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Association between Dental Scaling and Reduced Risk of End-Stage Renal Disease

A Nationwide Matched Cohort Study

Bibliographic Data

ID15460640
AuthorsYu-Hsiang Chung (0000-0002-1175-6618, Taipei Medical University-Shuang Ho Hospital), Hsien-Cheng Kuo (Taipei Medical University-Shuang Ho Hospital), Hsin-Yi Liu (0000-0001-5930-121X, Taipei Medical University-Shuang Ho Hospital), Mei-Yi Wu (0000-0002-0183-976X, Taipei Medical University), Mei‐Yi Wu (0000-0002-5777-2752, Taipei Medical University-Shuang Ho Hospital), Wei-Jen Chang (Taipei Medical University-Shuang Ho Hospital), Jui‐Tai Chen (0000-0002-4018-7303, Taipei Medical University-Shuang Ho Hospital), Jui-Tai Chen (Taipei Medical University), Yih‐Giun Cherng (0000-0002-0201-4380, Taipei Medical University-Shuang Ho Hospital), Tzeng‐Ji Chen (0000-0002-8350-0232, National Yang Ming Chiao Tung University), Ying‐Xiu Dai (0000-0002-3279-4509, National Yang Ming Chiao Tung University), Hsiang-Ling Wu (National Yang Ming Chiao Tung University), Wan-Chi Liu (Taipei Medical University-Shuang Ho Hospital, corresponding author), Ying‐Hsuan Tai (0000-0002-5210-6873, Taipei Medical University-Shuang Ho Hospital, corresponding author)
Year2021
Volume18
Issue17
Pages8910-8910
Publication date2021-08-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18178910
PMID34501499
OpenAlexW3196188093
LanguageEN
Citations received1
References cited49

Periodontitis is prevalent in patients with chronic kidney disease (CKD) and is also associated with kidney function decline. It is unclear whether dental scaling treatment prevents the progression of CKD. In a nationwide cohort study, Taiwan's National Health Insurance Research Database was used to select people with CKD. Propensity score-matching procedures were performed to compare the long-term risk of end-stage renal disease (ESRD) between CKD patients with and without the receipt of dental scaling. A total of 33,637 matched pairs with CKD were included, with 503,373 person-years of follow-up for analyses. Dental scaling was significantly associated with a lower risk of ESRD (adjusted hazard ratio (aHR): 0.83, 95% confidence interval (CI): 0.77-0.90). In addition, there was a dose-dependent relationship between the frequency of dental scaling and a reduced risk of ESRD. Dental scaling was also linked to reduced risks of major adverse cardiovascular events (aHR: 0.91, 95% CI: 0.87-0.95), sepsis (aHR: 0.81, 95% CI: 0.77-0.85), and all-cause mortality (aHR: 0.81, 95% CI: 0.76-0.87). Dental scaling was significantly associated with lower risks of progression to ESRD in patients with CKD. Regular dental scaling may serve as a prophylactic measure for kidney function decline

Association (psychology · Cohort · Cohort study · Disease · End stage renal disease · Environmental health · Dental Health and Care Utilization · Dental Research and COVID-19 · Medicine · Oral microbiology and periodontitis research · Psychology · Internal Medicine

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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