EdenteV1, PascalFrancis, Corpus, bibRecord, 000340

Clinical and Serologic Markers of Periodontal Infection and Chronic Kidney Disease. Commentary

Identifieur interne : 000340 ( PascalFrancis/Corpus ); précédent : 000339; suivant : 000341

Clinical and Serologic Markers of Periodontal Infection and Chronic Kidney Disease. Commentary

Auteurs : Frank A. Scannapieco ; Mandip Panesar ; Monica A. Fisher ; George W. Taylor ; Panos N. Papapanou ; Mahboob Rahman ; Sara M. Debanne

Source :

Journal of periodontology [ 0022-3492 ] ; 2008.

RBID : Pascal:08-0457994

Descripteurs français

Pascal (Inist)
- Infection, Néphropathie chronique, Edentation, Anticorps, Mâchoire, Pathologie du rein, Parodontopathie, Facteur risque, Dentisterie.

English descriptors

KwdEn :
- Antibody, Chronic kidney disease, Dentistry, Edentulousness, Infection, Jaw, Kidney disease, Periodontal disease, Risk factor.

Abstract

Background: Chronic kidney disease and its concomitant sequelae represent a major public health problem. Recent data suggest periodontal infection contributes to chronic kidney disease. Methods: This United States population-based study of 4,053 adults ≥40 years of age investigated the association between chronic kidney disease and clinical measures and serologic markers of periodontal infection. Chronic kidney disease was defined as moderate-to-severe reduction of kidney function with glomerular filtration rate of 15 to 59 ml/minute/1.73 m² based on stages 3 and 4 of the Kidney Disease Outcome Quality Initiative. Chronic oral inflammatory burden was measured as 1) clinical periodontal infection categorized as no periodontal disease, periodontal disease (at least one tooth with ≥4 mm loss of attachment and bleeding on probing as an indicator of inflammation), or edentulism and 2) serum immunoglobulin G antibody response to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) and Porphyromonas gingivalis. Multiple logistic regression modeling quantified the association between chronic kidney disease and chronic inflammatory burden and other risk factors. Results: Nine percent of the study population had chronic kidney disease, 22% had high A. actinomycetemcomitans antibody titer, 24% had high P. gingivalis antibody titer, 9% had periodontal disease, and 17% were edentulous. After simultaneously adjusting for recognized risk factors, adults with a high A. actinomycetemcomitans titer were less likely to have chronic kidney disease (adjusted odds ratio [OR_Adj] = 0.67; 95% confidence interval [Cl]: 0.46 to 0.98), and adults with edentulism were more likely to have chronic kidney disease (OR_Adj = 1.64; 95% CI: 1.11 to 2.44). Conclusion: These results support considering edentulism and low serum titer to A. actinomycetemcomitans as risk indicators for chronic kidney disease.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`01`	`1`		`@1 SCANNAPIECO (Frank A.) @9 comment.`
A11	`02`	`1`		`@1 PANESAR (Mandip) @9 comment.`
A11	`03`	`1`		`@1 FISHER (Monica A.)`
A11	`04`	`1`		`@1 TAYLOR (George W.)`
A11	`05`	`1`		`@1 PAPAPANOU (Panos N.)`
A11	`06`	`1`		`@1 RAHMAN (Mahboob)`
A11	`07`	`1`		`@1 DEBANNE (Sara M.)`
A14	`01`			`@1 Department of Oral Biology, School of Dental Medicine, University at Buffalo @2 Buffalo, NY @3 USA @Z 1 aut.`
A14	`02`			`@1 Department of Medicine, School of Medicine, Universityat Buffalo @3 USA @Z 2 aut.`
A14	`03`			`@1 Department of Orthodontics, School of Dental Medicine, Case Western Reserve University @2 Cleveland, OH @3 USA @Z 3 aut.`
A14	`04`			`@1 Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan @2 Ann Arbor, MI @3 USA @Z 4 aut.`
A14	`05`			`@1 Section of Oral and Diagnostic Sciences, Division of Periodontics, College of Dental Medicine, Columbia University @2 New York, NY @3 USA @Z 5 aut.`
A14	`06`			`@1 Division of Nephrology and Hypertension, School of Medicine, Case Western Reserve University @3 USA @Z 6 aut.`
