Effect of Overweight and Obesity on Periodontal Treatment Intensity and Cost

超重和肥胖对牙周治疗强度和费用的影响

• 批准号: 9893995
• 负责人: ELIZABETH A KAYE
• 金额: $ 16.5万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9893995
• 关键词: Address; Adult; Adverse effects; Affect; Age; Anti-Inflammatory Agents; Body mass index; Caring; Cellulitis; Characteristics; Clinic; Clinical; Clinical Data; Data; Data Analyses; Dental; Dental Care; Dental Insurance; Dental Schools; Diabetes Mellitus; Diagnosis; Diagnostic Procedure; Drug Prescriptions; Expenditure; Frequencies; Gingiva; Hemorrhage; Hospital Charges; Hospitalization; Hospitals; Immunity; Impairment; Incidence; Inflammatory Response; Inpatients; Knowledge; Lead; Left; Lesion; Literature; Maintenance; Measures; Medical; Medical Care Costs; Medical History; Metabolic syndrome; Non obese; Obesity; Operative Surgical Procedures; Outcome; Outcome Measure; Outpatients; Overweight; Patients; Periodontal Diseases; Periodontitis; Persons; Population; Prevalence; Procedures; Recovery; Reporting; Retrospective cohort study; Risk; Smoking Status; Surveys; Systemic infection; Time; Tooth Extraction; Tooth structure; Treatment Cost; Visit; Weight; Woman; adult obesity; antimicrobial; clinical data warehouse; comorbidity; cost; data warehouse; disorder risk; indexing; men; screening; sex; theories; treatment comparison; treatment response; trend

PROJECT SUMMARY/ABSTRACT Periodontitis affects nearly half of the adult US population and two-thirds of adults are overweight or obese. Overweight and obesity increase the risk of periodontal disease incidence and progression as well as comorbidities such as diabetes and metabolic syndrome that are strongly associated with periodontal disease risk. It is clear from the medical literature that obese persons incur more total costs for medical care, including inpatient stays, outpatient visits, diagnostic procedures, and prescription drugs than non-obese. However, data regarding adverse effects of overweight and obesity on periodontal outcomes and the excess costs they may impose on routine periodontal care are lacking. This study is a retrospective cohort study of 7,300 new periodontal patients at a large urban dental school clinic whose demographic and clinical data are housed in a data repository. The primary exposure, obesity or overweight status will be determined from heights and weights reported on a medical history screening form. Data on periodontal treatments performed and outcome measures on each tooth (probing depth, attachment loss, plaque score, tooth retention) have been recorded. We will quantify and compare periodontal disease treatment types (surgical, non-surgical, antimicrobial), frequency, clinical outcomes and costs among patients who are obese, overweight and normal weight. The results of this study will fill in gaps in our knowledge concerning the contributions of overweight and obesity to parameters of routine treatment of periodontal disease. 1

项目总结/摘要 牙周炎影响近一半的美国成年人口，三分之二的成年人超重或肥胖。 肥胖超重和肥胖会增加牙周病发病率和进展的风险， 以及合并症，如糖尿病和代谢综合征，这些疾病与 牙周病的危害从医学文献中可以清楚地看出，肥胖者的总成本更高 用于医疗护理，包括住院、门诊、诊断程序和处方 而非肥胖者。然而，关于超重和肥胖对儿童的不良影响的数据表明， 牙周病的结果和额外的费用，他们可能会强加在日常牙周护理缺乏。 这项研究是一项回顾性队列研究，7,300名新的牙周病患者在一个大型城市牙科 学校诊所，其人口统计和临床数据保存在数据存储库中。主 暴露、肥胖或超重状态将根据报告的身高和体重确定， 病史筛查表。牙周治疗的数据和结果测量 记录每颗牙齿（探测深度、附着丧失、牙菌斑评分、牙齿保持）。我们将 量化和比较牙周病治疗类型（手术，非手术，抗菌）， 肥胖、超重和正常体重患者的频率、临床结局和成本。 这项研究的结果将填补我们在超重和肥胖的贡献方面的知识空白。 牙周病的常规治疗参数。 1