Periodontal inflamed surface area in patients on haemodialysis and peritoneal dialysis: a Croatian cross-sectional study

Autor: Nikolina Bašić Jukić, Mladen Knotek, Bojana Križan Smojver, Andrej Aurer, Karmela Altabas
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Cross-sectional study
medicine.medical_treatment
Bleeding on probing
Peritoneal dialysis
030232 urology & nephrology
Kidney failure
Periodontitis
PISA
Haemodialysis
Peritoneal Dialysis / adverse effects
03 medical and health sciences
0302 clinical medicine
Renal Dialysis
Internal medicine
medicine
Humans
In patient
Renal Dialysis / adverse effects
General Dentistry
Dialysis
Aged
Kidney Failure
Chronic / complications
Periodontitis / blood
business.industry
Confounding
Periodontitis / pathology
Periodontitis / complications
030206 dentistry
Middle Aged
medicine.disease
lcsh:RK1-715
Cross-Sectional Studies
lcsh:Dentistry
Oral and maxillofacial surgery
Kidney Failure
Chronic
Female
medicine.symptom
Kidney Failure
Chronic / therapy
business
Research Article
Zdroj: BMC Oral Health, Vol 20, Iss 1, Pp 1-10 (2020)
BMC Oral Health
ISSN: 1472-6831
DOI: 10.1186/s12903-020-01086-7
Popis: Background The decision to initiate dialysis treatment via haemodialysis (HD) or peritoneal dialysis (PD) often involves the consideration of complex factors and remains a matter of debate. The purpose of this study was to quantify the inflammatory burden that periodontitis causes in dialysis patients and to examine whether patients on PD and HD differ in terms of the periodontal inflamed surface area (PISA), which can be helpful for selecting the most appropriate dialysis modality. Methods A cross-sectional study was performed on 58 consecutive patients on HD and 31 consecutive patients on PD. PISA was calculated using measurements of the clinical attachment level, recession and bleeding on probing. We performed the primary analysis using multivariable robust regression. Results Patients on PD had a 746 mm2 (93%) lower mean PISA than patients on HD after adjustment for 20 possible confounders, including the duration of dialysis. The type of dialysis was independently correlated with the PISA (semipartial correlation: − 0.50; p = 0.017; false discovery rate p = 0.994; η2 = 0.00). Differences in the PISA between patients who had undergone dialysis for less than a year, 2–3 years or ≥ 3 years were not significantly different in either of the two dialysis groups. Conclusions PISA levels in Croatian patients on dialysis indicate a high need for periodontal treatment. PD is associated with a smaller PISA independent of many sociodemographic, lifestyle, laboratory and clinical factors. The duration of dialysis does not influence PISA levels. Trial registration ISRCTN17887630. A clinical study to investigate gum infection in patients undergoing kidney dialysis.
Databáze: OpenAIRE
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