An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population

BMC Health Services Research

Volumn 6, Issue , 2006, Pages

  Albert, David A ^a   Sadowsky, Donald ^a   Papapanou, Panos ^a   Conicella, Mary L ^b   Ward, Angela ^a  

^a Howard Hughes Medical Institute   (United States)

^b AETNA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DENTAL CARE; DIABETES MELLITUS; FEMALE; GINGIVITIS; HEALTH CARE COST; HEALTH INSURANCE; HUMAN; INTERNATIONAL CLASSIFICATION OF DISEASES; MALE; MEDICAL CARE; MEDICAL SERVICE; PERIODONTICS; PERIODONTITIS; POPULATION RESEARCH; PREFERRED PROVIDER ORGANIZATION; RETROSPECTIVE STUDY; RISK ASSESSMENT; SCORING SYSTEM; STATISTICAL SIGNIFICANCE; CAPITATION FEE; CEREBROVASCULAR DISEASE; CHRONIC DISEASE; COHORT ANALYSIS; COMPLICATION; DENTAL PROCEDURE; ECONOMICS; GOVERNMENT; MIDDLE AGED; PERIODONTAL DISEASES; STATISTICS AND NUMERICAL DATA; UNITED STATES; UTILIZATION;

AGED; CAPITATION FEE; CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); CEREBROVASCULAR DISORDERS; CHRONIC DISEASE; COHORT STUDIES; CORONARY ARTERY DISEASE; DENTAL HEALTH SERVICES; DIABETES COMPLICATIONS; FEMALE; HEALTH CARE COSTS; HEALTH EXPENDITURES; HUMANS; INSURANCE, DENTAL; MALE; MIDDLE AGED; PERIODONTAL DISEASES; PREFERRED PROVIDER ORGANIZATIONS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; UNITED STATES;

EID: 33748976730     PISSN: 14726963     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-6-103     Document Type: Article

References (33)

