Department of Dentistry - Quality and Safety of Oral Healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
Department of Dentistry - Quality and Safety of Oral Healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
BMJ Open Diabetes Res Care. 2020 Oct;8(1). doi: 10.1136/bmjdrc-2020-001666.
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.
牙周炎被认为是糖尿病的第六种并发症。本研究旨在评估牙周治疗对糖尿病患者相关医疗保健费用的影响。
本研究进行了回顾性分析，利用了一家荷兰健康保险公司独特且大规模的索赔数据。数据提取自 2012-2018 年连续投保附加牙科保险的成年人队列。纳入分析的个体在 2012 年至少有一次与糖尿病相关的治疗索赔。使用患者水平固定效应的一系列面板数据回归模型来评估牙周治疗对糖尿病相关医疗保健费用的影响。
共有 41598 名患有糖尿病的个体（年龄范围 18-100 岁；女性占 45.7%）纳入最终分析。2012 年每位患者的糖尿病相关医疗保健费用中位数为每季度 38.45 欧元（四分位距 [IQR] 11.52-263.14 欧元），包括诊断、治疗、药物和住院费用。固定效应模型显示，与未进行牙周治疗相比，牙周治疗后每季度的糖尿病相关医疗保健费用降低了 12.03 欧元（95%置信区间 [CI] -15.77 至 -8.29 欧元）。
牙周炎是糖尿病的一种可能并发症，在糖尿病管理中应给予适当关注。本研究的结果为牙周治疗可降低糖尿病患者的经济负担提供了佐证证据。
