The impact of periodontal treatment on healthcare costs in newly diagnosed diabetes patients: Evidence from a German claims database
The impact of periodontal treatment on healthcare costs in newly diagnosed diabetes patients: Evidence from a German claims database
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DOI：
10.1016/j.diabres.2020.108641
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发表时间：
2021-01-15
影响因子：
5.1
通讯作者：
Schubert, Ingrid
中科院分区：
文献类型：
--
作者：
Blaschke, Katja;Hellmich, Martin;Schubert, Ingrid
目的：有足够的科学证据表明牙周病和糖尿病之间存在双向联系。在这种情况下，我们假设牙周治疗会降低新诊断的糖尿病患者的医疗费用，通过促进病情减轻course.Methods：共有23,771人进行了调查，他们在2011年至2016年期间连续投保德国健康保险，18岁或以上，并在2013年新诊断为糖尿病。研究人群分为牙周治疗组和对照组（无牙周治疗）。牙周治疗对各种类型的医疗费用（住院，门诊，药品费用）的平均治疗效果进行了分析，由一个双重强大的方法。结果：最后，5.3%的研究人群可以被分配到治疗组。在接受牙周治疗的新诊断糖尿病患者中，（0.96，95%CI 0.89; 1.04），住院费用（0.87，95%CI 0.69; 1.08），糖尿病相关药物费用（0.93，95%CI 0.84; 1.03）和其他药物费用（0.97，95%CI 0.89; 1.05）。结论：这项研究为糖尿病患者的牙周治疗降低了医疗费用提供了证据。预计糖尿病特有的并发症和住院治疗会减少。(c)2021爱思唯尔有限公司版权所有。
Aims: There is sufficient scientific evidence for the bidirectional association between periodontal diseases and diabetes. In this context, we hypothesized that periodontal treatment leads to lower healthcare costs in newly diagnosed diabetes patients by promoting a milder disease course.Methods: A total of 23,771 persons were investigated who were continuously insured by German health insurances between 2011 and 2016, 18 years or older, and newly diagnosed with diabetes in 2013. The study population was divided into a periodontal treatment and control group (no periodontal treatment). The average treatment effect of a periodontal treatment on various types of healthcare costs (inpatient, outpatient, drug costs) was analyzed by a doubly robust method.Results: Finally, 5.3% of the study population could be assigned to the treatment group. In newly diagnosed diabetes patients with periodontal treatment, a reduction in total healthcare costs (0.96, 95%CI 0.89; 1.04), inpatient costs (0.87, 95%CI 0.69; 1.08), diabetes-related drug costs (0.93, 95%CI 0.84; 1.03) and other drug costs (0.97, 95%CI 0.89; 1.05) could be shown compared to the control group.Conclusions: This study provides evidence that periodontal treatment for diabetes patients reduces healthcare costs. Fewer diabetes-specific complications and hospitalizations are expected.(c) 2021 Elsevier B.V. All rights reserved.