Evidence map›Paper›PMID 38214672›Full record

Observational studyScandinavian journal of primary health care2024

Observational study of selective screening for prediabetes and diabetes in a real-world setting: an interprofessional collaboration method between public dental services and primary health care in Sweden.

Katri Harcke, Anders Lindunger, Erik Kollinius, Mihretab Gebreslassie, Anna Ugarph Morawski, Charlotta Nylén, Magnus Peterson, Tülay Yucel-Lindberg, Claes-Göran Östenson, Pia Skott and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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

11 authors at 5 institutions in 1 country.

Katri HarckeDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine, and Primary Care, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0001-9905-927X
Anders LindungerDepartment of Dental Medicine, Karolinska Institutet, Sweden.ORCID 0000-0003-2556-5334
Erik KolliniusPublic Dental Services, Region Stockholm, Sweden.
Mihretab GebreslassieCentre for Epidemiology and Community Medicine, Region Stockholm, Sweden.
Anna Ugarph MorawskiDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine, and Primary Care, Karolinska Institutet, Huddinge, Sweden.ORCID 0009-0003-4535-6203
Charlotta NylénAcademic Primary Health Care Centre, Stockholm, Sweden.
Magnus PetersonDepartment of Public Health and Caring Sciences, Section General Medicine, Uppsala University, Sweden.
Tülay Yucel-LindbergDepartment of Dental Medicine, Karolinska Institutet, Sweden.ORCID 0000-0003-0129-8809
Claes-Göran ÖstensonDepartment of Molecular Medicine and Surgery, Endocrine and Diabetes Unit, Karolinska Institutet, Karolinska University Hospital, Solna, Sweden.
Pia SkottDepartment of Dental Medicine, Karolinska Institutet, Sweden.ORCID 0000-0002-8108-9865
Nouha Saleh StattinDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine, and Primary Care, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0002-3211-1376
Karolinska Institutet · SECentre for Palaeogenetics · SEKarolinska University Hospital · SEPublic Dental Service Västra Götaland · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDescribe a method in a real-world setting to identify persons with undiagnosed prediabetes and type 2 diabetes through an interprofessional collaboration between Public Dental Services and Primary Health Care in Regions Stockholm.

designA descriptive observational study.

settingThe study was conducted at seven sites in the region of Stockholm, Sweden. Each collaborating site consisted of a primary health clinic and dental clinic. SUBJECTS: Study participants included adults over 18 years of age who visited the Public Dental Services and did not have a medical history of prediabetes or type 2 diabetes.

main outcome measuresSelective screening is conducted in accordance with a risk assessment protocol at the Public Dental Services. In the investigated method, DentDi (Dental and Diabetes), adults diagnosed with caries and/or periodontitis over a cut-off value are referred to the Primary Health Care clinic for screening of prediabetes and type 2 diabetes.

resultsDentDi, introduced at seven sites, between the years 2017 and 2020, all of which continue to use the method today. A total of 863 participants from the Public Dental Services were referred to the Primary Health Care. Of those 396 accepted the invitation to undergo screening at the primary health care centre. Twenty-four individuals did not meet the inclusion criteria, resulting in a total of 372 persons being included in the study. Among the 372 participants, 27% (101) had elevated glucose levels, of which 12 were diagnosed with type 2 diabetes and 89 with prediabetes according to the study classification.

conclusionsDentDi is a feasible method of interprofessional collaboration where each profession contributes with the competence included in everyday clinical practice for early identification of persons with prediabetes and type 2 diabetes with a complete chain of care. The goal is to disseminate this method throughout Stockholm County and even other regions in Sweden.

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateAdolescentAdultAmbulatory Care FacilitiesDental CareHumansMass ScreeningPrimary Health CareSwedenDiabetes mellitus type 2noncommunicable diseaseoral healthperiodontitisprediabetic stateprimary health care

Identifiers

PMID38214672
PMCPMC10851808
OpenAlexW4390791946

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.