绘制关于幼儿龋齿患病率的证据：全球数据报告的复杂性
Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting.
作者信息
Abdelrahman Marwa, Hsu Kuei-Ling, Melo Mary Anne, Dhar Vineet, Tinanoff Norman
机构信息
Department of Orthodontics and Pediatric Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland, USA.
Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, Maryland, USA.
出版信息
Int J Clin Pediatr Dent. 2021 Jan-Feb;14(1):1-7. doi: 10.5005/jp-journals-10005-1882.
OBJECTIVE
This review aims to identify variances and research gaps in the early childhood caries (ECC) prevalence within countries and the global community by mapping current evidence.
MATERIALS AND METHODS
We performed a literature search in PubMed/MEDLINE and Web of Science to identify English-language, peer-reviewed epidemiologic studies published from January 1999 to January 2019. Abstracts and full-text articles were dual-screened based on predefined eligibility criteria. We classified outcomes by children's age and countries based on economic status. Ranges of reported caries prevalence and median values by country and age were calculated and evidence-mapped.
RESULTS
Out of 915 studies, 59 studies met the inclusion criteria. The most significant number of reports were from the USA, Brazil, and India. The ranges of prevalence (1-96%) among the studies were large. The calculated median caries prevalence values may better estimate countries' prevalence than the reported ranges. Early childhood caries prevalence's highest median values were found for South Korea studies (54%) for children <3-year-old and from Bosnia (81%) for children 3-6 years old. No apparent difference was found in the prevalence of ECC from developed and developing countries.
CONCLUSION
This mapping review reflects the ranges and median values of ECC worldwide. Overall, the reported prevalence of ECC in most countries is very high. No apparent difference was found in the prevalence of ECC from developed and developing countries. Reported ranges of ECC, as well as heterogeneity and methodological issues, hamper comparisons across studies globally.
CLINICAL SIGNIFICANCE
The global ECC prevalence ranges are extreme. Median data may provide a structure for future epidemiological studies to optimizing healthcare resources for caries interventions globally.
HOW TO CITE THIS ARTICLE
Abdelrahaman M, Hsu K-L, Melo MA, Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting. Int J Clin Pediatr Dent 2021;14(1):1-7.
目的
本综述旨在通过梳理现有证据，确定各国及全球范围内幼儿龋齿（ECC）患病率的差异和研究空白。
材料与方法
我们在PubMed/MEDLINE和科学网进行文献检索，以识别1999年1月至2019年1月发表的英文、经同行评审的流行病学研究。根据预先确定的纳入标准对摘要和全文进行双盲筛选。我们根据儿童年龄和国家经济状况对结果进行分类。计算并绘制了各国和各年龄段报告的龋齿患病率范围及中位数。
结果
在915项研究中，59项研究符合纳入标准。报告数量最多的是美国、巴西和印度。研究中的患病率范围（1%-96%）很大。计算得出的龋齿患病率中位数可能比报告的范围更能准确估计各国的患病率。在<3岁儿童的韩国研究中，幼儿龋齿患病率中位数最高（54%），在3-6岁儿童的波斯尼亚研究中为（81%）。发达国家和发展中国家的幼儿龋齿患病率没有明显差异。
结论
本次图谱综述反映了全球幼儿龋齿的范围和中位数。总体而言，大多数国家报告的幼儿龋齿患病率非常高。发达国家和发展中国家的幼儿龋齿患病率没有明显差异。报告的幼儿龋齿范围以及异质性和方法学问题妨碍了全球范围内各项研究之间的比较。
临床意义
全球幼儿龋齿患病率范围极大。中位数数据可为未来的流行病学研究提供一个框架，以便在全球范围内优化龋齿干预的医疗资源。
如何引用本文
Abdelrahaman M, Hsu K-L, Melo MA, 绘制幼儿龋齿患病率证据图谱：全球数据报告的复杂性。《国际临床儿科牙科学杂志》2021年；14(1):1-7。
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