Document Detail


Self-assessed masticatory ability and hospitalisation costs among the elderly living independently.
MedLine Citation:
PMID:  21029149     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Summary  The escalating medical costs are a social problem in many countries. Masticatory ability is thought to be related to the general health conditions. The purpose of this study was to show relationships between self-assessed masticatory ability and medical costs among the elderly living independently in community. Data on background factors and self-assessed masticatory ability were collected from 702 Japanese elderly persons by questionnaires. An intra-oral examination was performed to examine the number of remaining teeth. Self-assessed masticatory ability was classified into one of three categories: ability to chew all kinds of food (Good), ability to chew only slightly hard food (Fair) or ability to chew only soft or pureed food (Poor). Data on the annual medical excluding dental costs were obtained from the Japanese National Health Insurance system. The Kruskal-Wallis test was used to examine differences in outpatient costs and hospitalisation costs among the three groups of self-assessed masticatory ability. Univariate unconditional logistic regression models and multivariate logistic regression models were used with medical costs as the dependent variable and self-assessed masticatory ability as the principal independent variable. A significant difference (P = 0·039) in hospitalisation costs but not outpatient costs was found among the three groups of self-assessed masticatory ability. The multivariate logistic regression analysis showed that severely impaired masticatory ability (Poor) was significantly related to higher costs of hospitalisation. Self-assessed impairment of masticatory ability may be a significant and independent indicator of higher costs of hospitalisation among community-dwelling elderly persons.
Authors:
S Moriya; K Tei; E Harada; A Murata; M Muramatsu; N Inoue; H Miura
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Publication Detail:
Type:  Journal Article     Date:  2010-10-05
Journal Detail:
Title:  Journal of oral rehabilitation     Volume:  38     ISSN:  1365-2842     ISO Abbreviation:  J Oral Rehabil     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0433604     Medline TA:  J Oral Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  321-7     Citation Subset:  D; IM    
Copyright Information:
© 2010 Blackwell Publishing Ltd.
Affiliation:
Department of Oral Health, National Institute of Public Health, Saitama Department of Oral and Maxillofacial Surgery, Division of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University Department of Geriatric Dentistry, Division of Oral Health Science, Graduate School of Dental Medicine, Hokkaido University Department of Nursing, School of Nursing, Sapporo City University, Sapporo, Japan.
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