Evidence map›Paper›PMID 34693793›Full record

ArticleJDR clinical and translational research2021

Removable Denture Wearing as a Risk Predictor for Pneumonia Incidence and Time to Event in Older Adults.

H Alzamil, T T Wu, E van Wijngaarden, M Mendoza, H Malmstrom, K Fiscella, D T Kopycka-Kedzierawski, R J Billings, J Xiao

Open access · greenAbstract read
In one paragraph

Article in JDR clinical and translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Attachment of Respiratory Pathogens andJournal of clinical medicine · 2023
    Article
  9. Considering the Vulnerable Populations of Young and Old.JDR clinical and translational research · 2023
    Article
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

9 authors at 1 institution in 2 countries.

H AlzamilEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
T T WuDepartment of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY, USA.
E van WijngaardenDepartment of Public Health, University of Rochester Medical Center, Rochester, NY, USA.
M MendozaDepartment of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA.
H MalmstromEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
K FiscellaDepartment of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA.
D T Kopycka-KedzierawskiEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.ORCID https://orcid.org/0000-0003-0798-6805
R J BillingsEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
J XiaoEastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.ORCID https://orcid.org/0000-0002-8776-2520
University of Rochester Medical Center · US

Funding

Association between Oral Candida albicans and the Onset of Severe Early Childhood CariesK23DE027412 · NIDCR · UNIVERSITY OF ROCHESTER · PI XIAO, JIN · 2018 to 2022
$748k
NIDCR NIH HHS K23 DE027412
6 · The paper itself

Abstract

introductionOlder adults are more susceptible to a common respiratory infection: pneumonia. Nearly 1 million older adults per year are hospitalized for community-acquired pneumonia in the United States.

objectiveTo examine whether wearing removable dentures are associated with an increased risk of pneumonia incidence in a geriatric population.

methodsWe conducted a retrospective cohort study among patients >65 y of age within a large academic health system (University of Rochester Medical Center). The medical and dental electronic records from 2010 to 2018 were reviewed and used for data collection. The exposure was removable denture wearing. The main outcome variables were the incidence of pneumonia and time to event of pneumonia. A Cox proportional hazards regression was used to examine the association between pneumonia onset and wearing removable dentures, adjusting for demographics, socioeconomic status, and medical and dental conditions.

resultsA total of 2,364 patients were included, with 1,189 (50.29%) in the denture-wearing group and 1,175 (49.70%) in the non-denture wearing group. The annual pneumonia incidence rate per 100,000 persons was 1,191 in the denture-wearing group and 128 per 100,000 persons in the non-denture wearing group, with a crude incidence rate ratio of 9.33 (95% CI, 5.41 to 18.81;

conclusionsWearing removable dentures was found to be a risk predictor for pneumonia incidence among the geriatric population even after accounting for other risk factors. KNOWLEDGE TRANSFER STATEMENT: Wearing removable dentures was found to be a risk predictor of pneumonia incidence among older adults. Although the current study does not imply a causal relationship between denture wearing and pneumonia, clinicians and older patients could reference the study results when choosing dental prostheses to restore missing teeth.

Indexed as

dental prosthesisedentulousgeriatricsoral healthrespiratory tract diseasesretrospective studies

Identifiers

PMID34693793
PMCPMC9772962
OpenAlexW3208613617

What OpenQuestion holds

Textmetadata
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.