Acute and chronic diabetes complications associated with self-reported oral health: a retrospective cohort study

Abstract

Background Oral health is associated with diabetes, but the chances of experiencing acute or chronic diabetes complications as per this association is unknown in Canada’s most populous province, Ontario. This study assesses the impact of self-reported oral health on the likelihood of experiencing acute and chronic complications among a cohort of previously diagnosed diabetics. Methods A retrospective cohort study was conducted of diabetics (n = 5183) who participated in the Canadian Community Health Survey 2003 and 2007–08. Self-reported oral health status was linked to health encounters in electronic medical records until March 31, 2016. Multinomial regression models determined the odds of the first acute or chronic complication after self-report of oral health status. Results Thirty-eight percent of diabetics reporting “poor to fair” oral health experienced a diabetes complication, in comparison to 34% of those reporting “good to excellent” oral health. The odds of an acute or chronic complication among participants reporting “poor to fair” oral health status was 10% (OR 1.10; 95% CI 0.81, 1.51) and 34% (OR 1.34; 95% CI 1.11, 1.61) greater respectively, than among participants experiencing no complications and reporting “good to excellent” oral health. Conclusion Self-reporting “poor to fair” oral health status is associated with a greater likelihood of chronic complications than acute complications. Further research regarding the underlying causal mechanisms linking oral health and diabetes complications is needed.

Oral Health Status, Knowledge, and Behaviours of People with Diabetes in Sydney, Australia

“…A large proportion of respondents rated their oral health status as poor to fair (45.8%), and this was higher than the Australian general population (24%) [ 25 ], which is understandable since diabetes predisposes people to various oral health problems [ 3 ]. This finding was also higher than those reported in Canada (21%) which has a similar healthcare system [ 26 ]. A possible reason for this variation could be the presence or absence of diabetes related chronic or acute complications in the respondents, as complications have been found to be associated with greater frequency of reporting poor oral health status [ 26 ].…”

“…This finding was also higher than those reported in Canada (21%) which has a similar healthcare system [ 26 ]. A possible reason for this variation could be the presence or absence of diabetes related chronic or acute complications in the respondents, as complications have been found to be associated with greater frequency of reporting poor oral health status [ 26 ]. In our study, half of the respondents reported to have other chronic diseases in additional to diabetes and the majority had a lower socio-economic status, so these factors would have played an additional role in the higher prevalence of poor oral health status.…”

Developing A Random Forest Algorithm to Identify Patent Foramen Ovale and Atrial Septal Defects in Ontario Administrative Databases

“…Since all Ontario residents are covered through a single-payer insurance system for physician, hospital-based care and home care services, and drugs for residents 65 years of age and older, healthcare encounters can be linked across systems through individual health card numbers and each resident receiving a unique ICES Key Number (IKN). 15 Reference standard database CorHealth Ontario's cardiac registry was selected as the reference standard. 16,17 The CorHealth cardiac registry captures select clinical data on all cardiac procedures performed in Ontario catheterization laboratories.…”

Correction to: Acute and chronic diabetes complications associated with self-reported oral health: a retrospective cohort study

“…Following publication of the original article [ 1 ], the authors identified an error in the Competing interests section: “Carlos Quiñonez receives consulting income for dental care related issues from Green Shield Canada” should be added.…”