The effects of chronic periodontitis and its treatment on the subsequent risk of psoriasis
Identifieur interne : 005F24 ( Istex/Corpus ); précédent : 005F23; suivant : 005F25The effects of chronic periodontitis and its treatment on the subsequent risk of psoriasis
Auteurs : J. J. Keller ; H. LinSource :
- British Journal of Dermatology [ 0007-0963 ] ; 2012-12.
English descriptors
- KwdEn :
- Bacterial infection, British association, Cardiovascular disease, Chronic periodontitis, Cohort, Comparison cohort, Comparison patients, Comparison subjects, Dermatol, Dermatologist, Diagnostic test, Followup period, Geographical region, Gingivalis, Gingivectomy, Hazard ratios, Immune, Immune dysregulation, Incidence rate, Index date, Index year, Keller, Monthly income, Periodontal, Periodontal disease, Periodontitis, Periodontol, Porphyromonas gingivalis, Potential association, Psoriasis, Psoriatic arthritis, Rheumatoid arthritis, Study cohort, Study subjects, Subsequent psoriasis, Subsequent risk, Urbanization level.
- Teeft :
- Bacterial infection, British association, Cardiovascular disease, Chronic periodontitis, Cohort, Comparison cohort, Comparison patients, Comparison subjects, Dermatol, Dermatologist, Diagnostic test, Followup period, Geographical region, Gingivalis, Gingivectomy, Hazard ratios, Immune, Immune dysregulation, Incidence rate, Index date, Index year, Keller, Monthly income, Periodontal, Periodontal disease, Periodontitis, Periodontol, Porphyromonas gingivalis, Potential association, Psoriasis, Psoriatic arthritis, Rheumatoid arthritis, Study cohort, Study subjects, Subsequent psoriasis, Subsequent risk, Urbanization level.
Abstract
Background Although psoriasis and chronic periodontitis (CP) may share an underlying immune dysregulation as part of their pathologies, to date only one small‐scale cross‐sectional pilot study has investigated the potential association between CP and psoriasis.
Url:
DOI: 10.1111/j.1365-2133.2012.11126.x
Links to Exploration step
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<profileDesc><abstract xml:lang="en" style="main"><head>Summary</head>
<p><hi rend="bold">Background </hi>
Although psoriasis and chronic periodontitis (CP) may share an underlying immune dysregulation as part of their pathologies, to date only one small‐scale cross‐sectional pilot study has investigated the potential association between CP and psoriasis.</p>
<p><hi rend="bold">Objectives </hi>
This study aimed to investigate the subsequent risk for psoriasis following a diagnosis of CP by utilizing a cohort study design and population‐based dataset in Taiwan.</p>
<p><hi rend="bold">Methods </hi>
In total, 115 365 patients with CP were included in the study cohort and 115 365 patients without CP were included in the comparison cohort. We individually tracked each patient for a 5‐year period to identify those who had subsequently received a diagnosis of psoriasis. A Cox proportional hazards regression was performed to compute the 5‐year risk of subsequent psoriasis following a diagnosis of CP.</p>
<p><hi rend="bold">Results </hi>
We found that the incidence rate of psoriasis during the 5‐year follow‐up period was 1·88 [95% confidence interval (CI) 1·77–1·99] per 1000 person‐years in patients with CP and 1·22 (95% CI 1·14–1·32) per 1000 person‐years in comparison patients. After censoring those who died during the follow‐up period, and adjusting for monthly income and geographical region, compared with comparison patients, the hazard ratio (HR) of psoriasis for patients with CP was 1·52 (95% CI 1·38–1·70). Furthermore, the study subjects who had undergone a gingivectomy or periodontal flap operation had only a slightly higher adjusted risk of psoriasis than comparison patients (HR 1·26).</p>
<p><hi rend="bold">Conclusions </hi>
This study detected an increased risk for psoriasis among patients with CP. Treatment for CP attenuated, but did not nullify, the risk for subsequent psoriasis.</p>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Summary</title>
<p><b>Background </b>
Although psoriasis and chronic periodontitis (CP) may share an underlying immune dysregulation as part of their pathologies, to date only one small‐scale cross‐sectional pilot study has investigated the potential association between CP and psoriasis.</p>
<p><b>Objectives </b>
This study aimed to investigate the subsequent risk for psoriasis following a diagnosis of CP by utilizing a cohort study design and population‐based dataset in Taiwan.</p>
<p><b>Methods </b>
In total, 115 365 patients with CP were included in the study cohort and 115 365 patients without CP were included in the comparison cohort. We individually tracked each patient for a 5‐year period to identify those who had subsequently received a diagnosis of psoriasis. A Cox proportional hazards regression was performed to compute the 5‐year risk of subsequent psoriasis following a diagnosis of CP.</p>
<p><b>Results </b>
