The Effect of Periodontal Disease on Medical and Dental Costs in a Middle-Aged Japanese Population: A Longitudinal Worksite Study

• Autores: Tsutomu Hoshuyama, Ken Takahashi, Reiko Ide
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 78, Nº. 11, 2007, págs. 2120-2126
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • The Effect of Periodontal Disease on Medical and Dental Costs in a Middle-Aged Japanese Population: A Longitudinal Worksite Study Reiko Ide,* Tsutomu Hoshuyama,† and Ken Takahashi† *Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.

    †Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan.

    Correspondence: Dr. Reiko Ide, Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan. Fax: 81-93-6012667; e-mail: r-ochide@med.uoeh-u.ac.jp.

    Background: Although periodontal disease is one of the most common chronic diseases, it is not clear whether periodontal disease is associated with increased health care costs. The authors examined the effect of periodontal disease on medical and dental costs and use for 3.5 years prospectively.

    Methods: The data were derived from health and dental examinations and health insurance claims of 4,285 Japanese civil officers aged 40 to 59 years. The subjects were divided into three categories: no pathological pocket, moderate periodontitis, and severe periodontitis. Age, gender, smoking, body mass index, and hypertension were adjusted in a multivariate analysis after excluding subjects with any history of liver disease, heart disease, or diabetes mellitus.

    Results: The cumulative cost for subjects with severe periodontitis was ∼21% higher than for subjects with no pathological pocket, and the hospital admission rates of subjects with severe periodontitis were highest (male: odds ratio [OR] =1.34; 95% confidence interval [CI]: 1.00 to 1.80; female: OR = 1.29; 95% CI: 0.75 to 2.20). In males, the annual hospital costs of subjects with severe periodontitis were 75% higher than for subjects with no pathological pocket. There was no clear trend identified for outpatient care. The annual dental visit rates and costs for subjects with severe periodontitis were highest in both genders. Periodontal disease might increase the medical care costs for diabetes mellitus, digestive disease, and liver disease.

    Conclusion: Periodontal disease may have played an important role in the cumulative health care cost increases in middle-aged adults over a period of only a few years.

    KEYWORDS: Health care costs, longitudinal study, periodontal disease Cited by Douglas B. Berkey and Frank A. Scannapieco. (2013) Medical considerations relating to the oral health of older adults. Special Care in Dentistry 33:10.1111/scd.2013.33.issue-4, 164-176.

    Online publication date: 1-Jul-2013.

    CrossRef Robert J. Genco and Wenche S. Borgnakke. (2013) Risk factors for periodontal disease. Periodontology 2000 62:10.1111/prd.2013.62.issue-1, 59-94.

    Online publication date: 1-Jun-2013.

    CrossRef A. Acharya, J. J. VanWormer, S. C. Waring, A. W. Miller, J. T. Fuehrer and G. R. Nycz. (2013) Regional Epidemiologic Assessment of Prevalent Periodontitis Using an Electronic Health Record System. American Journal of Epidemiology 177, 700-707.

    Online publication date: 1-Apr-2013.

    CrossRef Margaret N. Chapman, Rohini N. Nadgir, Andrew S. Akman, Naoko Saito, Kotaro Sekiya, Takashi Kaneda and Osamu Sakai. (2013) Periapical Lucency around the Tooth: Radiologic Evaluation and Differential Diagnosis. RadioGraphics 33, E15-E32.

    Online publication date: 1-Jan-2013.

    CrossRef Tadaaki Oshikohji, Yoshihiro Shimazaki, Takashi Shinagawa, Nao Fukui, Sumio Akifusa, Yukio Hirata and Yoshihisa Yamashita. (2011) Relationship Between Receiving a Workplace Oral Health Examination Including Oral Health Instruction and Oral Health Status in the Japanese Adult Population. Journal of Occupational Health.

    Online publication date: 1-Jan-2011.

    CrossRef Esmonde F. Corbet and W. Keung Leung. (2011) Epidemiology of periodontitis in the Asia and Oceania regions : Periodontal epidemiology. Periodontology 2000 56:1, 25.

    CrossRef Benjamin W. Chaffee and Scott J. Weston. (2010) Association Between Chronic Periodontal Disease and Obesity: A Systematic Review and Meta-Analysis. Journal of Periodontology 81:12, 1708-1724.

    Online publication date: 1-Dec-2010.