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Bidirectional association between chronic periodontitis and bronchiectasis: A nationwide, population-based cohort
Sungmin Zo1, Min Ji Kim2, Min Gu Kang2
1Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Chronic periodontitis (CP) significantly increases bronchiectasis risk. Bronchiectasis also elevates CP risk, but CP has a stronger impact on developing bronchiectasis. This study explored their bidirectional link.
Area of Science:
- Medical research
- Public health
- Epidemiology
Background:
- Investigated the link between chronic periodontitis (CP) and bronchiectasis.
- Utilized the Korean National Health Insurance Service claims database.
Purpose of the Study:
- To examine the potential bidirectional association between CP and bronchiectasis.
- To quantify the risk of developing one condition given the other.
Main Methods:
- Two cohort studies using 1:1 propensity score matching.
- Study I: CP patients (n=54,535) vs. controls; Study II: Bronchiectasis patients (n=2,804) vs. controls.
- Follow-up until diagnosis, death, or end of 2019.
Main Results:
- CP group had a 3.35-fold higher risk of developing bronchiectasis (HR 3.35; 95% CI 3.02-3.73).
- Bronchiectasis group had a 1.07-fold higher risk of developing CP (HR 1.07; 95% CI 1.01-1.15).
- Median follow-up was 11.8 years.
Conclusions:
- A significant bidirectional association exists between CP and bronchiectasis.
- CP poses a greater risk for developing bronchiectasis than vice versa.
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