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Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models

BACKGROUND: About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and...

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Autores principales: Chaudhari, Monica, Hubbard, Rebecca, Reid, Robert J, Inge, Ronald, Newton, Katherine M, Spangler, Leslie, Barlow, William E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528407/
https://www.ncbi.nlm.nih.gov/pubmed/22776352
http://dx.doi.org/10.1186/1472-6831-12-20
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author Chaudhari, Monica
Hubbard, Rebecca
Reid, Robert J
Inge, Ronald
Newton, Katherine M
Spangler, Leslie
Barlow, William E
author_facet Chaudhari, Monica
Hubbard, Rebecca
Reid, Robert J
Inge, Ronald
Newton, Katherine M
Spangler, Leslie
Barlow, William E
author_sort Chaudhari, Monica
collection PubMed
description BACKGROUND: About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and to use this methodology to compare utilization of dental care between adults with and without diabetes. METHODS: Data included secondary enrollment and demographic data from Washington Dental Service (WDS) and Group Health Cooperative (GH), clinical data from GH, and dental-utilization data from WDS claims during 2002–2006. Dental and medical records from WDS and GH were linked for enrolees continuously and dually insured during the study. We employed hurdle models in a quasi-experimental setting to assess differences between adults with and without diabetes in 5-year cumulative utilization of dental services. Propensity score matching adjusted for differences in baseline covariates between the two groups. RESULTS: We found that adults with diabetes had lower odds of visiting a dentist (OR = 0.74, p < 0.001). Among those with a dental visit, diabetes patients had lower odds of receiving prophylaxes (OR = 0.77), fillings (OR = 0.80) and crowns (OR = 0.84) (p < 0.005 for all) and higher odds of receiving periodontal maintenance (OR = 1.24), non-surgical periodontal procedures (OR = 1.30), extractions (OR = 1.38) and removable prosthetics (OR = 1.36) (p < 0.001 for all). CONCLUSIONS: Patients with diabetes are less likely to use dental services. Those who do are less likely to use preventive care and more likely to receive periodontal care and tooth-extractions. Future research should address the possible effectiveness of additional prevention in reducing subsequent severe oral disease in patients with diabetes.
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spelling pubmed-35284072013-01-03 Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models Chaudhari, Monica Hubbard, Rebecca Reid, Robert J Inge, Ronald Newton, Katherine M Spangler, Leslie Barlow, William E BMC Oral Health Research Article BACKGROUND: About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and to use this methodology to compare utilization of dental care between adults with and without diabetes. METHODS: Data included secondary enrollment and demographic data from Washington Dental Service (WDS) and Group Health Cooperative (GH), clinical data from GH, and dental-utilization data from WDS claims during 2002–2006. Dental and medical records from WDS and GH were linked for enrolees continuously and dually insured during the study. We employed hurdle models in a quasi-experimental setting to assess differences between adults with and without diabetes in 5-year cumulative utilization of dental services. Propensity score matching adjusted for differences in baseline covariates between the two groups. RESULTS: We found that adults with diabetes had lower odds of visiting a dentist (OR = 0.74, p < 0.001). Among those with a dental visit, diabetes patients had lower odds of receiving prophylaxes (OR = 0.77), fillings (OR = 0.80) and crowns (OR = 0.84) (p < 0.005 for all) and higher odds of receiving periodontal maintenance (OR = 1.24), non-surgical periodontal procedures (OR = 1.30), extractions (OR = 1.38) and removable prosthetics (OR = 1.36) (p < 0.001 for all). CONCLUSIONS: Patients with diabetes are less likely to use dental services. Those who do are less likely to use preventive care and more likely to receive periodontal care and tooth-extractions. Future research should address the possible effectiveness of additional prevention in reducing subsequent severe oral disease in patients with diabetes. BioMed Central 2012-07-09 /pmc/articles/PMC3528407/ /pubmed/22776352 http://dx.doi.org/10.1186/1472-6831-12-20 Text en Copyright ©2012 Chaudhari et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Chaudhari, Monica
Hubbard, Rebecca
Reid, Robert J
Inge, Ronald
Newton, Katherine M
Spangler, Leslie
Barlow, William E
Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
title Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
title_full Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
title_fullStr Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
title_full_unstemmed Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
title_short Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
title_sort evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528407/
https://www.ncbi.nlm.nih.gov/pubmed/22776352
http://dx.doi.org/10.1186/1472-6831-12-20
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