{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T19:02:36Z","timestamp":1775242956601,"version":"3.50.1"},"reference-count":58,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T00:00:00Z","timestamp":1659052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nursing home (NH) residents seek care at dental offices, yet many of them are at the end of life. The uncertain life expectancy further complicates the care of NH residents. This study aimed to develop and validate a Nursing Home Mortality Index (NHMI) to identify NH residents in the last year of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Logistic modeling was used to develop predictive models for death within 1 year after initial appointment by utilizing the new patient examination data and mortality data of 903 Minnesota NH residents. The final model was selected based on areas under the curve (AUC) and then validated using data from 586 Iowa NH residents. Based on the final model, the NHMI was developed with the estimated 1\u2010year mortality for the low, medium and high risk group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One\u2010year mortalities were 21% and 26% in the development and validation cohorts, respectively. Predictors included age, gender, communication capacity, physical mobility, congestive heart failure, peripheral vascular disease, cancer, cerebrovascular disease, chronic renal disease and liver disease. AUCs for the development and validation models were 0.73 and 0.68, respectively. For the validation cohort, the sensitivity and specificity were 0.79 and 0.53, respectively. The estimated 1\u2010year mortality risks for three risk groups were 0%\u201310%, 11%\u201319%, and \u226520%, respectively<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The high mortality rate of NH residents following a dental exam highlighted a need to incorporate patients\u2019 prognoses in treatment planning along with normative needs and patients\u2019 preferences. The NHMI provides a practical way to guide treatment decisions for end\u2010of\u2010life NH residents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12758","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T13:42:19Z","timestamp":1659102139000},"page":"125-135","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Development and validation of a nursing home mortality index to identify nursing home residents nearing the end of life in dental clinics"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2821-0726","authenticated-orcid":false,"given":"Xi","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Preventive and Community Dentistry, College of Dentistry University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Caplan","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, College of Dentistry University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carissa L.","family":"Comnick","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, College of Public Health University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9801-7462","authenticated-orcid":false,"given":"Jennifer","family":"Hartshorn","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, College of Dentistry University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen K","family":"Shuman","sequence":"additional","affiliation":[{"name":"Department of Developmental and Surgical Sciences, School of Dentistry University of Minnesota  Minneapolis USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xian\u2010Jin","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, College of Dentistry University of Iowa  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,29]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Long\u2010Term Care Providers and Services Users in the United States: Data from the National Study of Long\u2010Term Care Providers, 2015\u20132016","author":"National Center for Health Statistics, Prevention CfDCa","year":"2019"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0051"},{"issue":"5","key":"e_1_2_7_4_1","first-page":"419","article-title":"The development, implementation, utilization and outcomes of a comprehensive dental program for older adults residing in long\u2010term care facilities","volume":"72","author":"Wyatt CC","year":"2006","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264316686575"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.jps.0000236916.94696.12"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51060.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/61.4.P220"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/55.3.S152"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03005.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq040"},{"key":"e_1_2_7_12_1","volume-title":"Factors Associated with Dentists Involved in Nursing Home Care","author":"Rossow E","year":"2003"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2010.00170.x"},{"key":"e_1_2_7_14_1","first-page":"b21","article-title":"Dentists' perceptions of providing care in long\u2010term care facilities","volume":"77","author":"Chowdhry N","year":"2011","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.1992.tb02280.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2010.74.1.tb04853.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2008.00017.x"},{"issue":"4","key":"e_1_2_7_18_1","first-page":"295","article-title":"Preparing the pediatric dentist for palliative and end\u2010of\u2010life care","volume":"38","author":"Sarvas EW","year":"2016","journal-title":"Pediatr Dent"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18063257"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12363"},{"key":"e_1_2_7_21_1","unstructured":"WaldH HallKK FitallE.Patient safety in frail older patients.2019.https:\/\/psnet.ahrq.gov\/perspective\/patient\u2010safety\u2010frail\u2010older\u2010patients. Accessed March 1 2021."},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzt056"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx081"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14182"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.18.2387"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.08.017"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-78724-1"},{"key":"e_1_2_7_28_1","volume-title":"Risk Modeling for Root Caries and Mortality in Older Adults","author":"Mauriello SM","year":"2004"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2012.12.011"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1572"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq120"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2013-000488"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2005.8.503"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02294361"},{"issue":"10","key":"e_1_2_7_36_1","first-page":"424","article-title":"Oral care for hospice patients with advanced cancer","volume":"22","author":"Sweeney MP","year":"1995","journal-title":"Dent Update"},{"issue":"5","key":"e_1_2_7_37_1","first-page":"453","article-title":"The treatment of oral problems in the palliative patient","volume":"72","author":"Wiseman M","year":"2006","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13240"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1992"},{"issue":"7","key":"e_1_2_7_40_1","first-page":"1","article-title":"United States life tables, 2017","volume":"68","author":"Arias E","year":"2019","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.11.007"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0907-4"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.160775"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1404684"},{"key":"e_1_2_7_45_1","volume-title":"Perceived Oral Care Needs of Terminally Ill Adults \u2013 A Qualitative Needs of Terminally Ill Adults \u2013 A Qualitative Investigation Iowa Research Online","author":"D'Souza V","year":"2019"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211007449"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2010.16.9.78638"},{"issue":"8","key":"e_1_2_7_48_1","first-page":"4","article-title":"Mouth care\u2014How important is it?","volume":"18","author":"C H","year":"2004","journal-title":"J Community Nurs"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005200050005"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.14.1665"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23476"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137315"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12316"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkn041"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2734"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-11-86"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.01.004"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585979601200102"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.56.2.84"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12758","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.12758","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12758","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T04:21:25Z","timestamp":1692678085000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.12758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,29]]},"references-count":58,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/scd.12758"],"URL":"https:\/\/doi.org\/10.1111\/scd.12758","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,29]]},"assertion":[{"value":"2022-01-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}