title: The Relationship between Periodontal Interventions and Healthcare Costs and Utilization. Evidence from an Integrated Dental, Medical, and Pharmacy Commercial Claims Database.
abstract: Periodontal disease has been linked to poor glycemic control among individuals with type 2 diabetes. Using integrated dental, medical, and pharmacy commercial claims from Truven MarketScan® Research Databases, we implement inverse probability weighting and doubly robust methods to estimate a relationship between a periodontal intervention and healthcare costs and utilization. Among individuals newly diagnosed with type 2 diabetes, we find that a periodontal intervention is associated with lower total healthcare costs (-$1799), lower total medical costs excluding pharmacy costs (-$1577), and lower total type 2 diabetes-related healthcare costs (-$408). © 2016 The Authors. Health Economics Published by John Wiley & Sons Ltd.
authors.affiliation: American Dental Association, Health Policy Institute, Chicago, IL, USA.
authors.forename: Kamyar
authors.initials: K
authors.lastname: Nasseh
authors.affiliation: American Dental Association, Health Policy Institute, Chicago, IL, USA.
authors.forename: Marko
authors.initials: M
authors.lastname: Vujicic
authors.affiliation: University of Buffalo (The State University of New York), Buffalo, NY, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Glick
mesh_terms: D016208:Databases, Factual; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007004:Hypoglycemic Agents / Q000191:economics; D007345:Insurance Claim Review / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010510:Periodontal Diseases / Q000150:complications*; D012189:Retrospective Studies
chemical_list: D007004:Hypoglycemic Agents
keywords: doubly robust estimation; healthcare costs and utilization; inverse probability weighting; periodontal intervention; type 2 diabetes