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. 2017 Apr;26(4):519-527.
doi: 10.1002/hec.3316. Epub 2016 Jan 22.

The Relationship between Periodontal Interventions and Healthcare Costs and Utilization. Evidence from an Integrated Dental, Medical, and Pharmacy Commercial Claims Database

Kamyar Nasseh  1 , Marko Vujicic  1 , Michael Glick  2
Affiliations

The Relationship between Periodontal Interventions and Healthcare Costs and Utilization. Evidence from an Integrated Dental, Medical, and Pharmacy Commercial Claims Database

Kamyar Nasseh et al. Health Econ. 2017 Apr.

Abstract

Periodontal disease has been linked to poor glycemic control among individuals with type 2 diabetes. Using integrated dental, medical, and pharmacy commercial claims from Truven MarketScan® Research Databases, we implement inverse probability weighting and doubly robust methods to estimate a relationship between a periodontal intervention and healthcare costs and utilization. Among individuals newly diagnosed with type 2 diabetes, we find that a periodontal intervention is associated with lower total healthcare costs (-$1799), lower total medical costs excluding pharmacy costs (-$1577), and lower total type 2 diabetes-related healthcare costs (-$408). © 2016 The Authors. Health Economics Published by John Wiley & Sons Ltd.

Keywords: doubly robust estimation; healthcare costs and utilization; inverse probability weighting; periodontal intervention; type 2 diabetes.

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Figures

Figure 1
Figure 1
Study flow. Sample selection criterion for individuals with type 2 diabetes
Figure 2
Figure 2
Study timeline. Determination of treatment and control groups along with outcome measures. [Colour figure can be viewed at wileyonlinelibrary.com]
See this image and copyright information in PMC

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