Major Adverse Cardiovascular Events in Treated Periodontitis: A Population-Based Follow-Up Study from Taiwan
Identifieur interne : 000F89 ( Main/Exploration ); précédent : 000F88; suivant : 000F90Major Adverse Cardiovascular Events in Treated Periodontitis: A Population-Based Follow-Up Study from Taiwan
Auteurs : Shing-Hsien Chou [Taïwan] ; Ying-Chang Tung [Taïwan] ; Yu-Sheng Lin [Taïwan] ; Lung-Sheng Wu [Taïwan] ; Chia-Pin Lin [Taïwan] ; Eric Jein-Wein Liou [Taïwan] ; Chee-Jen Chang [Taïwan] ; Suefang Kung [Taïwan] ; Pao-Hsien Chu [Taïwan]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
The aim of the present study was to identify the long-term major adverse cardiovascular events (MACE) in treated periodontitis patients in Taiwan.
From the National Health Insurance Research Database (2001-2010), adult patients (≥ 18 years) with treated periodontitis were identified. Comparison was made between patients with mild form and severe form of treated periodontitis after propensity score matching. The primary end point was the incidence of MACE.
A total of 32,504 adult patients with treated periodontitis were identified between 2001 and 2010. After propensity score matching, 27,146 patients were preserved for comparison, including 13,573 patients with mild form and 13,573 patients with severe form of treated periodontitis. During follow-up, 728 individuals in mild treated periodontitis group and 1,206 individuals in severe treated periodontitis group had at least 1 MACE event. After adjustment for gender, hyperlipidemia, hypertension and diabetes mellitus, severe treated periodontitis was associated with a mildly but significantly increased risk of MACE among older patients > 60 years of age (incidence rate ratio, 1.26; 95% confidence interval, 1.08–1.46). No association was found among younger patients ≤ 60 years of age.
Severe form of treated periodontitis was associated with an increased risk of MACE among older Taiwanese patients, but not among younger Taiwanese patients. We should put more efforts on the improvement of periodontal health to prevent further MACE.
Url:
DOI: 10.1371/journal.pone.0130807
PubMed: 26114433
PubMed Central: 4482590
Affiliations:
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Chang" sort="Tung, Ying Chang" uniqKey="Tung Y" first="Ying-Chang" last="Tung">Ying-Chang Tung</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Yu Sheng" sort="Lin, Yu Sheng" uniqKey="Lin Y" first="Yu-Sheng" last="Lin">Yu-Sheng Lin</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Lung Sheng" sort="Wu, Lung Sheng" uniqKey="Wu L" first="Lung-Sheng" last="Wu">Lung-Sheng Wu</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Chia Pin" sort="Lin, Chia Pin" uniqKey="Lin C" first="Chia-Pin" last="Lin">Chia-Pin Lin</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Liou, Eric Jein Wein" sort="Liou, Eric Jein Wein" uniqKey="Liou E" first="Eric Jein-Wein" last="Liou">Eric Jein-Wein Liou</name><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Department of Orthodontics and Craniofacial Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Orthodontics and Craniofacial Dentistry, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Chee Jen" sort="Chang, Chee Jen" uniqKey="Chang C" first="Chee-Jen" last="Chang">Chee-Jen Chang</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Clinical Informatics and Medical Statistics Research Center, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Clinical Informatics and Medical Statistics Research Center, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Kung, Suefang" sort="Kung, Suefang" uniqKey="Kung S" first="Suefang" last="Kung">Suefang Kung</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Division of Periodontology, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Periodontology, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Cheers Dental Clinic, New Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Cheers Dental Clinic, New Taipei</wicri:regionArea><wicri:noRegion>New Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chu, Pao Hsien" sort="Chu, Pao Hsien" uniqKey="Chu P" first="Pao-Hsien" last="Chu">Pao-Hsien Chu</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff006"><addr-line>Healthcare Center, Chang Gung Memorial Hospital, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Healthcare Center, Chang Gung Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff007"><addr-line>Heart Failure Center, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan</addr-line></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Heart Failure Center, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>The aim of the present study was to identify the long-term major adverse cardiovascular events (MACE) in treated periodontitis patients in Taiwan.