Association Between Oral Health and the Medical Costs of Dementia: A Longitudinal Study of Older Japanese.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY American Journal of Alzheimers Disease and Other Dementias Pub Date : 2021-01-01 DOI:10.1177/1533317521996142

Mizuki Saito, Yoshihiro Shimazaki, Toshiya Nonoyama, Kazushi Ohsugi

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Abstract

Objective: Oral health status may be associated with dementia, which in turn results in higher medical costs among older people.

Methods: This STUDY enrolled 4,275 older individuals. Generalized linear models were constructed with the medical costs of dementia as the dependent variable, and number of teeth, Community Periodontal Index (CPI), and other factors as independent variables.

Results: Individuals with fewer teeth or with poor periodontal condition had significantly higher medical costs ratios for dementia independent of other confounding variables. The adjusted medical costs ratios of dementia were 4.13 (95% CI [confidence interval]; 1.79-9.56) for those with ≤9 teeth compared with those with ≥20 teeth and 3.48 (95% CI; 1.71-7.08) for those with personal CPI code 4 compared with those with personal CPI code 0-2.

Conclusions: Oral health status was associated with the medical costs of dementia. Preventing tooth loss and maintaining periodontal health may contribute to controlling dementia costs.

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口腔健康与痴呆症医疗费用之间的关系：日本老年人纵向研究》。

目的：口腔健康状况可能与痴呆症有关：口腔健康状况可能与痴呆症有关，而痴呆症又会导致老年人的医疗费用增加：这项研究招募了 4275 名老年人。以痴呆症的医疗费用为因变量，以牙齿数量、社区牙周指数（CPI）和其他因素为自变量，建立了广义线性模型：结果：牙齿数量少或牙周状况差的人患痴呆症的医疗费用比率明显更高，这与其他干扰变量无关。与牙齿≥20颗的人相比，牙齿≤9颗的人患痴呆症的调整后医疗费用比率为4.13（95% CI [置信区间]；1.79-9.56）；与个人CPI代码为0-2的人相比，个人CPI代码为4的人患痴呆症的调整后医疗费用比率为3.48（95% CI；1.71-7.08）：口腔健康状况与痴呆症的医疗费用有关。预防牙齿脱落和保持牙周健康可能有助于控制痴呆症的费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY

CiteScore

5.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).