A14	`07`			`@1 Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University @3 USA @Z 7 aut.`
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C01	`01`		`ENG`	@0 Background: Chronic kidney disease and its concomitant sequelae represent a major public health problem. Recent data suggest periodontal infection contributes to chronic kidney disease. Methods: This United States population-based study of 4,053 adults ≥40 years of age investigated the association between chronic kidney disease and clinical measures and serologic markers of periodontal infection. Chronic kidney disease was defined as moderate-to-severe reduction of kidney function with glomerular filtration rate of 15 to 59 ml/minute/1.73 m² based on stages 3 and 4 of the Kidney Disease Outcome Quality Initiative. Chronic oral inflammatory burden was measured as 1) clinical periodontal infection categorized as no periodontal disease, periodontal disease (at least one tooth with ≥4 mm loss of attachment and bleeding on probing as an indicator of inflammation), or edentulism and 2) serum immunoglobulin G antibody response to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) and Porphyromonas gingivalis. Multiple logistic regression modeling quantified the association between chronic kidney disease and chronic inflammatory burden and other risk factors. Results: Nine percent of the study population had chronic kidney disease, 22% had high A. actinomycetemcomitans antibody titer, 24% had high P. gingivalis antibody titer, 9% had periodontal disease, and 17% were edentulous. After simultaneously adjusting for recognized risk factors, adults with a high A. actinomycetemcomitans titer were less likely to have chronic kidney disease (adjusted odds ratio [OR_Adj] = 0.67; 95% confidence interval [Cl]: 0.46 to 0.98), and adults with edentulism were more likely to have chronic kidney disease (OR_Adj = 1.64; 95% CI: 1.11 to 2.44). Conclusion: These results support considering edentulism and low serum titer to A. actinomycetemcomitans as risk indicators for chronic kidney disease.
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C03	`01`	`X`	`FRE`	`@0 Infection @5 01`
C03	`01`	`X`	`ENG`	`@0 Infection @5 01`
C03	`01`	`X`	`SPA`	`@0 Infección @5 01`
C03	`02`	`X`	`FRE`	`@0 Néphropathie chronique @2 NM @5 02`
C03	`02`	`X`	`ENG`	`@0 Chronic kidney disease @2 NM @5 02`
C03	`02`	`X`	`SPA`	`@0 Nefropatía crónica @2 NM @5 02`
C03	`03`	`X`	`FRE`	`@0 Edentation @5 03`
C03	`03`	`X`	`ENG`	`@0 Edentulousness @5 03`
C03	`03`	`X`	`SPA`	`@0 Edentación @5 03`
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C03	`04`	`X`	`ENG`	`@0 Antibody @5 07`
C03	`04`	`X`	`SPA`	`@0 Anticuerpo @5 07`
C03	`05`	`X`	`FRE`	`@0 Mâchoire @5 08`
C03	`05`	`X`	`ENG`	`@0 Jaw @5 08`
C03	`05`	`X`	`SPA`	`@0 Maxilar @5 08`
C03	`06`	`X`	`FRE`	`@0 Pathologie du rein @5 09`
C03	`06`	`X`	`ENG`	`@0 Kidney disease @5 09`
C03	`06`	`X`	`SPA`	`@0 Riñón patología @5 09`
C03	`07`	`X`	`FRE`	`@0 Parodontopathie @5 13`
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C03	`08`	`X`	`ENG`	`@0 Risk factor @5 14`
C03	`08`	`X`	`SPA`	`@0 Factor riesgo @5 14`
C03	`09`	`X`	`FRE`	`@0 Dentisterie @5 30`
C03	`09`	`X`	`ENG`	`@0 Dentistry @5 30`
C03	`09`	`X`	`SPA`	`@0 Odontología @5 30`
C07	`01`	`X`	`FRE`	`@0 Insuffisance rénale @5 37`
C07	`01`	`X`	`ENG`	`@0 Renal failure @5 37`
C07	`01`	`X`	`SPA`	`@0 Insuficiencia renal @5 37`
C07	`02`	`X`	`FRE`	`@0 Pathologie de l'appareil urinaire @5 38`
C07	`02`	`X`	`ENG`	`@0 Urinary system disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Aparato urinario patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Pathologie dentaire @5 39`
C07	`03`	`X`	`ENG`	`@0 Dental disease @5 39`
C07	`03`	`X`	`SPA`	`@0 Diente patología @5 39`
C07	`04`	`X`	`FRE`	`@0 Stomatologie @5 40`
C07	`04`	`X`	`ENG`	`@0 Stomatology @5 40`
C07	`04`	`X`	`SPA`	`@0 Estomatología @5 40`
N21				`@1 294`
N44	`01`			`@1 OTO`
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Format Inist (serveur)

