Dental restorative treatment expenditure and resource utilization in patients with chronic kidney disease: A nationwide population-based study

Abstract

Background/purpose There is a variety of pathological alterations occurring in the oral cavity are strongly associated with chronic kidney disease (CKD) or CKD therapy. The aim of this study is to conduct a retrospective analysis to examine the possible correlation between the dental restorative treatment modalities and the progression of kidney disease in CKD population. Materials and methods A total of 10,457 individuals were divided into three groups: (HC) group (n = 1438), high risk (HR) group (n = 3392), and CKD group (n = 5627). HR group were defined for those with an eGFR ≥60 (mL/min/1.73 m 2 ) in addition to fulfilling one of the following requirements: (1) being diagnosed diabetes mellitus (DM), hypertension, or cardiovascular disease; (2) having a family member diagnosed with CKD or receiving dialysis treatment. Demographic characteristics, dental restorative treatment utilization and expenditures, including amalgam filling, composite resin filling on anterior teeth or posterior teeth, were analyzed retrospectively (2000–2008) among these groups using a nationwide database. Results The utilization and expenditures for various restorative treatments were significantly different among investigated groups, and the health insurance usage exhibited an inverse relationship with CKD stages, especially at CKD stages 4 and 5. A sustained decline in utilization and expenditures for restorative treatment was associated with the deterioration of kidney function. The lowest usage of these restorative modalities was noted in the CKD group and a marked difference was noted among investigated groups. Conclusion The findings do, however, provide indirect evidence that if patients with progressive renal failure and receive less dental care.

Inflammatory bowel disease as a risk factor for periodontitis under Taiwanese National Health Insurance Research database

“…The Longitudinal Health Insurance Database 2005 (LHID2005) was created and released to the public by the National Health Research Institute (NHRI), and it includes all the original claims data and registration files from 2000 to 2009 for one million individuals randomly sampled from the Registry for Beneficiaries of the National Health Institute (NHI) program on 2005 in Taiwan. Many studies have been published based on the release of claims dataset from NHIRD for population-based longitudinal studies of supporting its validity 16, 17, 18, 19, 20…”

Association between periodontitis and chronic kidney disease

“…97 Second, patients with chronic kidney disease have been shown to have a higher prevalence of dental appliances than the general population and to follow poorer hygiene routines, such as keeping appliances in overnight. 93,96,98 Third, patients with chronic kidney disease/end-stage kidney disease tended to seek professional dental therapy less often than non-renal controls, perhaps because of financial constraints, [99][100][101] limited time because of the need to attend dialysis regularly, or because of psychological conditions that made them less aware of their dental needs. 102 Social deprivation associated with high rates of chronic kidney disease, 103,104 poor oral health, and the development of periodontal breakdown 105,106 may be another important contributory factor.…”

Mapping out the bibliometric characteristics of classic articles published in a Taiwanese academic journal in dentistry: A scopus-based analysis

“… 14 , 15 Moreover, certain specific endemic diseases (i.e., oral cancers, and oral submucous fibrosis related to betel nut chewing habit) and pandemic disease (e.g., COVID-19) in particular regions are focused as well. 5 , 16 , 17 Over the years, based on its empirical contribution in research, JDS has been indexed by many medical scientific databases, such as MEDLINE, Scopus®, and EmCare, ScienceDirect, SIIC Data Bases etc.…”