| アブストラクト | ObjectiveTo characterize diagnosis-specific structures and temporal trajectories of medical and dental healthcare utilization for cleft-related conditions using a nationwide claims database in Japan.DesignNationwide retrospective cross-sectional observational study.SettingAnalysis of Japan's National Database of Health Insurance Claims and Specific Health Checkups for 2019.Patients, ParticipantsWe analyzed 52,326 patients with cleft palate (CP), cleft lip and palate (CLAP), cleft lip and alveolus (CLA), and cleft lip (CL) who generated insurance claims during the study period.InterventionsNone.Main Outcome Measure(s)We compared distributions of medical and dental visits by diagnosis and calculated diagnosis-specific dental-to-medical visit ratios. Differences were assessed using chi-square tests with effect size estimated by Cramer's V. Temporal differences in utilization were evaluated by calculating weighted mean age based on age group-specific visits for medical and dental care.ResultsA significant association was observed between diagnosis and type of care (chi-square test, P < 0.001; effect size by Cramer's V). Dental visits predominated among patients with CLAP and CLA, whereas medical visits were relatively more frequent among those with CP and CL. The dental-to-medical visit ratio exceeded 1.0 in CLAP and CLA but remained below 1.0 in CP and CL. Across all diagnoses, weighted mean age for dental visits was higher than that for medical visits, indicating a shift from early medical care to sustained dental care; this shift was most pronounced in CLAP.ConclusionsDiagnosis-specific differences exist in the structure and temporal dynamics of medical and dental care among patients with cleft-related conditions. |
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| ジャーナル名 | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association |
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| Pubmed追加日 | 2026/7/3 |
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| 投稿者 | Kuwajima, Yukinori; Ueda, Akane; Tanaka, Hiroyuki; Honda, Takayuki; Ishikawa-Nagai, Shigemi; Satoh, Kazuro |
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| 組織名 | Division of Orthodontics, Department of Developmental Oral Health Science, School;of Dentistry, Iwate Medical University, Morioka, Japan. RINGGOLD: 12833;NTT DATA Japan CORPORATION, Tokyo, Japan. RINGGOLD: 13491;Department of Plastic and Reconstructive Surgery, School of Medicine, Iwate;Medical University, Shiwa, Japan. RINGGOLD: 12833;Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of;Dental Medicine, Harvard University, Boston, USA. RINGGOLD: 124048 |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/42396868/ |
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