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External validation and comparison of the predictive performance of 10 different tooth- level prognostic systems
dc.contributor.authorSaleh, Muhammad H. A.
dc.contributor.authorDukka, Himabindu
dc.contributor.authorTroiano, Giuseppe
dc.contributor.authorRavidà, Andrea
dc.contributor.authorGalli, Matthew
dc.contributor.authorQazi, Musa
dc.contributor.authorGreenwell, Henry
dc.contributor.authorWang, Hom‐lay
dc.date.accessioned2021-11-02T00:46:06Z
dc.date.available2022-12-01 20:46:05en
dc.date.available2021-11-02T00:46:06Z
dc.date.issued2021-11
dc.identifier.citationSaleh, Muhammad H. A.; Dukka, Himabindu; Troiano, Giuseppe; Ravidà, Andrea ; Galli, Matthew; Qazi, Musa; Greenwell, Henry; Wang, Hom‐lay (2021). "External validation and comparison of the predictive performance of 10 different tooth- level prognostic systems." Journal of Clinical Periodontology 48(11): 1421-1429.
dc.identifier.issn0303-6979
dc.identifier.issn1600-051X
dc.identifier.urihttps://hdl.handle.net/2027.42/170839
dc.description.abstractAimTooth- level prognostic systems can be used for treatment planning and risk assessment. This retrospective longitudinal study aimed to evaluate the prognostic performance of 10 different tooth- level risk assessment systems in terms of their ability to predict periodontal- related tooth loss (TLP).Materials and methodsData were retrieved retrospectively from patients who received surgical and non- surgical periodontal treatment. Data on medical history and smoking status at baseline and the last maintenance visit were collected. Ten tooth- level prognostic systems were compared using both univariate and multivariate Cox proportional hazard regression models to analyse the prognostic capability of each system for predicting TLP risk.ResultsOne- hundred and forty- eight patients with 3787 teeth, followed- up for a mean period of 26.5 ±- 7.4- years, were evaluated according to 10 different tooth- level prognostic systems, making up a total of 37,870 individual measurements. All compared prognostic systems were able to stratify the risk of TLP at baseline when different classes of association were compared. After controlling for maintenance, age, and gender, all systems exhibited excellent predictive capacity for TLP with no system scoring a Harrell’s C- index less than 0.925.ConclusionsAll tooth- level prognostic systems displayed excellent predictive capability for TLP. Overall, the Miller and McEntire system may have shown the best discrimination and model fit, followed by the Nunn et al. system.
dc.publisherBlackwell Publishing Ltd
dc.publisherWiley Periodicals, Inc.
dc.subject.otherattachment loss
dc.subject.otherperiodontitis
dc.subject.otherrisk factor assessment
dc.subject.othertooth loss
dc.subject.othervalidation study
dc.titleExternal validation and comparison of the predictive performance of 10 different tooth- level prognostic systems
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/170839/1/jcpe13542_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/170839/2/jcpe13542.pdf
dc.identifier.doi10.1111/jcpe.13542
dc.identifier.sourceJournal of Clinical Periodontology
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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