Evaluation of tooth loss among patients with diabetes mellitus using the National Database of Health Insurance Claims and Specific Health Checkups of Japan

Suzuki, Seitarô; Noda, Tatsuya; Nishioka, Yuichi; Imamura, Tomoaki; Kamijo, Hideyuki; Sugihara, Naoki

doi:10.1111/idj.12561

Cited by 20 publications

(24 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only two of these revealed diabetes as a significant predictor for tooth loss [24,41]. A population-based study using the Japanese database of health insurance claims showed more tooth loss in periodontally treated diabetes patients compared with non-diabetes patients [45]. Although these results point in the direction of our findings, a comparison with our data is compromised by the composition of the control group consisting of patients without diabetes but with acute upper respiratory inflammation.…”

Section: Discussioncontrasting

confidence: 90%

Massive data analyses show negative impact of type 1 and 2 diabetes on the outcome of periodontal treatment

Raedel

Noack

Priess³

et al. 2020

Clin Oral Invest

View full text Add to dashboard Cite

Objectives The aim was to evaluate the impact of diabetes on the outcome of periodontal treatment based on massive data analyses. Materials and methods Data originated from the database of a major German National Health Insurance. Patients who underwent periodontal treatment were allocated to four groups according to their medical condition: type 1 diabetes (D1), type 2 diabetes with the intake of oral anti-diabetics (D2M), type 2 diabetes without the intake of oral anti-diabetics (D2), and a control group without diabetes (ND). Four-year Kaplan-Meier survival analyses on the patient level and multivariate regression analyses were conducted for tooth extraction. Results Of 415,718 patients, 4139 matched the criteria for D1, 22,430 for D2M, and 23,576 for D2. At 4 years, the cumulative survival rate (no extraction) was 51.7% in the D1 group, 54.0% in the D2M group, and 57.7% in the D2 group. The ND control group had a significantly higher survival rate of 65.9% (P < 0.0001). In the multivariate analyses, both diabetes types were significantly associated with further tooth loss after periodontal treatment. Conclusions The diagnosis of diabetes type 1 or 2 seems to be associated with a higher risk of tooth loss after periodontal treatment. Clinical relevance The long-term prognosis of teeth in diabetes patients should be judged carefully.

show abstract

Section: Discussioncontrasting

confidence: 90%

Massive data analyses show negative impact of type 1 and 2 diabetes on the outcome of periodontal treatment

Raedel

Noack

Priess³

et al. 2020

Clin Oral Invest

View full text Add to dashboard Cite

show abstract

“… 22 , 23 Suzuki et al recently performed a population-based survey using information obtained from the National Database of Health Insurance Claims and Specific Health Checkups in Japan and concluded that patients in the diabetes mellitus group had a higher level of tooth loss than patients in the control group, among both genders. 24 However, Ishikawa et al found no significant association between diabetes mellitus (OR = 1.06, 95% CI = 0.83–1.35, p = 0.65) and having <20 teeth in community-dwelling Japanese people aged 40 years and older. 6 The number of people with diabetes mellitus was relatively small (7.4%) in their study.…”

Section: Discussionmentioning

confidence: 96%

Parity and Number of Teeth in Japanese Women: Results from the Japan Nurses' Health Study

Taguchi

Nagai

Ideno

et al. 2020

Women's Health Reports

View full text Add to dashboard Cite

Background: Parity is thought to be associated with a decreased number of teeth present in women. However, educational level and social status, which are particularly significant risk factors for loss of teeth, have been heterogeneous in previous observations. This cross-sectional survey aimed to clarify the associations of parity with the risk of having <20 teeth in Japanese female nurses participating in the Japan Nurses' Health Study (JNHS). Methods: In the third follow-up questionnaire of the JNHS, 11,299 women aged 27-82 years participated in this study. The number of participants according to age range was 7,225 (63.9%) aged <50 years and 4,074 (36.1%) aged ‡50 years. Information on parity and risk factors for loss of teeth was collected through a baseline questionnaire and then a follow-up questionnaire. Multivariate logistic regression analysis was used to calculate the adjusted odds ratio (OR) and 95% confidence interval (CI) of having <20 teeth according to parity category. Results: Participants ‡50 years who had experienced three or more deliveries had a significantly higher risk of having <20 teeth than those who had not experienced delivery (OR = 1.59, 95% CI = 1.14-2.20), although this finding was not observed in participants <50 years. In addition to parity, age and current smoking may be independent risk factors for having <20 teeth in Japanese nurses. Conclusions: Higher-parity female nurses ‡50 years may be more likely to lose teeth than those who have not experienced delivery.

show abstract

“…Therefore, pharmacy claims for 475 medications were combined with outpatient service claims to improve the accuracy of patient identification. The ICD-10 and bill codes used to identify patients in this study are shown elsewhere 7) . Thus, this study defined patients with diabetes mellitus as those who filed claims for both outpatient and pharmacy services related to diabetes mellitus.…”

Section: Definition Of Patients With Diabetes Mellitusmentioning

confidence: 99%

Evaluation of Public Health Expenditure by Number of Teeth among Outpatients with Diabetes Mellitus

Suzuki

Noda

Nishioka

et al. 2021

Bull. Tokyo Dent. Coll.

Self Cite

View full text Add to dashboard Cite

The relationship between public health expenditure and number of teeth was investigated in patients with diabetes mellitus using data obtained from the Japanese National Database of Health Insurance Claims and Specific Health Checkups. Data on medical, dental, and pharmacy claims generated between April 2015 and March 2016 were analyzed in patients with diabetes mellitus aged 50-74 years who used outpatient services during this period. Patients initiating medical and pharmacy claims related to diabetes mellitus were defined as having diabetes mellitus. Number of teeth was defined as number of teeth in conjunction with periodontitis due to the nature of the data source. Descriptive statistics were used to investigate the association between number of teeth and public health expenditure. Data on a total of 1,017,758 patients with diabetes mellitus were analyzed. Patients with the fewest teeth incurred higher medical expenses. The largest mean difference in medical expenditure was observed between patients with 5-9 teeth and those with over 28 teeth. The results of this study suggest that public health expenditure on patients with diabetes mellitus differs based on number of teeth.

show abstract

Evaluation of tooth loss among patients with diabetes mellitus using the National Database of Health Insurance Claims and Specific Health Checkups of Japan

Cited by 20 publications

References 20 publications

Massive data analyses show negative impact of type 1 and 2 diabetes on the outcome of periodontal treatment

Massive data analyses show negative impact of type 1 and 2 diabetes on the outcome of periodontal treatment

Parity and Number of Teeth in Japanese Women: Results from the Japan Nurses' Health Study

Evaluation of Public Health Expenditure by Number of Teeth among Outpatients with Diabetes Mellitus

Contact Info

Product

Resources

About