1. Albandar JM, Brunelle JA, Kingman A: Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol 1999:13-29.
2. Albandar JM, Kingman A: Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol 1999, 70(1):30-43.
3. Centers for Disease Control and Prevention (CDC): Centers for Disease Control and Prevention. Preventing Heart Disease and Stroke, Addressing the Nation's Leading Killers, At A Glance 2005 2005 [http://www.cdc.gov/nccdphp/aag/ aag_cvd.htm].
4. Beck J, Garcia R, Heiss G, Vokonas PS, Offenbacher S: Periodontal disease and cardiovascular disease. J Periodontol 1996, 67(Suppl):1123-1137.
5. DeStefano F, Anda RF, Kahn HS, Williamson DF, Russell CM: Dental disease and risk of coronary heart disease and mortality. British Medical Journal 1993, 306:688-691.
6. Genco R, Chadda S, Grossi S, Dunford R, Taylor G, Knowler W, Pettitt D: Periodontal disease is a predictor of cardiovascular disease in a Native American population. J Dent Res 1997, 76(Spec No):14-519. abstract 3158
7. Mattila KJ, Nieminen MS, Valtonen VV, Rasi VP, Kesaniemi YA, Syrjala SL, Jungell PS, Isoluoma M, Hietaniemi K, Jokinen MJ: Association between dental health and acute myocardial infarction. British Medical Journal 1989, 298:779-782.
8. Arbes SJ, Slade GD, Beck JD: Association between extent of periodontal attachment loss and self-reported history of heart attack: an analysis of NHANES III data. J Dent Res 1999, 78(12):1777-1782.
9. Wu T, Trevisan M, Genco RJ, Dorn JP, Falkner KL, Sempos CT: Periodontal disease and risk of cerebrovascular disease: the first national health and nutrition examination survey and its follow-up study. Arch Intern Med 2000, 160:2749-2755.
10. Desvarieux M, Demmer RT, Rundek T, Boden-Albala B, Jacobs DR, Sacco RL, Papapanou PN: Periodontal microbiota and carotid intima-media thickness. The oral infections and vascular disease epidemiology study. Circulation 2005, 111:576-582.
11. Centers for Disease Control and Prevention (CDC): Centers for Disease Control and Prevention. National diabetes fact sheet general information and national estimates on diabetes in the United States, 2002 2003 [http://www.cdc.gov/diabetes/pubs/factsheet.htm].
12. Moore WEC, Moore LVH: The bacteria of periodontal diseases. J Periodontol 1992, 63:322-331.
13. Halter JB: Diabetes mellitus. In Principles of Geriatric Medicine and Gerontology 4th edition. Edited by: Hazzard WR. New York: McGraw Hill; 1999:991-1011.
14. Tsai C, Hayes C, Taylor GW: Glycemic control of type 2 diabetes and severe periodontal disease in the U.S. adult population. Community Dentistry and Oral Epidemiology 2002, 30:182-92.
15. Loe H: Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care 1993, 1:329-34.
16. Cutler CW, Shinedling EA, Nunn M, Jotwani R, Kim BO, Nares S, Iacopin AM: Association between periodontitis and hyperlipidemia; cause or effect? J Periodontol 1999, 70(12):1429-34.
17. Lalla E, Lamster IB, Dury S, Fu C, Schmidt AM: Hyperglycemia, glycoxidation and receptor for advanced glycation endproducts; potential mechanisms underlying diabetic complications, including diabetes-associated periodontitis. J Periodontol 2000, 23:50-62.
18. Zambon JJ, Reynolds H, Fisher JG, Shlossman M, Dunford R, Genco RJ: Microbiological and immunological studies of adult periodontitis in patients with noninsulin-dependent diabetes mellitus. J Periodontol 1988, 59:23-31.
19. Grossi SG, Skrepcinski FB, DeCaro T, Robertson DC, Ho AW, Dunford RG, Genco RJ: Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol 1997, 68:713-9.
20. Taylor GW, Burt BA, Becker MP, Genco RJ, Shlossman M, Knowler WC, Pettitt DJ: Severe periodontitis and risk for poor glycemic control in patients with non-insulin-dependent diabetes mellitus. J Periodontol 1996, 67(10 Suppl):1085-93.
21. Stewart JE, Wager KA, Friedlander AH, Zadeh HH: The effect of periodontal treatment on glycemic control in patients with type 2 diabetes mellitus. J Clin Periodontol 2001, 28(4):306-10.
22. Rodrigues DC, Taba MJ, Novaes AB, Souza SL, Grisi MF: Effect of non-surgical periodontal therapy on glycemic control in patients with type 2 diabetes mellitus. J Periodontol 2003, 74(9):1361-7.
23. Taylor GW: The effects of periodontal treatment on diabetes. JADA 2003, 134:41s-48s.
24. Kaiser Commission on Medicaid and the Uninsured, Health Insurance Coverage in America 2001 Data Update. 2003.
25. Centers for Disease Control and Prevention (CDC): International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 6th edition. Edited by: Hyattsville MD. U.S. Department of Health and Human Services, National Center for Health Statistics; 2002.
26. American Dental Association: CDT-3: Current Dental Terminology. In Users Manual/American Dental Association. Version 2000 Chicago, Ill; 1999.
27. Cameron BA, Cumming RB, Derrick B, Knutson D: A Comparative Analysis of Claims-based Methods of Health Risk Assessment for Commercial Populations. A research study sponsored by the Society of Actuaries. Symmetry Health Data Systems 2002 [http://www.symmetry-health.com].
28. FitzHenry F, Shultz EK: Health-risk-assessment tools used to predict costs in defined populations. Journal of Healthcare Information Management 2000, 14(2):31-57.
29. Symmetry Health Data Systems Inc: Symmetry Health Data Systems. Episode Risk Groups Software 2005. 2005 [http://www.symmetry-health.com].
30. Hujoel PP, Drangsholt M, Spiekerman C, DeRouen TA: Periodontal disease and coronary heart disease risk. JAMA 2000, 284(11):1406-1410.
31. Centers for Disease Control and Prevention (CDC): Summary Health Statistics for U.S. Adults National Health Interview Survey, 2002. Vital and Health Statistics Series 10, Number 222. Data from the National Health Interview Survey. Department of Health and Human Services, Hyattsville, MD DHHS Publication No. (PHS) 2004-1550 2004.
32. Tomar SL, Lester A: Dental and other health care visits among U.S. adults with diabetes. Diabetes Care 2000, 23(10):1505-10.
33. U.S. Department of Health and Human Services: Healthy People 2010. U.S. Department of Health and Human Services. 2000 [http://www.healthypeople.gov]. Washington DC