Oral health treatment habits of people with schizophrenia in France: A retrospective cohort study
To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences. This retrospective cohort study included PWS identified fr...
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| Published in | PloS one Vol. 15; no. 3; p. e0229946 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science
09.03.2020
Public Library of Science (PLoS) |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1932-6203 1932-6203 |
| DOI | 10.1371/journal.pone.0229946 |
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| Abstract | To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences.
This retrospective cohort study included PWS identified from a representative sample of 1/97th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017).
In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period.
Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. |
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| AbstractList | OBJECTIVE:To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences. METHODS:This retrospective cohort study included PWS identified from a representative sample of 1/97th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017). RESULTS:In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period. CONCLUSIONS:Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences.OBJECTIVETo identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences.This retrospective cohort study included PWS identified from a representative sample of 1/97th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017).METHODSThis retrospective cohort study included PWS identified from a representative sample of 1/97th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017).In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period.RESULTSIn 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period.Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction.CONCLUSIONSCompared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences. This retrospective cohort study included PWS identified from a representative sample of 1/97th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017). In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period. Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences. This retrospective cohort study included PWS identified from a representative sample of 1/97.sup.th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND (at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics). Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017). In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period. Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. Objective To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences. Methods This retrospective cohort study included PWS identified from a representative sample of 1/97th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017). Results In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period. Conclusions Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. Objective To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental treatment and tooth extraction) and the factors associated with these differences. Methods This retrospective cohort study included PWS identified from a representative sample of 1/97.sup.th of the French population (general sample of beneficiaries). PWS were identified from 2014 data by an algorithm that included: F2 diagnostic codes in the register of long-term diseases in 2014 AND {(at least three deliveries of antipsychotics in 2014) OR (F20 diagnostic codes as a main or associated diagnosis in hospital discharge abstracts in 2012 or 2013 (hospital data for medicine, surgery and obstetrics)}. Follow-up dental care was explored for all people over a period of 3 years (2014 to 2017). Results In 2014, 580,219 persons older than 15 years were identified from the 96 metropolitan departments in France; 2,213 were PWS (0.4%). Fewer PWS were found along a diagonal line from north-east to south-west France, and the highest numbers were located in urban departments. PWS were more often male (58.6% vs 48.7%, p<0.001). They were less likely to have had tooth scaling but more likely to have undergone a dental extraction. In one third of departments, more than 50% of PWS had at least one tooth scaling over a three-year period; the rate of dental extraction in these departments ranged from 6 to 23%. Then, a quarter of the departments in which 40 to 100% of PWS had had at least one dental extraction (2/8) presented a rate of tooth scaling ranging from 0 to 28% over the study period. Conclusions Compared with the general population, PWS were less likely to have had tooth scaling and dental treatment but more likely to have undergone dental extraction. |
| Audience | Academic |
| Author | Goueslard, Karine Quantin, Catherine Siu-Paredes, Francesca Amador, Gilles Rusch, Emmanuel Denis, Frédéric Bertaud, Valérie |
| AuthorAffiliation | 8 Health Big Data, LTSI—INSERM U 1099, University of Rennes 1, Rennes, France 7 EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, Besançon, France 11 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), INSERM, UVSQ, Institut Pasteur, Université Paris-Saclay, Paris, France 6 Faculté d’Odontologie de Reims, Université Champagne Ardenne, Reims, France 1 Faculté de Médecine, EA 75–05 Education, Ethique, Santé, Université François-Rabelais, Tours, France 10 INSERM, CIC 1432, Dijon University Hospital, Clinical Investigation Center, clinical epidemiology/ clinical trials unit, Dijon, France 2 Université de Nantes, Faculté d’odontologie, Nantes, France 5 Bourgogne Franche-Comté University, Dijon, France 3 Odontology Department, Tours University Hospital, Tours, France 9 Rennes University Hospital and Guillaume Regnier Hospital, Rennes, France University Lyon 1 Faculty of Dental Medicine, FRANCE 4 Biostatistics and Bioinformatics (DIM), Unive |
| AuthorAffiliation_xml | – name: 11 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), INSERM, UVSQ, Institut Pasteur, Université Paris-Saclay, Paris, France – name: 9 Rennes University Hospital and Guillaume Regnier Hospital, Rennes, France – name: 2 Université de Nantes, Faculté d’odontologie, Nantes, France – name: 6 Faculté d’Odontologie de Reims, Université Champagne Ardenne, Reims, France – name: 10 INSERM, CIC 1432, Dijon University Hospital, Clinical Investigation Center, clinical epidemiology/ clinical trials unit, Dijon, France – name: 7 EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, Besançon, France – name: 8 Health Big Data, LTSI—INSERM U 1099, University of Rennes 1, Rennes, France – name: 4 Biostatistics and Bioinformatics (DIM), University Hospital, Dijon, France – name: 1 Faculté de Médecine, EA 75–05 Education, Ethique, Santé, Université François-Rabelais, Tours, France – name: 5 Bourgogne Franche-Comté University, Dijon, France – name: University Lyon 1 Faculty of Dental Medicine, FRANCE – name: 3 Odontology Department, Tours University Hospital, Tours, France |
| Author_xml | – sequence: 1 givenname: Frédéric orcidid: 0000-0002-5439-8689 surname: Denis fullname: Denis, Frédéric – sequence: 2 givenname: Karine surname: Goueslard fullname: Goueslard, Karine – sequence: 3 givenname: Francesca surname: Siu-Paredes fullname: Siu-Paredes, Francesca – sequence: 4 givenname: Gilles surname: Amador fullname: Amador, Gilles – sequence: 5 givenname: Emmanuel surname: Rusch fullname: Rusch, Emmanuel – sequence: 6 givenname: Valérie surname: Bertaud fullname: Bertaud, Valérie – sequence: 7 givenname: Catherine orcidid: 0000-0001-5134-9411 surname: Quantin fullname: Quantin, Catherine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32150582$$D View this record in MEDLINE/PubMed https://univ-rennes.hal.science/hal-02532845$$DView record in HAL |
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| Keywords | Health insurance Geographic distribution Dentition Diagnostic medicine Teeth Schizophrenia France Oral health |
| Language | English |
| License | Attribution: http://creativecommons.org/licenses/by This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. cc-by Creative Commons Attribution License |
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| Snippet | To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth scaling, dental... Objective To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth... OBJECTIVE:To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth... Objective To identify the differences between persons with schizophrenia (PWS) and general population in France in terms of oral health treatment (tooth... |
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| SubjectTerms | Adolescent Adult Aged Algorithms Analysis Antipsychotic agents Antipsychotics Beneficiaries Bioengineering Bioinformatics Biology and Life Sciences Codes Cohort analysis Dental care Dental Scaling Diagnostic systems Diseases Epidemiology Female France - epidemiology Health insurance Hospital admission and discharge Hospitals Humans Identification methods Infectious diseases Insurance agencies Life Sciences Male Medical diagnosis Medicine and Health Sciences Mental disorders Middle Aged Obstetrics Oral Health Oral hygiene People and places Personal health Retrospective Studies Scaling Schizophrenia Schizophrenia - epidemiology Social Sciences Surgery Teeth Tooth Extraction Tooth extractions Young Adult |
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| Title | Oral health treatment habits of people with schizophrenia in France: A retrospective cohort study |
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