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Prevalence of undiagnosed diabetes and prediabetes in the dental setting: a systematic review and meta-analysis

Chinnasamy, Alagesan and Moodie, Marjory 2020, Prevalence of undiagnosed diabetes and prediabetes in the dental setting: a systematic review and meta-analysis, International journal of dentistry, vol. 2020, pp. 1-10, doi: 10.1155/2020/2964020.

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Title Prevalence of undiagnosed diabetes and prediabetes in the dental setting: a systematic review and meta-analysis
Author(s) Chinnasamy, Alagesan
Moodie, MarjoryORCID iD for Moodie, Marjory orcid.org/0000-0001-6890-5250
Journal name International journal of dentistry
Volume number 2020
Article ID 2964020
Start page 1
End page 10
Total pages 10
Publisher Hindawi
Place of publication Cairo, Egypt
Publication date 2020-08-25
ISSN 1687-8728
1687-8736
Keyword(s) undiagnosed Diabetes
prediabetes
diabetes mellitus (DM)
periodontal disease (PD)
undiagnosed type 2 diabetes mellitus (T2DM)
dental setting
dental patients
Science & Technology
Life Sciences & Biomedicine
Dentistry, Oral Surgery & Medicine
Summary Background. With the close link between diabetes mellitus (DM) and periodontal disease (PD), dentists have an unrealized opportunity to make a chance discovery of a patient’s medical condition. Unlike in the medical setting, information on the point of care (PoC) and opportunistic screening for DM in the dental setting is limited. To make a reliable estimate on the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among dental patients in the dental setting and to assist healthcare planners in making an informed decision, information on the disease frequency and strategies employed to address this issue is of paramount importance. Objectives. To summarize the data on the prevalence of undiagnosed T2DM and prediabetes amongst dental patients and further explore the effectiveness of the PoC screening and its implication for use in the dental setting. Methods. A MEDLINE-PubMed, EMBASE, Web of Science, and Cochrane Library search was conducted with no time specification. Information on study characteristics and diagnostic parameters was retrieved for meta-analysis. All the studies were assessed for methodological quality using the QUADAS-2 tool. Proportions were presented in tables and forest plots. All statistical analysis was performed using the MedCalc software. Results. Nine studies met the inclusion criteria. The proportion of dental patients identified to be at a risk of hyperglycaemia with the PoC screening using random blood glucose (RBG) and HbA1 was 32.47% and 40.10%, whilst the estimated proportion with undiagnosed T2DM and prediabetes was identified as 11.23% and 47.38%. Conclusion. A significant proportion of dental patients can be identified as undiagnosed T2DM and prediabetes. Targeted opportunistic screening is a feasible approach and can help reduce the prevalence of undiagnosed T2DM and prediabetes.
Language eng
DOI 10.1155/2020/2964020
Indigenous content off
Field of Research 1105 Dentistry
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30143305

Document type: Journal Article
Collections: Faculty of Health
Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.