We found that the incidence rate of psoriasis during the 5‐year follow‐up period was 1·88 [95% confidence interval (CI) 1·77–1·99] per 1000 person‐years in patients with CP and 1·22 (95% CI 1·14–1·32) per 1000 person‐years in comparison patients. After censoring those who died during the follow‐up period, and adjusting for monthly income and geographical region, compared with comparison patients, the hazard ratio (HR) of psoriasis for patients with CP was 1·52 (95% CI 1·38–1·70). Furthermore, the study subjects who had undergone a gingivectomy or periodontal flap operation had only a slightly higher adjusted risk of psoriasis than comparison patients (HR 1·26).</p>
<p><b>Conclusions </b>
This study detected an increased risk for psoriasis among patients with CP. Treatment for CP attenuated, but did not nullify, the risk for subsequent psoriasis.</p>
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<noteGroup><note xml:id="fn1"><p>Funding sources
None.</p>
</note>
<note xml:id="fn2"><p>Conflicts of interest
None declared.</p>
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<mods version="3.6"><titleInfo lang="en"><title>The effects of chronic periodontitis and its treatment on the subsequent risk of psoriasis</title>
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<titleInfo type="abbreviated" lang="en"><title>Chronic periodontitis and psoriasis</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en"><title>The effects of chronic periodontitis and its treatment on the subsequent risk of psoriasis</title>
</titleInfo>
<name type="personal"><namePart type="given">J.J.</namePart>
<namePart type="family">Keller</namePart>
<affiliation>School of Public Health, Taipei Medical University, Taipei, Taiwan</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">H.‐C.</namePart>
<namePart type="family">Lin</namePart>
<affiliation>School of Health Care Administration, Taipei Medical University, 250 Wu‐Hsing Street, Taipei 110, Taiwan</affiliation>
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<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2012-12</dateIssued>
<edition>Accepted for publication 20 June 2012</edition>
<copyrightDate encoding="w3cdtf">2012</copyrightDate>
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<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
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<abstract>Background Although psoriasis and chronic periodontitis (CP) may share an underlying immune dysregulation as part of their pathologies, to date only one small‐scale cross‐sectional pilot study has investigated the potential association between CP and psoriasis.</abstract>
<abstract>Objectives This study aimed to investigate the subsequent risk for psoriasis following a diagnosis of CP by utilizing a cohort study design and population‐based dataset in Taiwan.</abstract>
<abstract>Methods In total, 115 365 patients with CP were included in the study cohort and 115 365 patients without CP were included in the comparison cohort. We individually tracked each patient for a 5‐year period to identify those who had subsequently received a diagnosis of psoriasis. A Cox proportional hazards regression was performed to compute the 5‐year risk of subsequent psoriasis following a diagnosis of CP.</abstract>
<abstract>Results We found that the incidence rate of psoriasis during the 5‐year follow‐up period was 1·88 [95% confidence interval (CI) 1·77–1·99] per 1000 person‐years in patients with CP and 1·22 (95% CI 1·14–1·32) per 1000 person‐years in comparison patients. After censoring those who died during the follow‐up period, and adjusting for monthly income and geographical region, compared with comparison patients, the hazard ratio (HR) of psoriasis for patients with CP was 1·52 (95% CI 1·38–1·70). Furthermore, the study subjects who had undergone a gingivectomy or periodontal flap operation had only a slightly higher adjusted risk of psoriasis than comparison patients (HR 1·26).</abstract>
<abstract>Conclusions This study detected an increased risk for psoriasis among patients with CP. Treatment for CP attenuated, but did not nullify, the risk for subsequent psoriasis.</abstract>
<relatedItem type="host"><titleInfo><title>British Journal of Dermatology</title>
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<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<subject><genre>article-category</genre>
<topic>EPIDEMIOLOGY AND HEALTH SERVICES RESEARCH</topic>
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<identifier type="ISSN">0007-0963</identifier>
<identifier type="eISSN">1365-2133</identifier>
<identifier type="DOI">10.1111/(ISSN)1365-2133</identifier>
<identifier type="PublisherID">BJD</identifier>
<part><date>2012</date>
<detail type="volume"><caption>vol.</caption>
<number>167</number>
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<detail type="issue"><caption>no.</caption>
<number>6</number>
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<extent unit="pages"><start>1338</start>
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<identifier type="DOI">10.1111/j.1365-2133.2012.11126.x</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">© 2012 The Authors. BJD © 2012 British Association of Dermatologists 2012</accessCondition>
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