational trend of dental caries of permanent teeth in Iran, 1990–2017. Int Dent J. 2024;74(1):129–37.
Watt RG, Daly B, Allison P, Macpherson LM, Venturelli R, Listl S, et al. Ending the neglect of global oral health: time for radical action. Lancet. 2019;394(10194):261–72.
pubmed: 31327370
doi: 10.1016/S0140-6736(19)31133-X
Quentin W, Partanen V-M, Brownwood I, Klazinga N. Measuring healthcare quality. In: Improving healthcare quality in Europe; 2019. p. 31.
Hanefeld J, Powell-Jackson T, Balabanova D. Understanding and measuring quality of care: dealing with complexity. Bull World Health Organ. 2017;95(5):368–74.
pubmed: 28479638
pmcid: 5418826
doi: 10.2471/BLT.16.179309
Campbell S, Tickle M. What is quality primary dental care? Br Dent J. 2013;215(3):135.
pubmed: 23928610
doi: 10.1038/sj.bdj.2013.740
Chen A, Jacobsen KH, Deshmukh AA, Cantor SB. The evolution of the disability-adjusted life year (DALY). Socio Econ Plan Sci. 2015;49:10–5.
doi: 10.1016/j.seps.2014.12.002
GBD 2017. Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet (London, England). 2018;392(10159):1789–858.
doi: 10.1016/S0140-6736(18)32279-7
Sofi-Mahmudi A, Masinaei M, Shamsoddin E, Tovani-Palone MR, Heydari M-H, Shoaee S, et al. Global, regional, and national burden and quality of care index (QCI) of lip and oral cavity cancer: a systematic analysis of the global burden of disease study 1990–2017. BMC Oral Health. 2021;21(1):558.
pubmed: 34724951
pmcid: 8561915
doi: 10.1186/s12903-021-01918-0
Rencher AC, Schimek M. Methods of multivariate analysis. Comput Stat. 1997;12(4):422.
Mohammadi E, Ghasemi E, Saeedi Moghaddam S, Yoosefi M, Ghanbari A, Ahmadi N, Masinaei M, Roshani Sh, Ebrahimi N, Rouhifard Khalilabad M, Nasserinejad M, Azadnajafabad S, Mohajer B, Mohebi F, Rezaei N, Mokdad A, Larijani B, Farzadfar F. Quality of care index (QCI). protocolsio. 2020;2021(24 Jan 2021).
Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2017 (GBD 2017) Socio-Demographic Index (SDI) 1950–2017. Seattle, United States of America: Institute for Health Metrics and Evaluation (IHME); 2018.
Pande PS, Holpp L. What is six sigma?. McGraw-Hill Professional; 2001.
GBD 2016. Healthcare Access and Quality Collaborators. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016. Lancet (London, England). 2018;391(10136):2236–71.
doi: 10.1016/S0140-6736(18)30994-2
Aminorroaya A, Yoosefi M, Rezaei N, Shabani M, Mohammadi E, Fattahi N, et al. Global, regional, and national quality of care of ischaemic heart disease from 1990 to 2017: a systematic analysis for the global burden of disease study 2017. Eur J Prev Cardiol. 2021;29(2):371–9.
doi: 10.1093/eurjpc/zwab066
Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, et al. Global, regional, and National Levels and trends in burden of Oral conditions from 1990 to 2017: a systematic analysis for the global burden of disease 2017 study. J Dent Res. 2020;99(4):362–73.
pubmed: 32122215
doi: 10.1177/0022034520908533
Lindroos EK, Saarela RKT, Suominen MH, Muurinen S, Soini H, Kautiainen H, et al. Burden of Oral symptoms and its associations with nutrition, well-being, and survival among nursing home residents. J Am Med Dir Assoc. 2019;20(5):537–43.
pubmed: 30541688
doi: 10.1016/j.jamda.2018.10.025
Jin LJ, Lamster IB, Greenspan JS, Pitts NB, Scully C, Warnakulasuriya S. Global burden of oral diseases: emerging concepts, management and interplay with systemic health. Oral Dis. 2016;22(7):609–19.
pubmed: 26704694
doi: 10.1111/odi.12428
Sheiham A, Watt RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000;28(6):399–406.
pubmed: 11106011
doi: 10.1034/j.1600-0528.2000.028006399.x
Watt RG, Sheiham A. Integrating the common risk factor approach into a social determinants framework. Community Dent Oral Epidemiol. 2012;40(4):289–96.
pubmed: 22429083
doi: 10.1111/j.1600-0528.2012.00680.x
Sheiham A, Williams DM. Reducing inequalities in Oral health in the Africa and Middle East region. Adv Dent Res. 2015;27(1):4–9.
pubmed: 26101334
doi: 10.1177/0022034515575540
Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003;31(Suppl 1):3–23.