NO :	PASCAL 08-0457994 INIST
ET :	Clinical and Serologic Markers of Periodontal Infection and Chronic Kidney Disease. Commentary
AU :	SCANNAPIECO (Frank A.); PANESAR (Mandip); FISHER (Monica A.); TAYLOR (George W.); PAPAPANOU (Panos N.); RAHMAN (Mahboob); DEBANNE (Sara M.)
AF :	Department of Oral Biology, School of Dental Medicine, University at Buffalo/Buffalo, NY/Etats-Unis (1 aut.); Department of Medicine, School of Medicine, Universityat Buffalo/Etats-Unis (2 aut.); Department of Orthodontics, School of Dental Medicine, Case Western Reserve University/Cleveland, OH/Etats-Unis (3 aut.); Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan/Ann Arbor, MI/Etats-Unis (4 aut.); Section of Oral and Diagnostic Sciences, Division of Periodontics, College of Dental Medicine, Columbia University/New York, NY/Etats-Unis (5 aut.); Division of Nephrology and Hypertension, School of Medicine, Case Western Reserve University/Etats-Unis (6 aut.); Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University/Etats-Unis (7 aut.)
DT :	Publication en série; Article; Commentaire; Niveau analytique
SO :	Journal of periodontology; ISSN 0022-3492; Etats-Unis; Da. 2008; Vol. 79; No. 9; 1617-1619, 1670-1678 [12 p.]; Bibl. 53 ref.
LA :	Anglais
EA :	Background: Chronic kidney disease and its concomitant sequelae represent a major public health problem. Recent data suggest periodontal infection contributes to chronic kidney disease. Methods: This United States population-based study of 4,053 adults ≥40 years of age investigated the association between chronic kidney disease and clinical measures and serologic markers of periodontal infection. Chronic kidney disease was defined as moderate-to-severe reduction of kidney function with glomerular filtration rate of 15 to 59 ml/minute/1.73 m² based on stages 3 and 4 of the Kidney Disease Outcome Quality Initiative. Chronic oral inflammatory burden was measured as 1) clinical periodontal infection categorized as no periodontal disease, periodontal disease (at least one tooth with ≥4 mm loss of attachment and bleeding on probing as an indicator of inflammation), or edentulism and 2) serum immunoglobulin G antibody response to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) and Porphyromonas gingivalis. Multiple logistic regression modeling quantified the association between chronic kidney disease and chronic inflammatory burden and other risk factors. Results: Nine percent of the study population had chronic kidney disease, 22% had high A. actinomycetemcomitans antibody titer, 24% had high P. gingivalis antibody titer, 9% had periodontal disease, and 17% were edentulous. After simultaneously adjusting for recognized risk factors, adults with a high A. actinomycetemcomitans titer were less likely to have chronic kidney disease (adjusted odds ratio [OR_Adj] = 0.67; 95% confidence interval [Cl]: 0.46 to 0.98), and adults with edentulism were more likely to have chronic kidney disease (OR_Adj = 1.64; 95% CI: 1.11 to 2.44). Conclusion: These results support considering edentulism and low serum titer to A. actinomycetemcomitans as risk indicators for chronic kidney disease.
CC :	002B10C02; 002B14E01; 002B14A05
FD :	Infection; Néphropathie chronique; Edentation; Anticorps; Mâchoire; Pathologie du rein; Parodontopathie; Facteur risque; Dentisterie
FG :	Insuffisance rénale; Pathologie de l'appareil urinaire; Pathologie dentaire; Stomatologie
ED :	Infection; Chronic kidney disease; Edentulousness; Antibody; Jaw; Kidney disease; Periodontal disease; Risk factor; Dentistry
EG :	Renal failure; Urinary system disease; Dental disease; Stomatology
SD :	Infección; Nefropatía crónica; Edentación; Anticuerpo; Maxilar; Riñón patología; Parodontopatía; Factor riesgo; Odontología
LO :	INIST-874.354000185759520090
ID :	08-0457994

