Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence
被引:16
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作者:
Glurich, Ingrid
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机构:
Marshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USAMarshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USA
Glurich, Ingrid
[1
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Bartkowiak, Barbara
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机构:
Marshfield Clin Med Educ, Med Lib, Div Marshfield Clin Hlth Syst, Marshfield, WI USAMarshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USA
Bartkowiak, Barbara
[2
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Berg, Richard L.
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机构:
Marshfield Clin Res Inst, Biomed Informat Res Ctr, Marshfield, WI USAMarshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USA
Berg, Richard L.
[3
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Acharya, Amit
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机构:
Marshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USA
Marshfield Clin Res Inst, Biomed Informat Res Ctr, Marshfield, WI USAMarshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USA
Acharya, Amit
[1
,3
]
机构:
[1] Marshfield Clin Res Inst, Ctr Oral & Syst Hlth, 1000 N Oak Ave, Marshfield, WI 54449 USA
[2] Marshfield Clin Med Educ, Med Lib, Div Marshfield Clin Hlth Syst, Marshfield, WI USA
[3] Marshfield Clin Res Inst, Biomed Informat Res Ctr, Marshfield, WI USA
Introduction Increasing prevalence of diabetes and periodontal disease is prompting identification of additional clinical settings to identify patients at risk for dysglycaemia. A systematic review of studies that have examined feasibility of screening for at-risk patients in general dentistry settings at point-of-care (POC) was undertaken. Materials and methods Systematic review of pragmatic clinical field trials piloting POC screening for dysglycaemia risk in dental settings was undertaken in studies whose primary objective was to explore rates of dysglycaemia among undiagnosed patient populations. Results Among 17 dental clinical field trials identified, 10 were systematically reviewed. High rates of undiagnosed dysglycaemia were detected among dental patients by biological screening in all trials. Notably, substantive differences in study design and population characteristics were identified, precluding meta-analysis. Conclusion Screening for dysglycaemia in dental offices effectively identified high-risk patients requiring triage for glycaemic management. Considerations for future clinical trial design were advanced to establish an evidence base amenable to meta-analysis of the relative translational value of glycaemic screening in dental settings.
机构:
Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, EnglandUniv York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England
Rowland, N
Godfrey, C
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机构:Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England
Godfrey, C
Bower, P
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机构:Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England
Bower, P
Mellor-Clark, J
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机构:Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England
Mellor-Clark, J
Heywood, P
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机构:Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England
Heywood, P
Hardy, R
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机构:Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England
机构:
Univ Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, Australia
Rombouts, Susan A.
Conigrave, James
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Univ Sydney, Fac Med & Hlth, NHMRC Ctr Res Excellence Indigenous Hlth & Alcoho, Cent Clin Sch, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, Australia
Conigrave, James
Louie, Eva
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Univ Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, Australia
Louie, Eva
Haber, Paul
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Univ Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, Australia
Royal Prince Alfred Hosp, Drug Hlth Serv, Camperdown, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, Australia
Haber, Paul
Morley, Kirsten C.
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Univ Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Cent Clin Sch, Discipline Addict Med, Sydney, NSW, Australia