pubmed: 15015736
doi: 10.1046/j..2003.com122.x
Watt RG, Petersen PE. Periodontal health through public health--the case for oral health promotion. Periodontology 2000. 2012;60(1):147–55.
pubmed: 22909112
doi: 10.1111/j.1600-0757.2011.00426.x
Mortazavi H, Sadeghian A, Hazrati P, Heydari M-H, Madihi S. Oral hemorrhagic blister and its possible related factors: analyzes of reported cases in the literature. J Oral Maxillofac Surg Med Pathol. 2023;35(4):358–67.
doi: 10.1016/j.ajoms.2022.12.009
Baiju RM, Peter E, Varghese NO, Sivaram R. Oral health and quality of life: current concepts. J Clin Diagnostic Res: JCDR. 2017;11(6):Ze21–ze6.
Weeratunga P, Jayasinghe S, Perera Y, Jayasena G, Jayasinghe S. Per capita sugar consumption and prevalence of diabetes mellitus--global and regional associations. BMC Public Health. 2014;14:186.
pubmed: 24555673
pmcid: 3936705
doi: 10.1186/1471-2458-14-186
Singh GM, Micha R, Khatibzadeh S, Shi P, Lim S, Andrews KG, et al. Global, regional, and National Consumption of sugar-sweetened beverages, fruit juices, and Milk: a systematic assessment of beverage intake in 187 countries. PLoS One. 2015;10(8):e0124845.
pubmed: 26244332
pmcid: 4526649
doi: 10.1371/journal.pone.0124845
Elujoba AA, Odeleye O, Ogunyemi C. Traditional medicine development for medical and dental primary health care delivery system in Africa. Afr J Tradit Complement Altern Med. 2005;2(1):46–61.
Diop M, Kanouté A, Diouf M, Ndiaye AD, Lo CMM, Faye D, et al. The role of health insurance in the coverage of oral health care in Senegal. J Public Health Africa. 2018;9(3):772.
doi: 10.4081/jphia.2018.772
Roucka TM. Access to dental care in two long-term refugee camps in western Tanzania; programme development and assessment. Int Dent J. 2011;61(2):109–15.
pubmed: 21554280
doi: 10.1111/j.1875-595X.2011.00023.x
Moscowchi A, Moradian-Lotfi S, Koohi H, Sarrafan Sadeghi T. Levels of smoking and outcome measures of root coverage procedures: a systematic review and meta-analysis. Oral Maxillofac Surg. Published online August 2, 2023.
Taylor Nelson Sofres PLC (TNS) and Social Survey Team. Oral health report - European Commission - Eurobarometer -Belgium. Belgium: Directorate General Health and Consumers; 2010.
Elderton RJ. Clinical studies concerning re-restoration of teeth. Adv Dent Res. 1990;4:4–9.
pubmed: 2206212
doi: 10.1177/08959374900040010701
Sheiham A. Minimal intervention in dental care. Med Princ Pract. 2002;11(Suppl 1):2–6.
pubmed: 12123112
doi: 10.1159/000057772
Qvist V. Longevity of restorations - "the death spiral". In Dental caries - The disease and its clinical management. 2nd ed. UK. 2008. p. 443–455.
Opal S, Garg S, Jain J, Walia I. Genetic factors affecting dental caries risk. Aust Dent J. 2015;60(1):2–11.
pubmed: 25721273
doi: 10.1111/adj.12262
Werneck RI, Mira MT, Trevilatto PC. A critical review: an overview of genetic influence on dental caries. Oral Dis. 2010;16(7):613–23.
pubmed: 20846151
doi: 10.1111/j.1601-0825.2010.01675.x
Wittekind A, Walton J. Worldwide trends in dietary sugars intake. Nutr Res Rev. 2014;27(2):330–45.
pubmed: 25623085
doi: 10.1017/S0954422414000237
König J, Holtfreter B, Kocher T. Periodontal health in Europe: future trends based on treatment needs and the provision of periodontal services--position paper 1. Eur J Dent Educ. 2010;14(Suppl 1):4–24.
pubmed: 20415972
doi: 10.1111/j.1600-0579.2010.00620.x
Chae S, Lee Y, Kim J, Chun KH, Lee JK. Factors associated with perceived unmet dental care needs of older adults. Geriatr Gerontol Int. 2017;17(11):1936–42.
pubmed: 28188957
doi: 10.1111/ggi.12997
López R, Smith PC, Göstemeyer G, Schwendicke F. Ageing, dental caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl 18):S145–s52.
pubmed: 28266118
Stevens GA, Alkema L, Black RE, Boerma JT, Collins GS, Ezzati M, et al. Guidelines for accurate and transparent health estimates reporting: the GATHER statement. PLoS Med. 2016;13(6):e1002056.
pubmed: 27351744
pmcid: 4924581
doi: 10.1371/journal.pmed.1002056