Association between periodontitis and mortality in stages 3–5 chronic kidney disease: NHANES III and linked mortality study
Identifieur interne : 000A39 ( Main/Exploration ); précédent : 000A38; suivant : 000A40Association between periodontitis and mortality in stages 3–5 chronic kidney disease: NHANES III and linked mortality study
Auteurs : Praveen Sharma ; Thomas Dietrich ; Charles J. Ferro ; Paul Cockwell ; Iain L. C. ChappleSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2016.
Abstract
Periodontitis may add to the systemic inflammatory burden in individuals with chronic kidney disease (
Survival analysis was carried out using the Third National Health and Nutrition Examination Survey (
Of the 13,784 participants eligible for analysis in
There is a strong, association between periodontitis and increased mortality in individuals with
Url:
DOI: 10.1111/jcpe.12502
PubMed: 26717883
PubMed Central: 5324563
Affiliations:
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Le document en format XML
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<author><name sortKey="Dietrich, Thomas" sort="Dietrich, Thomas" uniqKey="Dietrich T" first="Thomas" last="Dietrich">Thomas Dietrich</name>
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<author><name sortKey="Ferro, Charles J" sort="Ferro, Charles J" uniqKey="Ferro C" first="Charles J." last="Ferro">Charles J. Ferro</name>
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<author><name sortKey="Cockwell, Paul" sort="Cockwell, Paul" uniqKey="Cockwell P" first="Paul" last="Cockwell">Paul Cockwell</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Association between periodontitis and mortality in stages 3–5 chronic kidney disease: <styled-content style="fixed-case">NHANES III</styled-content>
and linked mortality study</title>
<author><name sortKey="Sharma, Praveen" sort="Sharma, Praveen" uniqKey="Sharma P" first="Praveen" last="Sharma">Praveen Sharma</name>
<affiliation><nlm:aff id="jcpe12502-aff-0001"></nlm:aff>
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<author><name sortKey="Dietrich, Thomas" sort="Dietrich, Thomas" uniqKey="Dietrich T" first="Thomas" last="Dietrich">Thomas Dietrich</name>
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</affiliation>
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<author><name sortKey="Ferro, Charles J" sort="Ferro, Charles J" uniqKey="Ferro C" first="Charles J." last="Ferro">Charles J. Ferro</name>
<affiliation><nlm:aff id="jcpe12502-aff-0002"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cockwell, Paul" sort="Cockwell, Paul" uniqKey="Cockwell P" first="Paul" last="Cockwell">Paul Cockwell</name>
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<author><name sortKey="Chapple, Iain L C" sort="Chapple, Iain L C" uniqKey="Chapple I" first="Iain L. C." last="Chapple">Iain L. C. Chapple</name>
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</affiliation>
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<series><title level="j">Journal of Clinical Periodontology</title>
<idno type="ISSN">0303-6979</idno>
<idno type="eISSN">1600-051X</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<sec id="jcpe12502-sec-0001"><title>Introduction</title>
<p>Periodontitis may add to the systemic inflammatory burden in individuals with chronic kidney disease (<styled-content style="fixed-case">CKD</styled-content>
), thereby contributing to an increased mortality rate. This study aimed to determine the association between periodontitis and mortality rate (all‐cause and cardiovascular disease‐related) in individuals with stage 3–5 <styled-content style="fixed-case">CKD</styled-content>
, hitherto referred to as “<styled-content style="fixed-case">CKD</styled-content>
”.</p>
</sec>
<sec id="jcpe12502-sec-0002"><title>Methods</title>
<p>Survival analysis was carried out using the Third National Health and Nutrition Examination Survey (<styled-content style="fixed-case">NHANES III</styled-content>
) and linked mortality data. Cox proportional hazards regression was employed to assess the association between periodontitis and mortality, in individuals with <styled-content style="fixed-case">CKD</styled-content>
. This association was compared with the association between mortality and traditional risk factors in <styled-content style="fixed-case">CKD</styled-content>
mortality (diabetes, hypertension and smoking).</p>
</sec>
<sec id="jcpe12502-sec-0003"><title>Results</title>
<p>Of the 13,784 participants eligible for analysis in <styled-content style="fixed-case">NHANES III</styled-content>
, 861 (6%) had <styled-content style="fixed-case">CKD</styled-content>
. The median follow‐up for this cohort was 14.3 years. Adjusting for confounders, the 10‐year all‐cause mortality rate for individuals with <styled-content style="fixed-case">CKD</styled-content>
increased from 32% (95% <styled-content style="fixed-case">CI</styled-content>
: 29–35%) to 41% (36–47%) with the addition of periodontitis. For diabetes, the 10‐year all‐cause mortality rate increased to 43% (38–49%).</p>
</sec>
<sec id="jcpe12502-sec-0004"><title>Conclusion</title>
<p>There is a strong, association between periodontitis and increased mortality in individuals with <styled-content style="fixed-case">CKD</styled-content>
. Sources of chronic systemic inflammation (including periodontitis) may be important contributors to mortality in patients with <styled-content style="fixed-case">CKD</styled-content>
.</p>
</sec>
</div>
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<tree><noCountry><name sortKey="Chapple, Iain L C" sort="Chapple, Iain L C" uniqKey="Chapple I" first="Iain L. C." last="Chapple">Iain L. C. Chapple</name>
<name sortKey="Cockwell, Paul" sort="Cockwell, Paul" uniqKey="Cockwell P" first="Paul" last="Cockwell">Paul Cockwell</name>
<name sortKey="Dietrich, Thomas" sort="Dietrich, Thomas" uniqKey="Dietrich T" first="Thomas" last="Dietrich">Thomas Dietrich</name>
<name sortKey="Ferro, Charles J" sort="Ferro, Charles J" uniqKey="Ferro C" first="Charles J." last="Ferro">Charles J. Ferro</name>
<name sortKey="Sharma, Praveen" sort="Sharma, Praveen" uniqKey="Sharma P" first="Praveen" last="Sharma">Praveen Sharma</name>
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