Charlson comorbidity index as a predictor of periodontal disease in elderly participants

Jae Hong Lee, Jung Kyu Choi, Seong Nyum Jeong, Seongho Choi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose: This study investigated the validity of the Charlson comorbidity index (CCI) as a predictor of periodontal disease (PD) over a 12-year period. Methods: Nationwide representative samples of 149,785 adults aged ≥60 years with PD (International Classification of Disease, 10th revision [ICD-10], K052-K056) were derived from the National Health Insurance Service-Elderly Cohort during 2002-2013. The degree of comorbidity was measured using the CCI (grade 0-6), including 17 diseases weighted on the basis of their association with mortality, and data were analyzed using multivariate Cox proportional-hazards regression in order to investigate the associations of comorbid diseases (CDs) with PD. Results: The multivariate Cox regression analysis with adjustment for sociodemographic factors (sex, age, household income, insurance status, residence area, and health status) and CDs (acute myocardial infarction, congestive heart failure, peripheral vascular disease, cerebral vascular accident, dementia, pulmonary disease, connective tissue disorders, peptic ulcer, liver disease, diabetes, diabetes complications, paraplegia, renal disease, cancer, metastatic cancer, severe liver disease, and human immunodeficiency virus [HIV]) showed that the CCI in elderly comorbid participants was significantly and positively correlated with the presence of PD (grade 1: hazard ratio [HR], 1.11; P<0.001; grade ≥2: HR, 1.12, P<0.001). Conclusions: We demonstrated that a higher CCI was a significant predictor of greater risk for PD in the South Korean elderly population.

Original languageEnglish
Pages (from-to)92-102
Number of pages11
JournalJournal of Periodontal and Implant Science
Volume48
Issue number2
DOIs
Publication statusPublished - 2018 Apr 1

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Periodontal Diseases
Comorbidity
National Health Programs
Liver Diseases
Health Services for the Aged
Sex Factors
Vascular Dementia
Insurance Coverage
Peripheral Vascular Diseases
Kidney Neoplasms
Paraplegia
Age Factors
International Classification of Diseases
Acute Disease
Diabetes Complications
Liver Neoplasms
Peptic Ulcer
Connective Tissue
Lung Diseases
Health Status

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Periodontics

Cite this

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abstract = "Purpose: This study investigated the validity of the Charlson comorbidity index (CCI) as a predictor of periodontal disease (PD) over a 12-year period. Methods: Nationwide representative samples of 149,785 adults aged ≥60 years with PD (International Classification of Disease, 10th revision [ICD-10], K052-K056) were derived from the National Health Insurance Service-Elderly Cohort during 2002-2013. The degree of comorbidity was measured using the CCI (grade 0-6), including 17 diseases weighted on the basis of their association with mortality, and data were analyzed using multivariate Cox proportional-hazards regression in order to investigate the associations of comorbid diseases (CDs) with PD. Results: The multivariate Cox regression analysis with adjustment for sociodemographic factors (sex, age, household income, insurance status, residence area, and health status) and CDs (acute myocardial infarction, congestive heart failure, peripheral vascular disease, cerebral vascular accident, dementia, pulmonary disease, connective tissue disorders, peptic ulcer, liver disease, diabetes, diabetes complications, paraplegia, renal disease, cancer, metastatic cancer, severe liver disease, and human immunodeficiency virus [HIV]) showed that the CCI in elderly comorbid participants was significantly and positively correlated with the presence of PD (grade 1: hazard ratio [HR], 1.11; P<0.001; grade ≥2: HR, 1.12, P<0.001). Conclusions: We demonstrated that a higher CCI was a significant predictor of greater risk for PD in the South Korean elderly population.",
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Charlson comorbidity index as a predictor of periodontal disease in elderly participants. / Lee, Jae Hong; Choi, Jung Kyu; Jeong, Seong Nyum; Choi, Seongho.

In: Journal of Periodontal and Implant Science, Vol. 48, No. 2, 01.04.2018, p. 92-102.

Research output: Contribution to journalArticle

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