Question · asked by 1 review

Primary dental health aide (PDHA) service-delivery models (PDHA program; PDHA + intensive staffing; PDHA + robust prevention) vs Baseline pre-intervention service-delivery scenario: Projected Significant Caries (SiC) index

Population
Alaska Native children (below age 18)
Intervention
Primary dental health aide (PDHA) service-delivery models (PDHA program; PDHA + intensive staffing; PDHA + robust prevention)
Comparison
Baseline pre-intervention service-delivery scenario
Outcome
Projected Significant Caries (SiC) index

A simulation projected a 50% drop in the Significant Caries index for children (12.3 to 6.1) under the PDHA model (certainty not graded).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 2 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Primary dental health aide (PDHA) service-delivery models (PDHA program; PDHA + intensive staffing; PDHA + robust prevention) vs Baseline pre-intervention service-delivery scenario
Projected Significant Caries (SiC) index · Alaska Native children (below age 18) · 20-year projection, Alaska Native communities (simulation of the Alaska Dental Health Aide program), Children overall
A simulation projected a 50% drop in the Significant Caries index for children (12.3 to 6.1) under the PDHA model (certainty not graded).
Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions… (2013) All outcomes
Significant Caries (SiC) index, children 6.11 studyGRADE not reported
Primary dental health aide (PDHA) service-delivery models (PDHA program; PDHA + intensive staffing; PDHA + robust prevention) vs Baseline pre-intervention service-delivery scenario
Projected Significant Caries (SiC) index · Alaska Native children (below age 18) · 20-year projection, Alaska Native communities (simulation of the Alaska Dental Health Aide program), 12-year-olds
A simulation projected a 70% drop in the Significant Caries index for 12-year-olds (10.5 to 3.3) under the PDHA model (certainty not graded).
Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions… (2013) All outcomes
Significant Caries (SiC) index, 12-year-olds 3.31 studyGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case study on multilevel…
2013 All outcomes
October 5, 201211Critically Low / Critically Low
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.