Evidence map›Paper›PMID 41094360›Full record

Observational studyBMC geriatrics2025

Utilization of dental services of older persons after onset of home care --- an observational study from the InSEMaP research project based on German insurance claims data.

Espen Henken, Hans-Helmut König, Alexander Konnopka, Anja Behrens-Potratz, Stefanie Schellhammer, Petra Schmage, Thomas Zimmermann, Claudia Konnopka, InSEMaP Group

Abstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Observational
  2. 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.

Espen HenkenDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany. e.henken@uke.de.ORCID 0000-0002-6067-6323
Hans-Helmut KönigDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany.ORCID 0000-0001-5711-6862
Alexander KonnopkaDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Semmelweisstraße 10, Leipzig, 04103, Germany.
Anja Behrens-PotratzFaculty of Business and Social Sciences, Department of Nursing and Management, Cooperative Process Management in Social and Healthcare RTC (KoPM-Zentrum), Hamburg University of Applied Sciences, Alexanderstraße 1, Hamburg, 20099, Germany.
Stefanie SchellhammerDepartment of Health Care Research and Innovation, Deutsche Angestellten-Krankenkasse-Gesundheit (DAK-G), Nagelsweg 27, Hamburg, 20097, Germany.
Petra SchmageDepartment of Periodontics, Preventive and Restorative Dentistry, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany.
Thomas ZimmermannDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany.ORCID 0000-0002-2047-9907
Claudia KonnopkaDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany.ORCID 0000-0003-1053-2126
InSEMaP Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaintaining a good oral health is important for general health, nutrition, and quality of life. Nevertheless, the utilization of dental services decreases with age. Persons in need of home care, in particular, might face difficulties organizing dental visits due to a decreasing functional status. The aim of this study was to analyze the utilization of dental services of older persons after the onset of need for home care.

methodsIn a retrospective cohort study with statutory health insurance claims data from 2015-2020, we compared persons aged ≥ 60 years with incident and lasting need for home care in 2017 (study group) with a control group without need for care. Both groups had at least one routine dental service during the preceding 2-year baseline period. We applied entropy balancing to adjust for differences in patient characteristics. We analyzed the utilization of dental services over a 3-year follow-up. We analyzed the probability of utilization and the number of dental services using weighted logistic and negative binomial regressions.

resultsWe identified 26,818 persons in the study and 393,540 in the control group. We obtained a lower probability for any dental service use in the study group (0.9) than the control group (0.94; risk ratio: 0.96; 98.75% confidence interval: 0.96-0.97). Moreover, persons in the study group utilized on average fewer dental services than those in the control group (rate ratio: 0.92; 98.75% confidence interval: 0.91-0.93).

conclusionThe onset of need for home care was associated with a decreased utilization of dental services for older persons with prior dental service utilization, expanding existing evidence. There is a need to improve oral healthcare for persons in need of home care.

trial registrationThe study was included in the German Clinical Trials Register (DRKS) on 04/01/2022: DRKS00027020. https://drks.de/search/de/trial/DRKS00027020.

Indexed as

Dental CareDental Care for AgedHome Care ServicesInsurance Claim ReviewPatient Acceptance of Health CareAgedAged, 80 and overCohort StudiesFemaleFollow-Up StudiesGermanyHumansMaleMiddle AgedOral HealthRetrospective StudiesClaims dataGeriatric dentistryHealth service researchHome careLong-term care

Identifiers

PMID41094360
PMCPMC12523075

What OpenQuestion holds

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Registered trials

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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.