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Global, Regional, and National Burden and Quality of Care Index (Qci) of Oral Disorders: A Systematic Analysis of the Global Burden of Disease Study 1990–2017 Publisher Pubmed



Shoaee S1, 2, 3 ; Ghasemi E1 ; Sofimahmudi A1, 4 ; Shamsoddin E1, 4 ; Tovanipalone MR5 ; Roshani S6 ; Heydari MH1, 7 ; Yoosefi M1 ; Masinaei M1, 8 ; Azadnaejafabadi S1 ; Mohammadi E1 ; Rezaei N1, 3 ; Larijani B3 ; Fakhrzadeh H2 Show All Authors
Authors
  1. Shoaee S1, 2, 3
  2. Ghasemi E1
  3. Sofimahmudi A1, 4
  4. Shamsoddin E1, 4
  5. Tovanipalone MR5
  6. Roshani S6
  7. Heydari MH1, 7
  8. Yoosefi M1
  9. Masinaei M1, 8
  10. Azadnaejafabadi S1
  11. Mohammadi E1
  12. Rezaei N1, 3
  13. Larijani B3
  14. Fakhrzadeh H2
  15. Farzadfar F1, 3
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Cochrane Iran Associate Centre, National Institute for Medical Research Development (NIMAD), Tehran, Iran
  5. 5. Ribeirao Preto Medical School, University of Sao Paulo, Sao Paulo, 14049-900, Brazil
  6. 6. The Netherlands Cancer Institute (NKI), Amsterdam, Netherlands
  7. 7. School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  8. 8. Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Oral Health Published:2024


Abstract

Background: Oral disorders are still a major global public health challenge, considering their perpetuating and chronic nature. Currently, there is no direct index to measure the quality of care on a population scale. Hence, we aim to propose a new index to measure the quality of care for oral disorders worldwide. Methods: We generated our database using the data from the Global Burden of Disease (GBD) study 2017. Among different variables such as prevalence, incidence, years lived with disability, and disability-adjusted life years, we utilised principal component analysis (PCA) to determine the component that bears the greatest proportion of information to generate the novel quality of care index (QCI) for oral disorders. Results: Global QCI for oral disorders gradually increased from 1990 to 2017 (from 70.5 to 74.6). No significant gender disparity was observed during this period, and the gender disparity ratio (GDR) was considered optimal in 1990 and 2017. Between 1990 and 2017, the age-standardised QCI for all oral disorders increased in all the SDI regions. The highest QCI for all oral disorders in 2017 belonged to high-middle SDI countries (=80.24), and the lowest YLDs rate was seen in the low SDI quintile. In 1990, the quality of care in European, Central Asian, and Central and South American countries was in the lowest quintiles, whereas the North American, East Asian, Middle Eastern, and some African countries had the highest quality of dental care. Maynmar (=100), Uganda (=92.5), Taiwan (=92.0), China (=92.5), and the United States (=89.2) were the five countries with the highest age-standardised QCI. Nicaragua (=41.3), Belgium (=40.2), Venezuela (=38.4), Sierra Leone (=30.5), and the Gambia (=30.3) were the five countries with the least age-standardised QCI values. Conclusion: The quality of care for all oral disorders showed an increasing trend on a global scale from 1990 to 2017. However, the QCI distribution was not homogenous among various regions. To prevent the exacerbation of imminent disparities in this regard, better attention to total tooth loss in high-income countries and prioritising primary healthcare provision in low-income countries are recommended for oral disorders. © 2024, The Author(s).
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