Evidence map›Paper›PMID 36981868›Full record

ArticleInternational journal of environmental research and public health2023

A Case-Finding Protocol for High Cardiovascular Risk in a Primary Care Dental School-Model with Integrated Care.

Amazon Doble, Raul Bescos, Robert Witton, Shabir Shivji, Richard Ayres, Zoë Brookes

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Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Observational
  2. Review
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

6 authors.

Amazon DobleFaculty of Health, University of Plymouth, Plymouth PL4 8AA, UK.ORCID 0000-0001-9658-030X
Raul BescosSchool of Health Professions, University of Plymouth, Plymouth PL4 8AA, UK.ORCID 0000-0002-3939-4743
Robert WittonFaculty of Health, University of Plymouth, Plymouth PL4 8AA, UK.ORCID 0000-0002-6424-4376
Shabir ShivjiOffice of the Chief Dental Officer, London SE1 6LH, UK.
Richard AyresFaculty of Health, University of Plymouth, Plymouth PL4 8AA, UK.
Zoë BrookesFaculty of Health, University of Plymouth, Plymouth PL4 8AA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNational Health Service (NHS) strategies in the United Kingdom (UK) have highlighted the need to maximise case-finding opportunities by improving coverage in non-traditional settings with the aim of reducing delayed diagnosis of non-communicable diseases. Primary care dental settings may also help to identify patients.

methodsCase-finding appointments took place in a primary care dental school. Measurements of blood pressure, body mass index (BMI), cholesterol, glucose and QRisk were taken along with a social/medical history. Participants with high cardiometabolic risk were referred to their primary care medical general practitioner (GP) and/or to local community health self-referral services, and followed up afterwards to record diagnosis outcome.

resultsA total of 182 patients agreed to participate in the study over a 14-month period. Of these, 123 (67.5%) attended their appointment and two participants were excluded for age. High blood pressure (hypertension) was detected in 33 participants, 22 of whom had not been previous diagnosed, and 11 of whom had uncontrolled hypertension. Of the hypertensive individuals with no previous history, four were confirmed by their GP. Regarding cholesterol, 16 participants were referred to their GP for hypercholesterolaemia: 15 for untreated hypercholesterolaemia and one for uncontrolled hypercholesterolaemia.

conclusionsCase-finding for hypertension and identifying cardiovascular risk factors has high acceptability in a primary dental care setting and supported by confirmational diagnoses by the GP.

Indexed as

Cardiovascular DiseasesDelivery of Health Care, IntegratedHypercholesterolemiaHypertensionHeart Disease Risk FactorsHumansPrimary Health CareRisk FactorsSchools, DentalState Medicinecase-findinghealth referralhypercholesterolaemiahyperglycaemiahypertension

Identifiers

PMID36981868
PMCPMC10049228

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LicenceCC BY
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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.