Long term comparison of the prognostic performance of PerioRisk, periodontal risk assessment, periodontal risk calculator, and staging and grading systems

Background Clinicians predominantly use personal judgment for risk assessment. Periodontal risk assessment tools (PRATs) provide an effective and logical system to stratify patients based on their individual treatment needs. This retrospective longitudinal study aimed to validate the association of...

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Veröffentlicht in:Journal of periodontology (1970) 2022-01, Vol.93 (1), p.57-68
Hauptverfasser: Saleh, Muhammad H. A., Dukka, Himabindu, Troiano, Giuseppe, Ravidà, Andrea, Qazi, Musa, Wang, Hom‐Lay, Greenwell, Henry
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container_end_page 68
container_issue 1
container_start_page 57
container_title Journal of periodontology (1970)
container_volume 93
creator Saleh, Muhammad H. A.
Dukka, Himabindu
Troiano, Giuseppe
Ravidà, Andrea
Qazi, Musa
Wang, Hom‐Lay
Greenwell, Henry
description Background Clinicians predominantly use personal judgment for risk assessment. Periodontal risk assessment tools (PRATs) provide an effective and logical system to stratify patients based on their individual treatment needs. This retrospective longitudinal study aimed to validate the association of different risk categories of four PRATs (Staging and grading; Periodontal Risk Assessment (PRA); Periodontal Risk Calculator; and PerioRisk) with periodontal related tooth loss (TLP), and to compare their prognostic performance. Methods Data on medical history, smoking status, and clinical periodontal parameters were retrieved from patients who received surgical and non‐surgical periodontal treatment. A comparison of the rate of TLP and non‐periodontal related tooth loss (TLO) within the risk tool classes were performed by means of Kruskal‐Wallis test followed by post‐hoc comparison with the Bonferroni test. Both univariate and multivariate Cox Proportional hazard regression models were built to analyze the prognostic significance for each single risk assessment tool class on TLP. Results A total of 167 patients with 4321 teeth followed up for a mean period of 26 years were assigned to four PRATs. PerioRisk class 5 had a hazard ratio of 18.43, Stage 4 had a hazard ratio of 7.99, and PRA class 3 had a hazard ratio of 6.13 compared with class/stage I. With respect to prognostic performance, PerioRisk tool demonstrated the best discrimination and model fit followed by PRA. Conclusion All PRATs displayed very good predictive capability of TLP. PerioRisk showed the best discrimination and model fit, followed by PRA.
doi_str_mv 10.1002/JPER.20-0662
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A. ; Dukka, Himabindu ; Troiano, Giuseppe ; Ravidà, Andrea ; Qazi, Musa ; Wang, Hom‐Lay ; Greenwell, Henry</creator><creatorcontrib>Saleh, Muhammad H. A. ; Dukka, Himabindu ; Troiano, Giuseppe ; Ravidà, Andrea ; Qazi, Musa ; Wang, Hom‐Lay ; Greenwell, Henry</creatorcontrib><description>Background Clinicians predominantly use personal judgment for risk assessment. Periodontal risk assessment tools (PRATs) provide an effective and logical system to stratify patients based on their individual treatment needs. This retrospective longitudinal study aimed to validate the association of different risk categories of four PRATs (Staging and grading; Periodontal Risk Assessment (PRA); Periodontal Risk Calculator; and PerioRisk) with periodontal related tooth loss (TLP), and to compare their prognostic performance. Methods Data on medical history, smoking status, and clinical periodontal parameters were retrieved from patients who received surgical and non‐surgical periodontal treatment. A comparison of the rate of TLP and non‐periodontal related tooth loss (TLO) within the risk tool classes were performed by means of Kruskal‐Wallis test followed by post‐hoc comparison with the Bonferroni test. Both univariate and multivariate Cox Proportional hazard regression models were built to analyze the prognostic significance for each single risk assessment tool class on TLP. Results A total of 167 patients with 4321 teeth followed up for a mean period of 26 years were assigned to four PRATs. PerioRisk class 5 had a hazard ratio of 18.43, Stage 4 had a hazard ratio of 7.99, and PRA class 3 had a hazard ratio of 6.13 compared with class/stage I. With respect to prognostic performance, PerioRisk tool demonstrated the best discrimination and model fit followed by PRA. Conclusion All PRATs displayed very good predictive capability of TLP. PerioRisk showed the best discrimination and model fit, followed by PRA.