File(s) not publicly available
Developing and pilot testing an oral health screening tool for diabetes care providers
journal contribution
posted on 2023-02-20, 01:26 authored by A George, P Poudel, A Kong, A Villarosa, Hanny CalacheHanny Calache, A Arora, R Griffiths, VW Wong, M Gussy, RE Martin, P LauBackground: People with poorly managed diabetes are at greater risk of periodontal disease. Periodontal disease that is not effectively managed can affect glycaemic levels. Diabetes care providers, including general practitioners and diabetes educators, are encouraged to promote oral health of their clients. However, valid and reliable oral health screening tools that assess the risk of poor oral health, that are easy to administer among non-dental professionals, currently do not exist. Existing screening tools are difficult to incorporate into routine diabetes consultations due to their length. Thus, this study aimed to develop and pilot a short oral health screening tool that would identify risk of existing oral diseases and encourage appropriate referrals to the dental service. Methods: A three-item screening tool was developed after a comprehensive review of the literature and consensus from an expert panel. The tool was then piloted as part of a larger cross-sectional survey of 260 adults with diabetes who were accessing public diabetes clinics at two locations in Sydney, Australia. As part of the survey, participants completed the three-item screening tool and a 14-item validated tool, the Oral Health Impact Profile (OHIP-14), which has been used previously in the preliminary validation of screening tools. Sensitivity and specificity analyses were then undertaken comparing the results of the two tools. Results: A statistically significant correlation was found between the shorter screening tool and the OHIP-14 (rho = 0.453, p < 0.001), indicating adequate validity. The three-item tool had high sensitivity (90.5%, 95% CI 84.9%, 94.7%), with a specificity of 46.3% (95% CI 37.7%, 55.2%). The negative predictive value was 81.4% (95% CI 71.3, 89.3). No single item performed as well regarding sensitivity and negative predictive value when compared to the three items collectively. Conclusions: The three-item screening tool developed was found to be valid and sensitive in identifying risk of poor oral health, requiring oral health referrals, among people with diabetes in this pilot. This is a simple, accessible tool that diabetes care providers could incorporate into their routine consultations. Further validation against comprehensive dental assessments is needed to reassess the tool’s specificity and sensitivity in diverse settings.
History
Journal
BMC Primary CareVolume
23Article number
ARTN 202Location
EnglandPublisher DOI
ISSN
2731-4553eISSN
2731-4553Language
EnglishIssue
1Publisher
BMCUsage metrics
Categories
No categories selectedKeywords
Science & TechnologyLife Sciences & BiomedicinePrimary Health CareMedicine, General & InternalGeneral & Internal MedicineDiabetesOral healthScreeningHealth personnelPeriodontal diseaseQUALITY-OF-LIFEPERIODONTAL TREATMENTGLYCEMIC CONTROLMETAANALYSISSMOKINGAdultCross-Sectional StudiesDiabetes MellitusHumansMass ScreeningOral HealthPeriodontal DiseasesPreventionHealth ServicesDental/Oral and Craniofacial DiseaseClinical Research4 Detection, screening and diagnosis8.1 Organisation and delivery of services8 Health and social care services research4.2 Evaluation of markers and technologiesOral and gastrointestinalMetabolic and endocrine
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC