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Patterns of oral disease in adults with chronic kidney disease treated with hemodialysis

Overview of attention for article published in Nephrology Dialysis Transplantation, December 2015
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Title
Patterns of oral disease in adults with chronic kidney disease treated with hemodialysis
Published in
Nephrology Dialysis Transplantation, December 2015
DOI 10.1093/ndt/gfv413
Pubmed ID
Authors

Suetonia C. Palmer, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, Pauline Ford, David W. Johnson, Marcello Tonelli, Patrizia Natale, Valeria Saglimbene, Fabio Pellegrini, Eduardo Celia, Ruben Gelfman, Miguel R. Leal, Marietta Torok, Paul Stroumza, Luc Frantzen, Anna Bednarek-Skublewska, Jan Dulawa, Domingo del Castillo, Amparo G. Bernat, Jorgen Hegbrant, Charlotta Wollheim, Staffan Schon, Letizia Gargano, Casper P. Bots, Giovanni F.M. Strippoli

Abstract

Oral disease is a potentially treatable determinant of mortality and quality of life. No comprehensive multinational study to quantify oral disease burden and to identify candidate preventative strategies has been performed in the dialysis setting. The ORAL disease in hemoDialysis (ORALD) study was a prospective study in adults treated with hemodialysis in Europe (France, Hungary, Italy, Poland, Portugal and Spain) and Argentina. Oral disease was assessed using standardized WHO methods. Participants self-reported oral health practices and symptoms. Sociodemographic and clinical factors associated with oral diseases were determined and assessed within nation states. Of 4726 eligible adults, 4205 (88.9%) participated. Overall, 20.6% were edentulous [95% confidence interval (CI), 19.4-21.8]. Participants had on average 22 (95% CI 21.7-22.2) decayed, missing or filled teeth, while moderate to severe periodontitis affected 40.6% (95% CI 38.9-42.3). Oral disease patterns varied markedly across countries, independent of participant demographics, comorbidity and health practices. Participants in Spain, Poland, Italy and Hungary had the highest mean adjusted odds of edentulousness (2.31, 1.90, 1.90 and 1.54, respectively), while those in Poland, Hungary, Spain and Argentina had the highest odds of ≥14 decayed, missing or filled teeth (23.2, 12.5, 8.14 and 5.23, respectively). Compared with Argentina, adjusted odds ratios for periodontitis were 58.8, 58.3, 27.7, 12.1 and 6.30 for Portugal, Italy, Hungary, France and Poland, respectively. National levels of tobacco consumption, diabetes and child poverty were associated with edentulousness within countries. Oral disease in adults on hemodialysis is very common, frequently severe and highly variable among countries, with much of the variability unexplained by participant characteristics or healthcare. Given the national variation and high burden of disease, strategies to improve oral health in hemodialysis patients will require implementation at a country level rather than at the level of individuals.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 116 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 2%
Portugal 1 <1%
Unknown 113 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 13%
Student > Postgraduate 12 10%
Student > Bachelor 11 9%
Student > Ph. D. Student 9 8%
Student > Doctoral Student 8 7%
Other 25 22%
Unknown 36 31%
Readers by discipline Count As %
Medicine and Dentistry 59 51%
Nursing and Health Professions 5 4%
Pharmacology, Toxicology and Pharmaceutical Science 4 3%
Psychology 2 2%
Social Sciences 2 2%
Other 6 5%
Unknown 38 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 October 2016.
All research outputs
#14,864,294
of 22,893,031 outputs
Outputs from Nephrology Dialysis Transplantation
#4,588
of 5,969 outputs
Outputs of similar age
#218,606
of 392,917 outputs
Outputs of similar age from Nephrology Dialysis Transplantation
#51
of 73 outputs
Altmetric has tracked 22,893,031 research outputs across all sources so far. This one is in the 33rd percentile – i.e., 33% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,969 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.1. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 392,917 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 73 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.