</p></sec><sec id="sec002"><title>Methods</title><p>From the National Health Insurance Research Database (2001-2010), adult patients (≥ 18 years) with treated periodontitis were identified. Comparison was made between patients with mild form and severe form of treated periodontitis after propensity score matching. The primary end point was the incidence of MACE.</p></sec><sec id="sec003"><title>Results</title><p>A total of 32,504 adult patients with treated periodontitis were identified between 2001 and 2010. After propensity score matching, 27,146 patients were preserved for comparison, including 13,573 patients with mild form and 13,573 patients with severe form of treated periodontitis. During follow-up, 728 individuals in mild treated periodontitis group and 1,206 individuals in severe treated periodontitis group had at least 1 MACE event. After adjustment for gender, hyperlipidemia, hypertension and diabetes mellitus, severe treated periodontitis was associated with a mildly but significantly increased risk of MACE among older patients > 60 years of age (incidence rate ratio, 1.26; 95% confidence interval, 1.08–1.46). No association was found among younger patients ≤ 60 years of age.</p></sec><sec id="sec004"><title>Conclusions</title><p>Severe form of treated periodontitis was associated with an increased risk of MACE among older Taiwanese patients, but not among younger Taiwanese patients. We should put more efforts on the improvement of periodontal health to prevent further MACE.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Go, As" uniqKey="Go A">AS Go</name></author><author><name sortKey="Mozaffarian, D" uniqKey="Mozaffarian D">D Mozaffarian</name></author><author><name sortKey="Roger, Vl" uniqKey="Roger V">VL Roger</name></author><author><name sortKey="Benjamin, Ej" uniqKey="Benjamin E">EJ Benjamin</name></author><author><name sortKey="Berry, Jd" uniqKey="Berry J">JD Berry</name></author><author><name sortKey="Blaha, Mj" uniqKey="Blaha M">MJ Blaha</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ridker, Pm" uniqKey="Ridker P">PM Ridker</name></author><author><name sortKey="Hennekens, Ch" uniqKey="Hennekens C">CH Hennekens</name></author><author><name sortKey="Buring, Je" uniqKey="Buring J">JE Buring</name></author><author><name sortKey="Rifai, 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P" uniqKey="Jousilahti P">P Jousilahti</name></author><author><name sortKey="Paju, S" uniqKey="Paju S">S Paju</name></author><author><name sortKey="Tuomilehto, J" uniqKey="Tuomilehto J">J Tuomilehto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dorn, Jm" uniqKey="Dorn J">JM Dorn</name></author><author><name sortKey="Genco, Rj" uniqKey="Genco R">RJ Genco</name></author><author><name sortKey="Grossi, Sg" uniqKey="Grossi S">SG Grossi</name></author><author><name sortKey="Falkner, Kl" uniqKey="Falkner K">KL Falkner</name></author><author><name sortKey="Hovey, Km" uniqKey="Hovey K">KM Hovey</name></author><author><name sortKey="Iacoviello, L" uniqKey="Iacoviello L">L Iacoviello</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Taïwan</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Chou, Shing Hsien" sort="Chou, Shing Hsien" uniqKey="Chou S" first="Shing-Hsien" last="Chou">Shing-Hsien Chou</name></noRegion><name sortKey="Chang, Chee Jen" sort="Chang, Chee Jen" uniqKey="Chang C" first="Chee-Jen" last="Chang">Chee-Jen Chang</name><name sortKey="Chu, Pao Hsien" sort="Chu, Pao Hsien" uniqKey="Chu P" first="Pao-Hsien" last="Chu">Pao-Hsien Chu</name><name sortKey="Chu, Pao Hsien" sort="Chu, Pao Hsien" uniqKey="Chu P" first="Pao-Hsien" last="Chu">Pao-Hsien Chu</name><name sortKey="Chu, Pao Hsien" sort="Chu, Pao Hsien" uniqKey="Chu P" first="Pao-Hsien" last="Chu">Pao-Hsien Chu</name><name sortKey="Kung, Suefang" sort="Kung, Suefang" uniqKey="Kung S" first="Suefang" last="Kung">Suefang Kung</name><name sortKey="Kung, Suefang" sort="Kung, Suefang" uniqKey="Kung S" first="Suefang" last="Kung">Suefang Kung</name><name sortKey="Lin, Chia Pin" sort="Lin, Chia Pin" uniqKey="Lin C" first="Chia-Pin" last="Lin">Chia-Pin Lin</name><name sortKey="Lin, Yu Sheng" sort="Lin, Yu Sheng" uniqKey="Lin Y" first="Yu-Sheng" last="Lin">Yu-Sheng Lin</name><name sortKey="Liou, Eric Jein Wein" sort="Liou, Eric Jein Wein" uniqKey="Liou E" first="Eric Jein-Wein" last="Liou">Eric Jein-Wein Liou</name><name sortKey="Tung, Ying Chang" sort="Tung, Ying Chang" uniqKey="Tung Y" first="Ying-Chang" last="Tung">Ying-Chang Tung</name><name sortKey="Wu, Lung Sheng" sort="Wu, Lung Sheng" uniqKey="Wu L" first="Lung-Sheng" last="Wu">Lung-Sheng Wu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Major Adverse Cardiovascular Events in Treated Periodontitis: A Population-Based Follow-Up Study from Taiwan
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