Periodontal treatment and peripheral arterial disease severity - a retrospective analysis of health insurance claims data

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Periodontal treatment and peripheral arterial disease severity - a retrospective analysis of health insurance claims data. / Aarabi, Ghazal; Raedel, Michael; Kreutzburg, Thea; Hischke, Sandra; Debus, Eike Sebastian; Marschall, Ursula; Seedorf, Udo; Behrendt, Christian-Alexander.

in: VASA, Jahrgang 49, Nr. 2, 24.02.2020, S. 128-132.

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@article{9821da2a95ca4c7ea45bf6ac9c391018,
title = "Periodontal treatment and peripheral arterial disease severity - a retrospective analysis of health insurance claims data",
abstract = "Background: Although epidemiological data suggest an association between periodontitis (PD) and peripheral arterial disease (PAD), it is currently unclear whether treatment of PD influences the severity of PAD. Patients and methods: Whether periodontal treatment is associated with PAD disease severity was examined by analysing health insurance claims data of patients insured by the German health insurance fund, BARMER, between January 1, 2012 and December 31, 2016. The presence of PAD was determined in individuals using International Classification of Diseases (ICD) 10th revision codes for intermittent claudication (IC) or chronic limb threatening ischaemia (CLTI). Treatment of PD was assessed by adequate ambulatory coding for non-surgical and surgical treatment of PD. Multivariate logistic regression analysis was performed to evaluate the association between PAD stages and periodontal treatment, adjusted for diabetes, age and sex. Results: The study cohort included 70,944 hospitalized patients with a diagnosis of symptomatic PAD (54.99 % women, 49.05 % IC). Among these patients, 3,567 (5.03 %) had received prior treatment for PD by supra- or sub-gingival debridement. PAD patients who had received periodontal treatment showed a lower proportion of CLTI (28.76 % among treated vs. 52.12 % among non-treated). Using multivariable regression methods, exhibiting a CLTI (vs. IC) was associated with not being treated for PD (Odds Ratio 1.97, 95 %-CI 1.83-2.13) after adjustment for age, gender, and diabetes. Conclusions: In this large-scale retrospective analysis of health insurance claims data comprising hospitalized symptomatic PAD patients, treatment of PD was associated with PAD disease severity independent of age, gender and diabetes. A potential benefit of periodontal treatment in relation to PAD will have to be determined in further prospective studies.",
keywords = "PAD, PD, Peripheral artery disease, gum disease, lower extremity artery disease, periodontitis, Prospective Studies, Humans, Risk Factors, Male, Peripheral Arterial Disease, Female, Retrospective Studies, Insurance, Health",
author = "Ghazal Aarabi and Michael Raedel and Thea Kreutzburg and Sandra Hischke and Debus, {Eike Sebastian} and Ursula Marschall and Udo Seedorf and Christian-Alexander Behrendt",
year = "2020",
month = feb,
day = "24",
doi = "10.1024/0301-1526/a000846",
language = "English",
volume = "49",
pages = "128--132",
journal = "VASA",
issn = "0301-1526",
publisher = "Verlag Hans Huber",
number = "2",

}

RIS

TY - JOUR

T1 - Periodontal treatment and peripheral arterial disease severity - a retrospective analysis of health insurance claims data

AU - Aarabi, Ghazal

AU - Raedel, Michael

AU - Kreutzburg, Thea

AU - Hischke, Sandra

AU - Debus, Eike Sebastian

AU - Marschall, Ursula

AU - Seedorf, Udo

AU - Behrendt, Christian-Alexander

PY - 2020/2/24

Y1 - 2020/2/24

N2 - Background: Although epidemiological data suggest an association between periodontitis (PD) and peripheral arterial disease (PAD), it is currently unclear whether treatment of PD influences the severity of PAD. Patients and methods: Whether periodontal treatment is associated with PAD disease severity was examined by analysing health insurance claims data of patients insured by the German health insurance fund, BARMER, between January 1, 2012 and December 31, 2016. The presence of PAD was determined in individuals using International Classification of Diseases (ICD) 10th revision codes for intermittent claudication (IC) or chronic limb threatening ischaemia (CLTI). Treatment of PD was assessed by adequate ambulatory coding for non-surgical and surgical treatment of PD. Multivariate logistic regression analysis was performed to evaluate the association between PAD stages and periodontal treatment, adjusted for diabetes, age and sex. Results: The study cohort included 70,944 hospitalized patients with a diagnosis of symptomatic PAD (54.99 % women, 49.05 % IC). Among these patients, 3,567 (5.03 %) had received prior treatment for PD by supra- or sub-gingival debridement. PAD patients who had received periodontal treatment showed a lower proportion of CLTI (28.76 % among treated vs. 52.12 % among non-treated). Using multivariable regression methods, exhibiting a CLTI (vs. IC) was associated with not being treated for PD (Odds Ratio 1.97, 95 %-CI 1.83-2.13) after adjustment for age, gender, and diabetes. Conclusions: In this large-scale retrospective analysis of health insurance claims data comprising hospitalized symptomatic PAD patients, treatment of PD was associated with PAD disease severity independent of age, gender and diabetes. A potential benefit of periodontal treatment in relation to PAD will have to be determined in further prospective studies.

AB - Background: Although epidemiological data suggest an association between periodontitis (PD) and peripheral arterial disease (PAD), it is currently unclear whether treatment of PD influences the severity of PAD. Patients and methods: Whether periodontal treatment is associated with PAD disease severity was examined by analysing health insurance claims data of patients insured by the German health insurance fund, BARMER, between January 1, 2012 and December 31, 2016. The presence of PAD was determined in individuals using International Classification of Diseases (ICD) 10th revision codes for intermittent claudication (IC) or chronic limb threatening ischaemia (CLTI). Treatment of PD was assessed by adequate ambulatory coding for non-surgical and surgical treatment of PD. Multivariate logistic regression analysis was performed to evaluate the association between PAD stages and periodontal treatment, adjusted for diabetes, age and sex. Results: The study cohort included 70,944 hospitalized patients with a diagnosis of symptomatic PAD (54.99 % women, 49.05 % IC). Among these patients, 3,567 (5.03 %) had received prior treatment for PD by supra- or sub-gingival debridement. PAD patients who had received periodontal treatment showed a lower proportion of CLTI (28.76 % among treated vs. 52.12 % among non-treated). Using multivariable regression methods, exhibiting a CLTI (vs. IC) was associated with not being treated for PD (Odds Ratio 1.97, 95 %-CI 1.83-2.13) after adjustment for age, gender, and diabetes. Conclusions: In this large-scale retrospective analysis of health insurance claims data comprising hospitalized symptomatic PAD patients, treatment of PD was associated with PAD disease severity independent of age, gender and diabetes. A potential benefit of periodontal treatment in relation to PAD will have to be determined in further prospective studies.

KW - PAD

KW - PD

KW - Peripheral artery disease

KW - gum disease

KW - lower extremity artery disease

KW - periodontitis

KW - Prospective Studies

KW - Humans

KW - Risk Factors

KW - Male

KW - Peripheral Arterial Disease

KW - Female

KW - Retrospective Studies

KW - Insurance, Health

UR - http://www.scopus.com/inward/record.url?scp=85080114757&partnerID=8YFLogxK

U2 - 10.1024/0301-1526/a000846

DO - 10.1024/0301-1526/a000846

M3 - SCORING: Journal articles

C2 - 31983289

VL - 49

SP - 128

EP - 132

JO - VASA

JF - VASA

SN - 0301-1526

IS - 2

ER -