An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population
An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population
复制标题
DOI：
10.1186/1472-6963-6-103
复制
发表时间：
2006-08-16
影响因子：
2.8
通讯作者：
Ward, Angela
中科院分区：
文献类型：
--
作者：
Albert, David A.;Sadowsky, Donald;Ward, Angela
背景：慢性疾病与牙周病有关。本研究考察了牙周治疗是否有助于改变三种慢性疾病（糖尿病（DM）、冠状动脉疾病（CAD）和脑血管疾病（CVD））的总体风险和医疗支出。方法：在2001年1月1日至2002年12月30日期间，116,306名参加优先提供者组织（PPO）保险计划并有连续牙科和医疗保险的参保人，表现出三种慢性疾病（糖尿病、冠心病或心血管疾病）之一。本研究是一项基于人群的回顾性队列研究。医疗服务总费用被用作总体疾病负担的替代指标。医疗费用按每个会员每月（PMPM）美元计算，按与《国际疾病分类第9版》（ICD-9）代码本相对应的诊断汇总所有医疗支出。为了控制每组总体疾病负担的差异，使用对称健康数据系统公司先前计算的回顾性风险评分。发作风险组T （ERGs）用于不同牙科服务组的DM、CAD或CVD诊断组，包括；牙周治疗（牙周炎或牙龈炎），牙齿维护服务（DMS），其他牙科服务，或到无牙科服务组。使用个人总支付金额的对数转换值对组间均值的差异进行了统计显著性检验。结果：接受牙周炎治疗的DM、CAD和CVD组的PMPM医疗费用明显高于接受牙龈炎治疗、DMS、其他牙科服务或未接受牙科服务的参选者(p
Background: Chronic medical conditions have been associated with periodontal disease. This study examined if periodontal treatment can contribute to changes in overall risk and medical expenditures for three chronic conditions [ Diabetes Mellitus (DM), Coronary Artery Disease ( CAD), and Cerebrovascular Disease (CVD)].Methods: 116,306 enrollees participating in a preferred provider organization (PPO) insurance plan with continuous dental and medical coverage between January 1, 2001 and December 30, 2002, exhibiting one of three chronic conditions ( DM, CAD, or CVD) were examined. This study was a population-based retrospective cohort study. Aggregate costs for medical services were used as a proxy for overall disease burden. The cost for medical care was measured in Per Member Per Month (PMPM) dollars by aggregating all medical expenditures by diagnoses that corresponded to the International Classification of Diseases, 9(th) Edition, (ICD-9) codebook. To control for differences in the overall disease burden of each group, a previously calculated retrospective risk score utilizing Symmetry Health Data Systems, Inc. Episode Risk Groups T (ERGs) were utilized for DM, CAD or CVD diagnosis groups within distinct dental services groups including; periodontal treatment ( periodontitis or gingivitis), dental maintenance services (DMS), other dental services, or to a no dental services group. The differences between group means were tested for statistical significance using log-transformed values of the individual total paid amounts.Results: The DM, CAD and CVD condition groups who received periodontitis treatment incurred significantly higher PMPM medical costs than enrollees who received gingivitis treatment, DMS, other dental services, or no dental services ( p