Effect of periodontal treatment on diabetes-related healthcare costs: a retrospective study.
Effect of periodontal treatment on diabetes-related healthcare costs: a retrospective study.
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牙周治疗对与糖尿病相关的医疗保健成本的影响：一项回顾性研究。
DOI：
10.1136/bmjdrc-2020-001666
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发表时间：
2020-10
影响因子：
4.1
通讯作者：
Kalmus O
中科院分区：
文献类型：
--
作者：
Smits KPJ;Listl S;Plachokova AS;Van der Galien O;Kalmus O
牙周炎被认为是糖尿病的第六大并发症。这项研究的目的是评估牙周治疗对糖尿病患者与糖尿病相关的医疗费用的影响。利用荷兰一家健康保险公司独特的大规模索赔数据，进行了回溯性分析。提取了一组成年人的数据，这些成年人在2012-2018年间连续参加了额外的牙科保险。2012年至少有一项与糖尿病相关的治疗申请的个人被纳入分析。评估了一系列具有患者水平固定效应的面板数据回归模型，以评估牙周治疗对糖尿病相关医疗费用的影响。共有41名 598名糖尿病患者(年龄范围为18-100岁，其中45.7%为女性)进入最终分析。2012年，每个患者与糖尿病相关的医疗成本中值为每季度38.45%欧元(IQR为11.52%-263.14欧元)，包括诊断、治疗、药物和住院成本。固定效应模型显示，与不进行牙周治疗相比，牙周治疗后每季度糖尿病相关的医疗费用降低了12.03欧元(95%CI−为15.77欧元至−为8.29欧元)。牙周炎是糖尿病的一种可能并发症，在糖尿病治疗中应给予适当的重视。这项研究的结果为糖尿病患者通过牙周治疗减轻经济负担提供了确凿的证据。
Periodontitis has been considered a sixth complication of diabetes. The aim of this study was to assess the impact of periodontal treatment on diabetes-related healthcare costs in patients with diabetes. A retrospective analysis was done, exploiting unique and large-scale claims data of a Dutch health insurance company. Data were extracted for a cohort of adults who had been continuously insured with additional dental coverage for the years 2012–2018. Individuals with at least one diabetes-related treatment claim in 2012 were included for analysis. A series of panel data regression models with patient-level fixed effects were estimated to assess the impact of periodontal treatment on diabetes-related healthcare costs. A total of 41 598 individuals with diabetes (age range 18–100 years; 45.7% female) were included in the final analyses. The median diabetes-related healthcare costs per patient in 2012 were €38.45 per quarter (IQR €11.52–€263.14), including diagnoses, treatment, medication and hospitalization costs. The fixed effect models showed €12.03 (95% CI −€15.77 to −€8.29) lower diabetes-related healthcare costs per quarter of a year following periodontal treatment compared with no periodontal treatment. Periodontitis, a possible complication of diabetes, should receive appropriate attention in diabetes management. The findings of this study provide corroborative evidence for reduced economic burdens due to periodontal treatment in patients with diabetes.
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自1980年以来，糖尿病的全球趋势：对751个基于人群的研究的共同分析，有440万参与者。
DOI：
10.1016/s0140-6736(16)00618-8
发表时间：
2016-04-09
期刊：
Lancet (London, England)
影响因子：
--
作者：
NCD Risk Factor Collaboration (NCD-RisC)
通讯作者：
NCD Risk Factor Collaboration (NCD-RisC)
影响因子：
5.1
作者：
Borgnakke, Wenche S.
通讯作者：
Borgnakke, Wenche S.
影响因子：
1.2
作者：
Peng, Chiung-Huei;Yang, Yi-Sun;Huang, Chien-Ning
通讯作者：
Huang, Chien-Ning
影响因子：
3.7
作者：
Mizuno H;Ekuni D;Maruyama T;Kataoka K;Yoneda T;Fukuhara D;Sugiura Y;Tomofuji T;Wada J;Morita M
通讯作者：
Morita M
影响因子：
6.7
作者：
Van der Velden, Ubele
通讯作者：
Van der Velden, Ubele