Evidence map›Paper›PMID 32227400›Full record

Observational studyGeriatrics & gerontology international2020

Number of functional teeth more strongly predicts all-cause mortality than number of present teeth in Japanese older adults.

Kenji Maekawa, Tomoko Ikeuchi, Shoji Shinkai, Hirohiko Hirano, Masahiro Ryu, Katsushi Tamaki, Hirofumi Yatani, Takuo Kuboki, Kusatsu ISLE Study Working Group Collaborators, Aya Kimura-Ono and 23 more

Abstract readObservational Study
In one paragraph

Observational study in Geriatrics & gerontology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Kenji MaekawaResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6388-2288
Tomoko IkeuchiTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Shoji ShinkaiTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Hirohiko HiranoTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Masahiro RyuResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0817-2299
Katsushi TamakiResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Hirofumi YataniResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Takuo KubokiResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3756-2835
Kusatsu ISLE Study Working Group Collaborators
Aya Kimura-OnoResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Takeshi KikutaniResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Takashi SuganumaResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Yasunori AyukawaResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Tomoya GondaResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Toru OgawaResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Masanori FujisawaResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Shoichi IshigakiResearch Planning and Promotion Committee, Japan Prosthodontic Society, Tokyo, Japan.
Yutaka WatanabeHokkaido University Faculty of Dental Medicine, Sapporo, Japan.
Akihiko KitamuraTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Yu TaniguchiNational Institute for Environmental Studies, Ibaraki, Japan.
Yoshinori FujiwaraTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Ayako EdahiroTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Yuki OharaTokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Junichi FuruyaTokyo Medical and Dental University, Tokyo, Japan.
Junko NakajimaTokyo Dental College, Tokyo, Japan.
Kento UmekiNihon University School of Dentistry at Matsudo, Chiba, Japan.
Kentaro IgarashiNihon University School of Dentistry at Matsudo, Chiba, Japan.
Yasuhiro HoribeTokyo Dental College, Tokyo, Japan.
Yoshihiro KugimiyaTokyo Dental College, Tokyo, Japan.
Yasuhiko KawaiNihon University School of Dentistry at Matsudo, Chiba, Japan.
Hideo MatsumuraNihon University School of Dentistry, Tokyo, Japan.
Tetsuo IchikawaTokushima University Graduate School, Institute of Biomedical Sciences, Tokushima, Japan.
Shuji OhkawaMeikai University School of Dentistry, Sakado, Japan.

Funding

Japan Prosthodontic Society
6 · The paper itself

Abstract

aimPrevious studies on the association between intraoral conditions and mortality in community-dwelling older individuals reported that fewer present teeth (PT) are significant risk factors for mortality. However, how the number of PT relative to the number of functional teeth (FT), including both present and rehabilitated teeth, influences mortality has not been investigated fully. This study examined the impact of the number of FT on mortality among community-dwelling Japanese older adults.

methodsThis study was a retrospective, observational and population-based follow-up study, which examined 1188 older individuals who participated in an annual geriatric health examination from 2009 to 2015. The average follow-up period was 1697.0 ± 774.5 days. The primary outcome was all-cause mortality at follow-up. The numbers of PT and FT of each participant were counted during an oral examination. In addition, demographics, clinical variables, blood nutrient markers, physical functions and perceived masticatory function were measured.

resultsKaplan-Meier analysis, followed by a log-rank test, revealed that fewer PT (P < 0.001) and FT (P = 0.002) were significantly associated with a reduced survival rate. Cox's proportional hazard analysis indicated that the number of FT, but not the number of PT, was a significant independent mortality risk factor after adjusting for demographics, clinical variables, nutrient markers and physical functioning (P = 0.036, hazard ratio: 2.089).

conclusionsCurrent results suggest that the number of FT more strongly predicts all-cause mortality than the number of PT among community-dwelling older adults. Further studies are necessary to consider the confounding of socioeconomic status and disability status. Geriatr Gerontol Int 2020; ••: ••-••.

Indexed as

AgedAged, 80 and overDiagnosis, OralFemaleFollow-Up StudiesGeriatric AssessmentHumansIndependent LivingJapanKaplan-Meier EstimateMaleProportional Hazards ModelsRetrospective StudiesRisk FactorsTooth Lossfunctional teethmortalitypresent teethrisk factor

Identifiers

PMID32227400
PMCPMC7317780

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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 OpenQuestion graph.