Screening of undiagnosed hyperglycaemia in the dental setting: The DiabetRisk study. A field trial. (21st December 2020)

• Record Type: Journal Article
• Authors: Montero, Eduardo; Matesanz, Paula; Nobili, Antonio; Luis Herrera‐Pombo, José; Sanz, Mariano; Guerrero, Adrián; Bujaldón, Antonio; Herrera, David
• Other Names: Campos Laura investigator.; Mateos Leopoldo investigator.; Batalla Pilar investigator.; Herrera Juan investigator.; Enrile Francisco investigator.; Vijande Francisco investigator.; Ortiz‐Vigón Alberto investigator.; Álvarez‐Novoa Carmen investigator.; Contreras Cano Juan investigator.; Alcaraz Freijo Jaime investigator.; Liñares Antonio investigator.; Zabalegui Ion investigator.; Serrano Cristina investigator.; Buitrago Pedro investigator.; Oteo Alfonso investigator.; Blanco‐Moreno Fernando investigator.; Pujol Angels investigator.; Lorca Amparo investigator.; Carrasquer Assumpta investigator.; Ruiz Vanessa investigator.; Serrano Jorge investigator.; Belmonte Nicolás investigator.; Pico Alex investigator.; Rioboo María investigator.; Mateos Bibiana investigator.; Gómez Antonio investigator.; Cuesta Susana investigator.; Calsina Gloria investigator.; Sanz Adriana investigator.; Carasol Miguel investigator.; Carral Cristina investigator.; Rodríguez Grandío Segundo investigator.; Bullón Pedro investigator.; Gómez Moreno Gerardo investigator.; Molina Ana investigator.; Izquierdo Regina investigator.; Remolina Alberto investigator.; Gómez Menchero Alberto investigator.; Merino Enrique investigator.;
• Is Part Of: Journal of clinical periodontology. Volume 48:Number 3(2021)
• Page Start: 378
• Page End: 388
• Publication Date: 2020-12-21
• Subjects: diabetes -- periodontitis -- prediabetes -- prevention -- screening -- undiagnosed diabetes; Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.13408
• Languages: English
• ISSNs: 0303-6979

Abstract

Abstract: 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.