Screening of undiagnosed hyperglycaemia in the dental setting: The DiabetRisk study. A field trial

doi:10.1111/jcpe.13408

★ Alto impactoQ1 · DentistryImpact Factor · 5.111

AutoresEduardo Montero, Paula Matesanz, Antonio Nobili, José Luis Herrera-Pombo, Alberto Gómez-Menchero, et al.

Por qué importa

Se evalúa la efectividad de distintos protocolos de cribado para detectar hiperglucemia no diagnosticada en clínicas dentales españolas. El estudio incluyó 1143 pacientes, a quienes se les administró un cuestionario de riesgo de diabetes (FINDRISC) y un examen periodontal. Se administró una prueba de HbA1c en consulta a pacientes con puntuaciones elevadas en el FINDRISC (≥7), quienes posteriormente fueron derivados a su médico. Los resultados indican que la combinación del cuestionario FINDRISC con la prueba de HbA1c en consulta es factible y eficiente para identificar pacientes con diabetes o prediabetes no diagnosticadas en el entorno de la clínica dental, mejorando significativamente la capacidad predictiva respecto al uso aislado del cuestionario o la exploración periodontal básica. Esta aproximación subraya el papel del dentista en la detección precoz de condiciones sistémicas con importantes repercusiones en la salud bucodental.

Abstract original

Aim: To evaluate the efficacy of different screening protocols for undiagnosed hyperglycaemia in a Research Network of Dental Clinics coordinated by the Spanish Society of Periodontology (SEPA). Material and Methods: A total of 1143 patients were included in the study. Participants filled a questionnaire considering diabetes risk factors (FINDRISC) and received a periodontal screening examination. Patients with a slightly elevated score according to the Findrisc (≥7), received a point-of-care HbA1c and were eventually referred to their physician for confirmatory diagnosis. Receiver Operating Characteristic (ROC) curves were used to assess the performance of various predictive models with confirmed hyperglycaemia as outcome. Results: From this population, 97 (8.5%) were finally diagnosed of diabetes (n = 28; 2.5%) or prediabetes (n = 69; 6.0%). When only including the results from the FINDRISC questionnaire, the model reported an area under the curve (AUC) of 0.866 (95% confidence interval - CI [0.833; 0.900]). This model significantly improved when a basic periodontal examination (EPB Code; AUC = 0.876; 95% CI [0.845; 0.906]; p = .042) or a point-of-care HbA1c were added (AUC = 0.961; 95% CI [0.941; 0.980]; p < .001). Conclusions: The tested protocol, combining the FINDRISC questionnaire and a point-of-care HbA1c, showed to be feasible when carried out in a dental clinic setting and was efficient to identify subjects with undiagnosed diabetes or prediabetes.

Leer texto completo ↗DOI · 10.1111/jcpe.13408

Autor Doctor&Cols

Alberto Gómez Menchero
Cirugía Oral e Implantología

Cómo citar

Montero E, Matesanz P, Nobili A, Herrera-Pombo JL, Gómez-Menchero A, al. E. Screening of undiagnosed hyperglycaemia in the dental setting: The DiabetRisk study. A field trial. Journal of Clinical Periodontology. 2020. doi:10.1111/jcpe.13408