Niehoff J U, Lehmann A, Behrbohm G, Schrader R R
Instituts für Sozialhygiene des Bereichs Medizin (Charite) der Humboldt-Universität zu Berlin.
Dtsch Stomatol (1990). 1990 Sep;40(9):360-2.
Recent epidemiological investigations about caries report about phenomenons like "caries increase" or "caries decline". This kind of observation bases on prevalence-studies. But describing such phenomenons does not give the opportunity to explain the observations. For that purpose the modern methodology of epidemiology should be used. Despite of the fact that epidemiology differs exactly between incident and prevalent cases, the use of incidence studies seems to be extremely seldom in stomatology. This paper discusses the problems, which occur in incidence-studies about caries and especially in cohort-studies. The authors show the difficulties to adopt terms like incidence density and cumulative incidence to studies about caries. A proposal is given in order to adopt the modern methodology of epidemiology to the special problem of caries.
近期关于龋齿的流行病学调查报道了诸如“龋齿增加”或“龋齿减少”等现象。这类观察基于患病率研究。但描述此类现象并不能提供解释这些观察结果的机会。为此,应采用现代流行病学方法。尽管流行病学在新发病例和现患病例之间有明确区分,但发病率研究在口腔医学中的应用似乎极为罕见。本文讨论了龋齿发病率研究尤其是队列研究中出现的问题。作者展示了在龋齿研究中采用发病率密度和累积发病率等术语的困难。为将现代流行病学方法应用于龋齿这一特殊问题给出了一项建议。