Costs and health-related quality of life in relation to caries

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Costs and health-related quality of life in relation to caries

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dc.contributor.author Kastenbom, Lisa
dc.contributor.author Falsen, Alexandra
dc.contributor.author Larsson, Pernilla
dc.contributor.author Sunnegårdh-Grönberg, Karin
dc.contributor.author Davidson, Thomas
dc.date.accessioned 2019-10-15T15:37:07Z
dc.date.available 2019-10-15T15:37:07Z
dc.date.issued 2019 en_US
dc.identifier.issn 1472-6831 en_US
dc.identifier.uri http://hdl.handle.net/2043/30231
dc.description.abstract Background Dental caries remains a common and expensive disease for both society and affected individuals. Furthermore, caries often affect individuals' health-related quality of life (HRQoL). Health economic evaluations are needed to understand how to efficiently distribute dental care resources. This study aims to evaluate treatment costs and QALY weights for caries active and inactive adult individuals, and to test whether the generic instrument EQ-5D-5 L can distinguish differences in this population. Methods A total of 1200 randomly selected individuals from dental clinics in Vasterbotten County, Sweden, were invited to participate. Of these, 79 caries active and 179 caries inactive patients agreed to participate (response rate of 21.7%). Inclusion criteria were participants between 20 and 65 years old and same caries risk group categorization in two consecutive check-ups between 2014 and 2017. Results Treatment costs showed to be twice as high in the caries active group compared to the caries inactive group and were three times higher in the caries active age group 20-29 compared to the caries inactive age group 20-29. Differences between the groups was found for number of intact teeth according to age groups. In the EQ-5D-5 L instrument, more problems relating to the dimension anxiety/depression was seen in the caries active group. QALY weights showed tendencies (non-significant) to be lower in the caries active group. Conclusions These findings highlight the need for efficient treatments and prevention strategies as well as adequate money allocation within dentistry. However, further research is needed to assess appropriate instruments for health economic evaluations. en_US
dc.language.iso eng en_US
dc.publisher Biomed Central en_US
dc.subject Caries en_US
dc.subject Health economics en_US
dc.subject Quality of life en_US
dc.subject Costs en_US
dc.subject.classification Medicine en_US
dc.title Costs and health-related quality of life in relation to caries en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi 10.1186/s12903-019-0874-6 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication BMC Oral Health;1
dc.relation.ispartofpublicationvolume 19 en_US
dc.description.authorversion No en_US
dc.identifier.isiid 000481737300001
dc.identifier.pmid 31419988
dcterms.identifier.OAurl https://doi.org/10.1186/s12903-019-0874-6 en_US
dc.format.artNo 187 en_US
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