Evidence map›Paper›PMID 27829388›Full record

Trial reportBMC pregnancy and childbirth2016

Measuring oral health during pregnancy: sensitivity and specificity of a maternal oral screening (MOS) tool.

Ajesh George, Hannah G Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson

Open access · goldAbstract readMulticenter StudyRandomized Controlled TrialValidation Study
In one paragraph

Trial report in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Ajesh GeorgeCollaboration for Oral Health Outcomes, Research Translation and Evaluation (COHORTE) Research Group, Western Sydney University, South Western Sydney Local Health District, Ingham Institute Applied Medical Research, University of Sydney, Liverpool BC, Locked Bag 7103, Liverpool, NSW, 1871, Australia. a.george@westernsydney.edu.au.ORCID 0000-0002-6795-2546
Hannah G DahlenSchool of Nursing & Midwifery, Western Sydney University, Ingham Institute Applied Medical Research, Parramatta, 2150, Australia.
Anthony BlinkhornFaculty of Dentistry, University of Sydney, Sydney, 2006, Australia.
Shilpi AjwaniSydney Local Health District Oral Health Services, Sydney Dental Hospital, University of Sydney, Sydney, 2010, Australia.
Sameer BholeSydney Local Health District Oral Health Services, Sydney Dental Hospital, University of Sydney, Sydney, 2010, Australia.
Sharon EllisAntenatal Services, Camden and Campbelltown Hospitals, South Western Sydney Local Health District, Campbelltown, 2560, Australia.
Anthony YeoSchool of Nursing & Midwifery, Western Sydney University, Parramatta, 2150, Australia.
Emma ElcombeWestern Sydney University, University of New South Wales, Ingham Institute Applied Medical Research, Liverpool, 2170, Australia.
Ayesha SadozaiCentre for Applied Nursing Research, Western Sydney University, South Western Sydney Local Health District, Ingham Institute Applied Medical Research, Liverpool, 1871, Australia.
Maree JohnsonFaculty of Health Sciences, Australian Catholic University, Ingham Institute Applied Medical Research, Sydney, 2060, Australia.
Ingham Institute · AUThe University of Sydney · AUCamden and Campbelltown Hospitals · AUUNSW Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMidwives can play a key role in promoting the oral health of pregnant women and assessing their oral health status. A maternal oral assessment tool (MOS) was developed and pilot tested by the study investigators to assist midwives in this role and the results were promising. The aim of this study was to undertake further sensitivity and specificity assessment of the MOS tool using two-comparison approaches- the longer oral health screening tool known as the Oral Health Impact Profile (OHIP-14) and an oral assessment by trained study dentists.

methodsPregnant women were recruited for this study as part of a larger randomised controlled trial of a Midwifery Initiated Oral Health (MIOH) program. Pregnant women completed the MOS and OHIP-14 as part of their initial assessment undertaken by 38 trained and accredited midwives. A dental assessment was conducted for all women in the intervention group using three trained study dentists with high inter rater reliability.

resultsTwo hundred and eleven pregnant women participated in the validation of the MOS tool. Results from both approaches found the MOS tool to have high sensitivity, correctly identifying 88-94 % of women at risk of poor dental health, and low specificity (14-21 %).

conclusionsThis study has shown that the MOS tool can be successfully implemented by midwives during a woman's first antenatal visit and can identify up to 94 % of women at risk of poor oral health and needing a dental referral. The tool has the potential to be transferable to other antenatal care providers and could be incorporated into hospital obstetric database systems. TRIAL REGISTRATION NUMBER: ACTRN12612001271897 , 6

Indexed as

Oral HealthSurveys and QuestionnairesAdolescentAdultDental Health ServicesFemaleHumansMass ScreeningMidwiferyPeriodontal DiseasesPregnancyPrenatal CareReferral and ConsultationSensitivity and SpecificityTooth DiseasesYoung AdultAntenatal careMidwivesOral healthPregnancyPrenatal careValidation

Identifiers

PMID27829388
PMCPMC5103484
OpenAlexW2553595159

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.