Evidence map›Paper›PMID 34143814›Full record

ArticlePloS one2021

Predictors of tooth loss: A machine learning approach.

Hawazin W Elani, André F M Batista, W Murray Thomson, Ichiro Kawachi, Alexandre D P Chiavegatto Filho

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  16. Diagnosis of Tooth Prognosis Using Artificial Intelligence.Diagnostics (Basel, Switzerland) · 2022
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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

5 authors at 3 institutions in 3 countries.

Hawazin W ElaniDepartment of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, United States of America.ORCID 0000-0003-1351-4038
André F M BatistaDepartment of Epidemiology, University of Sao Paulo Public Health School, Sao Paulo, Brazil.
W Murray ThomsonFaculty of Dentistry, The University of Otago, Dunedin, New Zealand.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, United States of America.
Alexandre D P Chiavegatto FilhoDepartment of Epidemiology, University of Sao Paulo Public Health School, Sao Paulo, Brazil.
Harvard University · USUniversidade de São Paulo · BRUniversity of Otago · NZ

Funding

Health Reform and Oral Health Disparities: a Mixed Methods EvaluationR00MD012253 · NIMHD · HARVARD MEDICAL SCHOOL · PI ELANI, HAWAZIN W · 2021 to 2023
$746k
Health Reform and Oral Health Disparities: a Mixed Methods EvaluationK99MD012253 · NIMHD · HARVARD MEDICAL SCHOOL · PI ELANI, HAWAZIN W · 2018 to 2019
$244k
NIMHD NIH HHS K99 MD012253NIMHD NIH HHS R00 MD012253
6 · The paper itself

Abstract

introductionLittle is understood about the socioeconomic predictors of tooth loss, a condition that can negatively impact individual's quality of life. The goal of this study is to develop a machine-learning algorithm to predict complete and incremental tooth loss among adults and to compare the predictive performance of these models.

methodsWe used data from the National Health and Nutrition Examination Survey from 2011 to 2014. We developed multiple machine-learning algorithms and assessed their predictive performances by examining the area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity, and positive and negative predictive values.

resultsThe extreme gradient boosting trees presented the highest performance in the prediction of edentulism (AUC = 88.7%; 95%CI: 87.1, 90.2), the absence of a functional dentition (AUC = 88.3% 95%CI: 87.3,89.3) and for predicting missing any tooth (AUC = 83.2%; 95%CI, 82.0, 84.4). Although, as expected, age and routine dental care emerged as strong predictors of tooth loss, the machine learning approach identified additional predictors, including socioeconomic conditions. Indeed, the performance of models incorporating socioeconomic characteristics was better at predicting tooth loss than those relying on clinical dental indicators alone.

conclusionsFuture application of machine-learning algorithm, with longitudinal cohorts, for identification of individuals at risk for tooth loss could assist clinicians to prioritize interventions directed toward the prevention of tooth loss.

Indexed as

AdultAgedAged, 80 and overAge FactorsAlgorithmsFemaleHealth PolicyHumansMachine LearningMaleMiddle AgedModels, TheoreticalQuality of LifeROC CurveSocioeconomic FactorsTooth Loss

Identifiers

PMID34143814
PMCPMC8213149
OpenAlexW3166127462

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.