期刊论文详细信息
BMC Nephrology
Chronic kidney disease and use of dental services in a united states public healthcare system: a retrospective cohort study
Research Article
Laura C Plantinga1  Vanessa Grubbs2  Delphine S Tuot2  Neil R Powe3 
[1] Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, USA;San Francisco General Hospital, Division of Nephrology, University of California, San Francisco, USA;San Francisco General Hospital, Division of Nephrology, University of California, San Francisco, USA;San Francisco General Hospital, Department of Medicine, University of California, San Francisco, USA;
关键词: Chronic Kidney Disease;    Oral Health;    Periodontal Disease;    Dental Care;    Dental Service;   
DOI  :  10.1186/1471-2369-13-16
 received in 2011-11-22, accepted in 2012-04-02,  发布年份 2012
来源: Springer
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【 摘 要 】

BackgroundAs several studies have shown an association between periodontal disease and chronic kidney disease (CKD), regular dental care may be an important strategy for reducing the burden of CKD. Access to dental care may be limited in the US public health system.MethodsIn this retrospective cohort study of 6,498 adult patients with (n = 2,235) and without (n = 4,263) CKD and at least 12 months of follow-up within the San Francisco Department of Public Health Community Health Network clinical databases, we examined the likelihood of having a dental visit within the observation period (2005-2010) using Cox proportional hazards models. To determine whether dental visits reflected a uniform approach to preventive service use in this setting, we similarly examined the likelihood of having an eye visit among those with diabetes, for whom regular retinopathy screening is recommended. We defined CKD status by average estimated glomerular filtration rate based on two or more creatinine measurements ≥ 3 months apart (no CKD, ≥ 60 ml/min/1.73 m2; CKD, < 60 ml/min/1.73 m2).ResultsOnly 11.0% and 17.4% of patients with and without CKD, respectively, had at least one dental visit. Those with CKD had a 25% lower likelihood of having a dental visit [HR = 0.75, 95% CI (0.64-0.88)] than those without CKD after adjustment for confounders. Among the subgroup of patients with diabetes, 11.8% vs. 17.2% of those with and without CKD had a dental visit, while 58.8% vs. 57.8% had an eye visit.ConclusionsDental visits, but not eye visits, in a US public healthcare setting are extremely low, particularly among patients with CKD. Given the emerging association between oral health and CKD, addressing factors that impede dental access may be important for reducing the disparate burden of CKD in this population.

【 授权许可】

CC BY   
© Grubbs et al; licensee BioMed Central Ltd. 2012

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