Use of dental practices for the identification of adults with undiagnosed type 2 diabetes mellitus or non-diabetic hyperglycaemia: a systematic review

被引:12
作者
Yonel, Z. [1 ]
Cerullo, E. [2 ]
Kroger, A. T. [1 ]
Gray, L. J. [2 ]
机构
[1] Univ Birmingham, Birmingham Sch Dent, Birmingham, W Midlands, England
[2] Univ Leicester, Dept Hlth Sci, Leicester, Leics, England
关键词
PREVENTION PROGRAM; PATIENTS ATTITUDES; MEDICAL CONDITIONS; PERIODONTITIS; REDUCTION; RISK;
D O I
10.1111/dme.14324
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim Type 2 diabetes is a growing global challenge. Evidence exists demonstrating the use of primary care (non-hospital based) dental practices to identify, through risk assessments, those who may be at increased risk of type 2 diabetes or who may already unknowingly have the condition. This review aimed to synthesize evidence associated with the use of primary care dental services for the identification of undiagnosed non-diabetic hyperglycaemia or type 2 diabetes in adults, with particular focus on the pick-up rate of new cases. Method Electronic databases were searched for studies reporting the identification of non-diabetic hyperglycaemia/type 2 diabetes in primary care dental settings. Returned articles were screened and two independent reviewers completed the data-extraction process. A descriptive synthesis of the included articles was undertaken due to the heterogeneity of the literature returned. Results Nine studies were identified, the majority of which utilized a two-stage risk-assessment process with risk score followed by a point-of-care capillary blood test. The main barriers cited were cost, lack of adequate insurance cover and people having previously been tested elsewhere. The pick-up rate of new cases of type 2 diabetes and non-diabetic hyperglycaemia varied greatly between studies, ranging from 1.7% to 24% for type 2 diabetes and from 23% to 45% for non-diabetic hyperglycaemia, where reported. Conclusion This review demonstrates that although it appears there may be benefit in using the dental workforce to identify undiagnosed cases of non-diabetic hyperglycaemia and type 2 diabetes, further high-quality research in the field is required assessing both the clinical and cost effectiveness of such practice. (Prospero Registration ID: PROSPERO 2018 CRD42018098750).
引用
收藏
页码:1443 / 1453
页数:11
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