Association of oral health with risk of incident micro and macrovascular complications: A prospective cohort study of 24,862 people with diabetes

Gibson, Alice A.; Cox, Emma; Gale, Joanne; Craig, Maria E.; King, Shalinie; Chow, Clara K; Colagiuri, Stephen; Nassar, Natasha

doi:10.1016/j.diabres.2023.110857

Cited by 3 publications

(2 citation statements)

References 35 publications

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Section: Methodsmentioning

confidence: 99%

“…Study outcomes were determined following literature review and consultation with clinical experts and defined as incident hospitalisation or treatment for the following four major groups and subgroups of diabetes-related micro-and macrovascular complications 10 As not all diabetes-related complications included in this analysis require hospital admission, we also included out-of-hospital treatment for complications such as home dialysis for chronic kidney disease, or retinal laser. This was identified using relevant MBS treatment items.…”

Section: Study Outcomesmentioning

confidence: 99%

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Sex differences in risk of incident microvascular and macrovascular complications: a population-based data-linkage study among 25 713 people with diabetes

Gibson,

Cox,

Schneuer

et al. 2024

J Epidemiol Community Health

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BackgroundThe global prevalence of diabetes is similar in men and women; however, there is conflicting evidence regarding sex differences in diabetes-related complications. The aim of this study was to investigate sex differences in incident microvascular and macrovascular complications among adults with diabetes.MethodsThis prospective cohort study linked data from the 45 and Up Study, Australia, to administrative health records. The study sample included 25 713 individuals (57% men), aged ≥45 years, with diabetes at baseline. Incident cardiovascular disease (CVD), eye, lower limb, and kidney complications were determined using hospitalisation data and claims for medical services. Multivariable Cox proportional hazards models were used to assess the association between sex and incident complications.ResultsAge-adjusted incidence rates per 1000 person years for CVD, eye, lower limb, and kidney complications were 37, 52, 21, and 32, respectively. Men had a greater risk of CVD (adjusted hazard ratio (aHR) 1.51, 95% CI 1.43 to 1.59), lower limb (aHR 1.47, 95% CI 1.38 to 1.57), and kidney complications (aHR 1.55, 95% CI 1.47 to 1.64) than women, and a greater risk of diabetic retinopathy (aHR 1.14, 95% CI 1.03 to 1.26). Over 10 years, 44%, 57%, 25%, and 35% of men experienced a CVD, eye, lower limb, or kidney complication, respectively, compared with 31%, 61%, 18%, and 25% of women. Diabetes duration (<10 years vs ≥10 years) had no substantial effect on sex differences in complications.ConclusionsMen with diabetes are at greater risk of complications, irrespective of diabetes duration. High rates of complications in both sexes highlight the importance of targeted complication screening and prevention strategies from diagnosis.

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Section: Methodsmentioning

confidence: 99%

Section: Study Outcomesmentioning

confidence: 99%

Sex differences in risk of incident microvascular and macrovascular complications: a population-based data-linkage study among 25 713 people with diabetes

Gibson,

Cox,

Schneuer

et al. 2024

J Epidemiol Community Health

Self Cite

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Association of tooth loss and periodontal disease with all-cause mortality in cancer survivors: A cohort study based on NHANES

Wu,

Lin,

et al. 2024

Heliyon

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Interrupted time series analysis of chronic periodontitis‐related procedures before and after the scaling reimbursement policy in Korea

Kim,

Son

2024

J Clinic Periodontology

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AimTo study the use of a quasi‐experimental design to assess the effects of scaling reimbursement policies on the incidence of chronic‐periodontitis procedures.Materials and MethodsInterrupted time series analysis was used to compare the effects before and after policy implementation using data on the number of periodontitis‐related procedures from the Korean National Health Insurance Service‐National Sample Cohort (n = 740,467) and the Health Screening Cohort (n = 337,904). Periodontitis‐related procedures with diagnosis codes were categorized into basic (scaling or root planing), intermediate (subgingival curettage) and advanced (tooth extraction, periodontal flap surgery, bone grafting for alveolar bone defects or guided tissue regeneration). Subjects' demographics and comorbidities were considered. The incidence rate of immediate changes and gradual effects before and after policy implementation was assessed.ResultsFollowing the policy implementation from July 2013, an immediate increase was observed in total and basic procedures. No significant changes were noted in intermediate and advanced procedures initially. A decrease in the slope of intermediate procedures was observed in both databases. Advanced procedures showed varied trends, with no change in the National Sample Cohort but an increase in the Health Screening Cohort, particularly among subjects with comorbidities.ConclusionsFollowing the new policy implementation, the number of intermediate procedures decreased while the number of advanced procedures increased, especially among patients with comorbidities. These findings offer valuable insights on policy evaluation.

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Association of oral health with risk of incident micro and macrovascular complications: A prospective cohort study of 24,862 people with diabetes

Cited by 3 publications

References 35 publications

Sex differences in risk of incident microvascular and macrovascular complications: a population-based data-linkage study among 25 713 people with diabetes

Sex differences in risk of incident microvascular and macrovascular complications: a population-based data-linkage study among 25 713 people with diabetes

Association of tooth loss and periodontal disease with all-cause mortality in cancer survivors: A cohort study based on NHANES

Interrupted time series analysis of chronic periodontitis‐related procedures before and after the scaling reimbursement policy in Korea

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