Journal of Prevention and Treatment for Stomatological Diseases ›› 2020, Vol. 28 ›› Issue (12): 785-790.DOI: 10.12016/j.issn.2096-1456.2020.12.006

• Clinical Study • Previous Articles     Next Articles

Big data analysis of patients with periodontitis and factors influencing treatment behavior

HU Congjiao(),MAO Feifei(),WU Ying,FENG Yanhuizhi,ZHOU Min,LUO Lijun()   

  1. Department of Periodontology, the Affiliated Stomatology Hospital of Tongji University, Shanghai 200072, China
  • Received:2020-05-07 Revised:2020-06-06 Online:2020-12-20 Published:2020-11-10
  • Contact: Lijun LUO

牙周炎患者诊疗行为影响因素的大数据分析

胡琮佼(),茅飞飞(),武影,冯妍慧芝,周敏,罗礼君()   

  1. 同济大学附属口腔医院牙周病科,上海(200072)
  • 通讯作者: 罗礼君
  • 作者简介:胡琮佼,医师,硕士,Email:hucongjiao@163.com|茅飞飞,医师,硕士,Email:ffmao@zju.edu.cn
  • 基金资助:
    上海市卫生和计划生育委员会科研课题(青年项目)(20184Y0131)

Abstract:

Objective To study patient-related information and factors altering their decision making in periodontal treatment and treatment behavior via big data analysis of the electronic medical records and to guide better dental care service and improve periodontal treatment. Methods A retrospective study was performed in patients with periodontitis who visited the Affiliated Stomatological Hospital of Tongji University from 2014 to 2016. Based on the periodontal sequence treatment procedure, the treatment types were divided into six groups and were analyzed using multivariable regression analysis. Chi-square test was performed according to gender and age. Results Age, payment method, disease severity, exhibited statistically significant differences regarding their effects on patients’ treatment behavior (P < 0.05). Men were more likely to have severe periodontitis than women (male 41.04%; female 31.85%), and use medical insurance more often as payment method (male 86.14%; female 83.74%) (P < 0.05). Compared with the population under 35 years old, moderate and severe periodontitis accounted for a larger proportion (84.58%) in the population over 35 years old. The compliance of the population over 35 years old was poor. Less follow-up reviews were conducted (17.10%) and medical insurance was less often used (49.65%) in this population. The differences were statistically significant (P < 0.05). Conclusion Moderate and severe periodontitis accounted for a larger proportion in the population over 35 years old. Patients over 35 years old tend to choose simpler treatments with lower compliance and frequency of revisits. This situation may be related to the lower proportion of medicare use in this population. The awareness and compliance of periodontal treatment protocols in people over 35 years old needs to be improved.

Key words: periodontitis, initial therapy, periodontal surgery, electronic medical record, big data, medical insurance, treatment behavior, compliance

摘要:

目的 通过提取电子诊疗系统中牙周炎患者相关信息的大数据进行研究,分析牙周炎患者个体状况及影响其诊疗行为的因素,为后续改进牙周医疗服务、提高牙周炎患者治疗效果提供基础。方法 回顾性研究2014年~2016年于同济大学附属口腔医院就诊的牙周炎患者信息。根据牙周序列治疗程序,将所接受的治疗分为6种情况,应用多元回归分析影响诊疗行为的因素,应用卡方检验比较年龄及性别对诊疗行为的影响。结果 年龄、支付方式、疾病严重程度对诊疗行为影响的差异具有统计学意义(P<0.05)。男性较女性更易患重度牙周炎(男性41.04%;女性31.85%),同时更多使用医保作为支付方式(男性86.14%;女性83.74%)(P<0.05)。相较于35岁以下人群,中重度牙周炎在35岁以上人群中占比更大(84.58%),35岁以上人群依从性较差,后续接受复查(17.10%)更少,使用医保支付比例低(49.65%),且差异均有统计学意义(P<0.05)。结论 35岁以上人群中重度牙周炎占比较高,倾向于选择更简单的治疗,依从性不高,治疗后的复查频率低,该情况与该人群使用医保支付比例低有关,35岁以上人群牙周治疗意识及依从性有待提高。

关键词: 牙周炎, 基础治疗, 牙周手术治疗, 电子诊疗记录, 大数据, 医保, 诊疗行为, 依从性

CLC Number: