Blaschke, Katja, Hellmich, Martin ORCID: 0000-0001-5174-928X, Samel, Christina, Listl, Stefan ORCID: 0000-0002-8176-3397 and Schubert, Ingrid ORCID: 0000-0002-2191-1773 (2021). The impact of periodontal treatment on healthcare costs in newly diagnosed diabetes patients: Evidence from a German claims database. Diabetes Res. Clin. Pract., 172. CLARE: ELSEVIER IRELAND LTD. ISSN 1872-8227

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Abstract

Aims: There is sufficient scientific evidence for the bidirectional association between periodontal diseases and diabetes. In this context, we hypothesized that periodontal treatment leads to lower healthcare costs in newly diagnosed diabetes patients by promoting a milder disease course. Methods: A total of 23,771 persons were investigated who were continuously insured by German health insurances between 2011 and 2016, 18 years or older, and newly diagnosed with diabetes in 2013. The study population was divided into a periodontal treatment and control group (no periodontal treatment). The average treatment effect of a periodontal treatment on various types of healthcare costs (inpatient, outpatient, drug costs) was analyzed by a doubly robust method. Results: Finally, 5.3% of the study population could be assigned to the treatment group. In newly diagnosed diabetes patients with periodontal treatment, a reduction in total healthcare costs (0.96, 95%CI 0.89; 1.04), inpatient costs (0.87, 95%CI 0.69; 1.08), diabetes-related drug costs (0.93, 95%CI 0.84; 1.03) and other drug costs (0.97, 95%CI 0.89; 1.05) could be shown compared to the control group. Conclusions: This study provides evidence that periodontal treatment for diabetes patients reduces healthcare costs. Fewer diabetes-specific complications and hospitalizations are expected. (c) 2021 Elsevier B.V. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Blaschke, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellmich, MartinUNSPECIFIEDorcid.org/0000-0001-5174-928XUNSPECIFIED
Samel, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Listl, StefanUNSPECIFIEDorcid.org/0000-0002-8176-3397UNSPECIFIED
Schubert, IngridUNSPECIFIEDorcid.org/0000-0002-2191-1773UNSPECIFIED
URN: urn:nbn:de:hbz:38-577039
DOI: 10.1016/j.diabres.2020.108641
Journal or Publication Title: Diabetes Res. Clin. Pract.
Volume: 172
Date: 2021
Publisher: ELSEVIER IRELAND LTD
Place of Publication: CLARE
ISSN: 1872-8227
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
INSURANCE DATA; ORAL-HEALTHMultiple languages
Endocrinology & MetabolismMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/57703

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