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Le document en format XML

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<author><name sortKey="Fisher, Monica A" sort="Fisher, Monica A" uniqKey="Fisher M" first="Monica A." last="Fisher">Monica A. Fisher</name>
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<author><name sortKey="Taylor, George W" sort="Taylor, George W" uniqKey="Taylor G" first="George W." last="Taylor">George W. Taylor</name>
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<author><name sortKey="Papapanou, Panos N" sort="Papapanou, Panos N" uniqKey="Papapanou P" first="Panos N." last="Papapanou">Panos N. Papapanou</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antibody</term>
<term>Chronic kidney disease</term>
<term>Dentistry</term>
<term>Edentulousness</term>
<term>Infection</term>
<term>Jaw</term>
<term>Kidney disease</term>
<term>Periodontal disease</term>
<term>Risk factor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Infection</term>
<term>Néphropathie chronique</term>
<term>Edentation</term>
<term>Anticorps</term>
<term>Mâchoire</term>
<term>Pathologie du rein</term>
<term>Parodontopathie</term>
<term>Facteur risque</term>
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<front><div type="abstract" xml:lang="en">Background: Chronic kidney disease and its concomitant sequelae represent a major public health problem. Recent data suggest periodontal infection contributes to chronic kidney disease. Methods: This United States population-based study of 4,053 adults ≥40 years of age investigated the association between chronic kidney disease and clinical measures and serologic markers of periodontal infection. Chronic kidney disease was defined as moderate-to-severe reduction of kidney function with glomerular filtration rate of 15 to 59 ml/minute/1.73 m<sup>2</sup>
 based on stages 3 and 4 of the Kidney Disease Outcome Quality Initiative. Chronic oral inflammatory burden was measured as 1) clinical periodontal infection categorized as no periodontal disease, periodontal disease (at least one tooth with ≥4 mm loss of attachment and bleeding on probing as an indicator of inflammation), or edentulism and 2) serum immunoglobulin G antibody response to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) and Porphyromonas gingivalis. Multiple logistic regression modeling quantified the association between chronic kidney disease and chronic inflammatory burden and other risk factors. Results: Nine percent of the study population had chronic kidney disease, 22% had high A. actinomycetemcomitans antibody titer, 24% had high P. gingivalis antibody titer, 9% had periodontal disease, and 17% were edentulous. After simultaneously adjusting for recognized risk factors, adults with a high A. actinomycetemcomitans titer were less likely to have chronic kidney disease (adjusted odds ratio [OR<sub>Adj</sub>
] = 0.67; 95% confidence interval [Cl]: 0.46 to 0.98), and adults with edentulism were more likely to have chronic kidney disease (OR<sub>Adj</sub>
 = 1.64; 95% CI: 1.11 to 2.44). Conclusion: These results support considering edentulism and low serum titer to A. actinomycetemcomitans as risk indicators for chronic kidney disease.</div>
</front>
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<fA11 i1="01" i2="1"><s1>SCANNAPIECO (Frank A.)</s1>
<s9>comment.</s9>
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<fA11 i1="02" i2="1"><s1>PANESAR (Mandip)</s1>
<s9>comment.</s9>
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<fA11 i1="03" i2="1"><s1>FISHER (Monica A.)</s1>
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<fA11 i1="04" i2="1"><s1>TAYLOR (George W.)</s1>
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<fA11 i1="05" i2="1"><s1>PAPAPANOU (Panos N.)</s1>
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<fA11 i1="06" i2="1"><s1>RAHMAN (Mahboob)</s1>
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<fA11 i1="07" i2="1"><s1>DEBANNE (Sara M.)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Oral Biology, School of Dental Medicine, University at Buffalo</s1>
<s2>Buffalo, NY</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Department of Medicine, School of Medicine, Universityat Buffalo</s1>
<s3>USA</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Orthodontics, School of Dental Medicine, Case Western Reserve University</s1>
<s2>Cleveland, OH</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan</s1>
<s2>Ann Arbor, MI</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Section of Oral and Diagnostic Sciences, Division of Periodontics, College of Dental Medicine, Columbia University</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>Division of Nephrology and Hypertension, School of Medicine, Case Western Reserve University</s1>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University</s1>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA20><s2>1617-1619, 1670-1678 [12 p.]</s2>
