1. Periodontal disease as a predictor of chronic kidney disease (CKD) stage in older adults
- Author
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Rocío Violeta Valenzuela-Narváez, Oliver Gonzales-Aedo, Daniel Raùl Valenzuela-Narváez, Daniel Alberto Oswaldo Valenzuela-Narváez, Cris Lisseth Mejía-Ruiz, Medalit Nieves Salcedo-Rodríguez, and María Elena Córdova-Noel
- Subjects
Medicine (General) ,medicine.medical_specialty ,hypertension ,kidney disease ,030232 urology & nephrology ,Malalties periodontals ,Comorbidity ,National Kidney Foundation Kidney Disease Outcomes Quality Initiative ,Biochemistry ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,Periodontal disease ,Comorbiditat ,Internal medicine ,Epidemiology ,Medicine ,Humans ,Stage (cooking) ,Renal Insufficiency, Chronic ,Periodontal Diseases ,Aged ,Kidney diseases ,business.industry ,Biochemistry (medical) ,030206 dentistry ,Cell Biology ,General Medicine ,medicine.disease ,Cross-Sectional Studies ,Malalties del ronyó ,epidemiology ,Periodontal Index ,business ,Community Periodontal Index of Treatment Needs ,Kidney disease ,Retrospective Clinical Research Report - Abstract
Objective The aim of this study was to evaluate periodontal disease as a predictor of chronic kidney disease (CKD) stage in older adults. Methods A total of 1159 adults aged 65 to 80 years and diagnosed with periodontal disease and CKD (stages 1, 2, and 3) were randomly selected for a cross-sectional study. Periodontal status was assessed using the Community Periodontal Index of Treatment Needs (CPITN) and CKD was staged using the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF-KDOQI) guidelines. Results In patients with stage 1 CKD, the odds ratios (ORs) (95% confidence intervals [CIs]) for CPITN-1, CPITN-2, CPITN-3, and CPITN-4 were 1.13 (0.83–1.55), 1.47 (1.13–1.81), 1, and 1, respectively. In patients with stage 2 CKD, the ORs (95% CIs) for CPITN-1, CPITN-2, CPITN-3, and CPITN-4 were 1.49 (1.14–1.93), 1.37 (1.02–1.78), 3.07 (2.81–3.25), and 3.65 (3.49–3.71), respectively. In patients with stage 3 CKD, the ORs (95% CIs) for CPITN-1, CPITN-2, CPITN-3, and CPITN-4 were 1, 1, 4.61 (4.47–5.21), and 5.23 (5.14–5.47), respectively. Conclusion The highest CPITN values (CPITN-3 and CPITN-4) were associated with CKD stages 2 and 3. Thus, periodontal disease may be associated with progression of CKD.
- Published
- 2021