An examination of periodontal treatment and per member per month PMPM medical costs in an insured populationReportar como inadecuado




An examination of periodontal treatment and per member per month PMPM medical costs in an insured population - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Health Services Research

, 6:103

First Online: 16 August 2006Received: 28 October 2005Accepted: 16 August 2006DOI: 10.1186-1472-6963-6-103

Cite this article as: Albert, D.A., Sadowsky, D., Papapanou, P. et al. BMC Health Serv Res 2006 6: 103. doi:10.1186-1472-6963-6-103

Abstract

BackgroundChronic medical conditions have been associated with periodontal disease. This study examined if periodontal treatment can contribute to changes in overall risk and medical expenditures for three chronic conditions Diabetes Mellitus DM, Coronary Artery Disease CAD, and Cerebrovascular Disease CVD.

Methods116,306 enrollees participating in a preferred provider organization PPO insurance plan with continuous dental and medical coverage between January 1, 2001 and December 30, 2002, exhibiting one of three chronic conditions DM, CAD, or CVD were examined. This study was a population-based retrospective cohort study. Aggregate costs for medical services were used as a proxy for overall disease burden. The cost for medical care was measured in Per Member Per Month PMPM dollars by aggregating all medical expenditures by diagnoses that corresponded to the International Classification of Diseases, 9 Edition, ICD-9 codebook. To control for differences in the overall disease burden of each group, a previously calculated retrospective risk score utilizing Symmetry Health Data Systems, Inc. Episode Risk Groups™ ERGs were utilized for DM, CAD or CVD diagnosis groups within distinct dental services groups including; periodontal treatment periodontitis or gingivitis, dental maintenance services DMS, other dental services, or to a no dental services group. The differences between group means were tested for statistical significance using log-transformed values of the individual total paid amounts.

ResultsThe DM, CAD and CVD condition groups who received periodontitis treatment incurred significantly higher PMPM medical costs than enrollees who received gingivitis treatment, DMS, other dental services, or no dental services p < .001. DM, CAD, and CVD condition groups who received periodontitis treatment had significantly lower retrospective risk scores ERGs than enrollees who received gingivitis treatment, DMS, other dental services, or no dental services p < .001.

ConclusionThis two-year retrospective examination of a large insurance company database revealed a possible association between periodontal treatment and PMPM medical costs. The findings suggest that periodontitis treatment a proxy for the presence of periodontitis has an impact on the PMPM medical costs for the three chronic conditions DM, CAD, and CVD. Additional studies are indicated to examine if this relationship is maintained after adjusting for confounding factors such as smoking and SES.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-6-103 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: David A Albert - Donald Sadowsky - Panos Papapanou - Mary L Conicella - Angela Ward

Fuente: https://link.springer.com/







Documentos relacionados