</fA20>
<fA21><s1>2008</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>874</s2>
<s5>354000185759520090</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2008 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>53 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>08-0457994</s0>
</fA47>
<fA60><s1>P</s1>
<s3>AR</s3>
<s3>CT</s3>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Journal of periodontology</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Background: Chronic kidney disease and its concomitant sequelae represent a major public health problem. Recent data suggest periodontal infection contributes to chronic kidney disease. Methods: This United States population-based study of 4,053 adults ≥40 years of age investigated the association between chronic kidney disease and clinical measures and serologic markers of periodontal infection. Chronic kidney disease was defined as moderate-to-severe reduction of kidney function with glomerular filtration rate of 15 to 59 ml/minute/1.73 m<sup>2</sup>
 based on stages 3 and 4 of the Kidney Disease Outcome Quality Initiative. Chronic oral inflammatory burden was measured as 1) clinical periodontal infection categorized as no periodontal disease, periodontal disease (at least one tooth with ≥4 mm loss of attachment and bleeding on probing as an indicator of inflammation), or edentulism and 2) serum immunoglobulin G antibody response to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) and Porphyromonas gingivalis. Multiple logistic regression modeling quantified the association between chronic kidney disease and chronic inflammatory burden and other risk factors. Results: Nine percent of the study population had chronic kidney disease, 22% had high A. actinomycetemcomitans antibody titer, 24% had high P. gingivalis antibody titer, 9% had periodontal disease, and 17% were edentulous. After simultaneously adjusting for recognized risk factors, adults with a high A. actinomycetemcomitans titer were less likely to have chronic kidney disease (adjusted odds ratio [OR<sub>Adj</sub>
] = 0.67; 95% confidence interval [Cl]: 0.46 to 0.98), and adults with edentulism were more likely to have chronic kidney disease (OR<sub>Adj</sub>
 = 1.64; 95% CI: 1.11 to 2.44). Conclusion: These results support considering edentulism and low serum titer to A. actinomycetemcomitans as risk indicators for chronic kidney disease.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B10C02</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B14E01</s0>
</fC02>
<fC02 i1="03" i2="X"><s0>002B14A05</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Infection</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Infection</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Infección</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Néphropathie chronique</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Chronic kidney disease</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Nefropatía crónica</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Edentation</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Edentulousness</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Edentación</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Anticorps</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Antibody</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Anticuerpo</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Mâchoire</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Jaw</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Maxilar</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Pathologie du rein</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Kidney disease</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Riñón patología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Parodontopathie</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Periodontal disease</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Parodontopatía</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Facteur risque</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Risk factor</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Factor riesgo</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Dentisterie</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Dentistry</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Odontología</s0>
