Trial reportJDR clinical and translational research2019
Attitudes towards Oral Health in Patients with Rheumatoid Arthritis: A Qualitative Study Nested within a Randomized Controlled Trial.
Trial report in JDR clinical and translational research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic review.BMC oral health · 2025Pooled it
- Non-surgical periodontal treatment improves rheumatoid arthritis disease activity: a meta-analysis.Clinical oral investigations · 2021Pooled it
- Outcomes of periodontal therapy in rheumatoid arthritis: The OPERA feasibility randomized trial.Journal of clinical periodontology · 2023Trial
- Review
- Multimorbidity patterns and prevalence among geriatric patients in Japanese hospital dentistry.BMC geriatrics · 2025Article
- Relationship Between Rheumatoid Arthritis and Periodontal Disease-Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- A Bibliometric Analysis of Literature on the Impact of Rheumatoid Arthritis on Oral Health (1987-2024).Cureus · 2024Review
- Medical profile of patients referred to an Australian postgraduate oral surgery clinic.Clinical and experimental dental research · 2023Article
- Article
- Editorial: The interplay between the oral Microbiota and rheumatoid arthritis.Frontiers in oral health · 2022Article
- Should We Be Screening for and Treating Periodontal Disease in Individuals Who Are at Risk of Rheumatoid Arthritis?Healthcare (Basel, Switzerland) · 2021Review
- Multimorbidity: a challenge and opportunity for the dental profession.British dental journal · 2020Article
- Oral health and orofacial function in patients with rheumatoid arthritis.Rheumatology international · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionPatients with rheumatoid arthritis (RA) present a higher incidence and severity of periodontitis than the general population. Our study, Outcomes of Periodontal Treatment in Patients with Rheumatoid Arthritis (OPERA), was a randomized waiting-list controlled trial using mixed methods. Patients randomized to the intervention arm received intensive periodontal treatment, and those in the control arm received the same treatment with a 6-mo delay.
aimThe nested qualitative component aimed to explore patients' experiences and priorities concerning oral health and barriers and facilitators for trial participation.
methodsUsing purposive sampling until thematic saturation was reached, we conducted 21 one-to-one semistructured interviews with randomized patients in either of the 2 treatment arms as well as with patients who did not consent for trial participation.
resultsThe patients described their experiences about RA, oral health, and study participation. Previous experiences with dental care professionals shaped patients' current perceptions about oral health and the place of oral health on their list of priorities compared with other conditions. Patients also highlighted some of the barriers and facilitators for study participation and for compliance with oral health maintenance. The patients, in the control arm, presented their views regarding the acceptable length of waiting time for the intervention.
conclusionThe associations between periodontal and systemic health are increasingly recognized by the literature. Our study provided an insight into RA patients' experiences and perceptions about oral health. It also highlighted some of the barriers and facilitators for participating in a periodontal interventional study for this group. We hope that our findings will support the design of larger interventional periodontal studies in patients with RA. The complex challenges faced by the burden of RA and the associated multimorbidities in this patient group might highlight opportunities to improve access to oral health services in this patient population. KNOWLEDGE TRANSFER STATEMENT: This article provided insights into the experiences and perceptions of rheumatoid arthritis patients about their oral health to improve patient participation in a definitive clinical trial.
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