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1002/JPER.20-0662</identifier><identifier>PMID: 33914347</identifier><language>eng</language><publisher>United States</publisher><subject>attachment loss ; Humans ; Longitudinal Studies ; periodontal ; periodontitis ; Periodontitis - therapy ; Prognosis ; Retrospective Studies ; Risk Assessment ; risk factor assessment ; Tooth Loss ; validation study</subject><ispartof>Journal of periodontology (1970), 2022-01, Vol.93 (1), p.57-68</ispartof><rights>2021 American Academy of Periodontology</rights><rights>2021 American Academy of Periodontology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3733-fa55116198e665fa2f1a0f89fab50021c3ecafa1326e4988a980bd706455591f3</citedby><cites>FETCH-LOGICAL-c3733-fa55116198e665fa2f1a0f89fab50021c3ecafa1326e4988a980bd706455591f3</cites><orcidid>0000-0001-5647-4414 ; 0000-0003-4238-1799 ; 0000-0001-5067-7317 ; 0000-0002-3029-8130</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2FJPER.20-0662$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2FJPER.20-0662$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33914347$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saleh, Muhammad H. A.</creatorcontrib><creatorcontrib>Dukka, Himabindu</creatorcontrib><creatorcontrib>Troiano, Giuseppe</creatorcontrib><creatorcontrib>Ravidà, Andrea</creatorcontrib><creatorcontrib>Qazi, Musa</creatorcontrib><creatorcontrib>Wang, Hom‐Lay</creatorcontrib><creatorcontrib>Greenwell, Henry</creatorcontrib><title>Long term comparison of the prognostic performance of PerioRisk, periodontal risk assessment, periodontal risk calculator, and staging and grading systems</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background Clinicians predominantly use personal judgment for risk assessment. Periodontal risk assessment tools (PRATs) provide an effective and logical system to stratify patients based on their individual treatment needs. This retrospective longitudinal study aimed to validate the association of different risk categories of four PRATs (Staging and grading; Periodontal Risk Assessment (PRA); Periodontal Risk Calculator; and PerioRisk) with periodontal related tooth loss (TLP), and to compare their prognostic performance. Methods Data on medical history, smoking status, and clinical periodontal parameters were retrieved from patients who received surgical and non‐surgical periodontal treatment. A comparison of the rate of TLP and non‐periodontal related tooth loss (TLO) within the risk tool classes were performed by means of Kruskal‐Wallis test followed by post‐hoc comparison with the Bonferroni test. Both univariate and multivariate Cox Proportional hazard regression models were built to analyze the prognostic significance for each single risk assessment tool class on TLP. Results A total of 167 patients with 4321 teeth followed up for a mean period of 26 years were assigned to four PRATs. PerioRisk class 5 had a hazard ratio of 18.43, Stage 4 had a hazard ratio of 7.99, and PRA class 3 had a hazard ratio of 6.13 compared with class/stage I. With respect to prognostic performance, PerioRisk tool demonstrated the best discrimination and model fit followed by PRA. Conclusion All PRATs displayed very good predictive capability of TLP. 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A.</creatorcontrib><creatorcontrib>Dukka, Himabindu</creatorcontrib><creatorcontrib>Troiano, Giuseppe</creatorcontrib><creatorcontrib>Ravidà, Andrea</creatorcontrib><creatorcontrib>Qazi, Musa</creatorcontrib><creatorcontrib>Wang, Hom‐Lay</creatorcontrib><creatorcontrib>Greenwell, Henry</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saleh, Muhammad H. 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subjects attachment loss
Humans
Longitudinal Studies
periodontal
periodontitis
Periodontitis - therapy
Prognosis
Retrospective Studies
Risk Assessment
risk factor assessment
Tooth Loss
validation study
title Long term comparison of the prognostic performance of PerioRisk, periodontal risk assessment, periodontal risk calculator, and staging and grading systems
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