<s5>30</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Insuffisance rénale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Renal failure</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Insuficiencia renal</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie de l'appareil urinaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Urinary system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Aparato urinario patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie dentaire</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Dental disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Diente patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Stomatologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Stomatology</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Estomatología</s0>
<s5>40</s5>
</fC07>
<fN21><s1>294</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 08-0457994 INIST</NO>
<ET>Clinical and Serologic Markers of Periodontal Infection and Chronic Kidney Disease. Commentary</ET>
<AU>SCANNAPIECO (Frank A.); PANESAR (Mandip); FISHER (Monica A.); TAYLOR (George W.); PAPAPANOU (Panos N.); RAHMAN (Mahboob); DEBANNE (Sara M.)</AU>
<AF>Department of Oral Biology, School of Dental Medicine, University at Buffalo/Buffalo, NY/Etats-Unis (1 aut.); Department of Medicine, School of Medicine, Universityat Buffalo/Etats-Unis (2 aut.); Department of Orthodontics, School of Dental Medicine, Case Western Reserve University/Cleveland, OH/Etats-Unis (3 aut.); Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan/Ann Arbor, MI/Etats-Unis (4 aut.); Section of Oral and Diagnostic Sciences, Division of Periodontics, College of Dental Medicine, Columbia University/New York, NY/Etats-Unis (5 aut.); Division of Nephrology and Hypertension, School of Medicine, Case Western Reserve University/Etats-Unis (6 aut.); Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University/Etats-Unis (7 aut.)</AF>
<DT>Publication en série; Article; Commentaire; Niveau analytique</DT>
<SO>Journal of periodontology; ISSN 0022-3492; Etats-Unis; Da. 2008; Vol. 79; No. 9; 1617-1619, 1670-1678 [12 p.]; Bibl. 53 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Chronic kidney disease and its concomitant sequelae represent a major public health problem. Recent data suggest periodontal infection contributes to chronic kidney disease. Methods: This United States population-based study of 4,053 adults ≥40 years of age investigated the association between chronic kidney disease and clinical measures and serologic markers of periodontal infection. Chronic kidney disease was defined as moderate-to-severe reduction of kidney function with glomerular filtration rate of 15 to 59 ml/minute/1.73 m<sup>2</sup>
 based on stages 3 and 4 of the Kidney Disease Outcome Quality Initiative. Chronic oral inflammatory burden was measured as 1) clinical periodontal infection categorized as no periodontal disease, periodontal disease (at least one tooth with ≥4 mm loss of attachment and bleeding on probing as an indicator of inflammation), or edentulism and 2) serum immunoglobulin G antibody response to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) and Porphyromonas gingivalis. Multiple logistic regression modeling quantified the association between chronic kidney disease and chronic inflammatory burden and other risk factors. Results: Nine percent of the study population had chronic kidney disease, 22% had high A. actinomycetemcomitans antibody titer, 24% had high P. gingivalis antibody titer, 9% had periodontal disease, and 17% were edentulous. After simultaneously adjusting for recognized risk factors, adults with a high A. actinomycetemcomitans titer were less likely to have chronic kidney disease (adjusted odds ratio [OR<sub>Adj</sub>
] = 0.67; 95% confidence interval [Cl]: 0.46 to 0.98), and adults with edentulism were more likely to have chronic kidney disease (OR<sub>Adj</sub>
 = 1.64; 95% CI: 1.11 to 2.44). Conclusion: These results support considering edentulism and low serum titer to A. actinomycetemcomitans as risk indicators for chronic kidney disease.</EA>
<CC>002B10C02; 002B14E01; 002B14A05</CC>
<FD>Infection; Néphropathie chronique; Edentation; Anticorps; Mâchoire; Pathologie du rein; Parodontopathie; Facteur risque; Dentisterie</FD>
<FG>Insuffisance rénale; Pathologie de l'appareil urinaire; Pathologie dentaire; Stomatologie</FG>
<ED>Infection; Chronic kidney disease; Edentulousness; Antibody; Jaw; Kidney disease; Periodontal disease; Risk factor; Dentistry</ED>
<EG>Renal failure; Urinary system disease; Dental disease; Stomatology</EG>
<SD>Infección; Nefropatía crónica; Edentación; Anticuerpo; Maxilar; Riñón patología; Parodontopatía; Factor riesgo; Odontología</SD>
<LO>INIST-874.354000185759520090</LO>
<ID>08-0457994</ID>
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Clinical and Serologic Markers of Periodontal Infection and Chronic Kidney Disease. Commentary

Clinical and Serologic Markers of Periodontal Infection and Chronic Kidney Disease. Commentary

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