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- Title
Nonsurgical periodontal treatment in type II diabetics in a middle-income country: a cost-effectiveness analysis.
- Authors
Rojas-Gómez, Ana M.; Serrano, Juan J.; Rosselli, Diego
- Abstract
<bold>Objectives: </bold>To evaluate the cost-effectiveness of the nonsurgical periodontal treatment (NSPT) compared with supragingival therapy in type II diabetics with periodontitis.<bold>Methods: </bold>A decision tree analysis was used to estimate the costs and health outcomes of two periodontal therapies in a hypothetical cohort of type II diabetics with periodontitis. The analysis was developed from the perspective of a third-party payer at 1 year and 5 years. Probabilities were derived from two systematic reviews. The costs and resource use were validated by a Delphi expert panel. All costs were expressed in USD, using the 25 May 2021 Colombian pesos market exchange rate (USD 1 = COP 3,350).<bold>Results: </bold>NSPT was a dominant alternative compared with subsidized supragingival therapy in type II diabetics with periodontitis, generating savings of USD 87 and 400, during the first year or up to 5 years, respectively, and improving dental survival from 32 to 69 percent.<bold>Conclusions: </bold>NSPT can generate savings by reducing the complications derived from uncontrolled periodontitis and tooth loss.
- Subjects
COLOMBIA; PERIODONTITIS treatment; PERIODONTITIS; TYPE 2 diabetes; COST benefit analysis; DISEASE complications
- Publication
International Journal of Technology Assessment in Health Care, 2022, Vol 38, Issue 1, p1
- ISSN
0266-4623
- Publication type
Article
- DOI
10.1017/S0266462322000563