Evidence map›Paper›PMID 28761663›Full record

ArticleBMJ open diabetes research & care2017

Standardized screening for periodontitis as an integral part of multidisciplinary management of adults with type 2 diabetes: an observational cross-sectional study of cohorts in the USA and UK.

Andrew S Pumerantz, Susan M Bissett, Fanglong Dong, Cesar Ochoa, Rebecca R Wassall, Heidi Davila, Melanie Barbee, John Nguyen, Pamela Vila, Philip M Preshaw

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open diabetes research & care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Article
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 2 institutions in 2 countries.

Andrew S PumerantzWestern Diabetes Institute, Western University of Health Sciences, Pomona, California, USA.
Susan M BissettSchool of Dental Sciences, Centre for Oral Health Research, Newcastle University, Newcastle upon Tyne, UK.
Fanglong DongGraduate College of Biomedical Sciences, Western University of Health Sciences, Pomona, California, USA.
Cesar OchoaWestern Diabetes Institute, Western University of Health Sciences, Pomona, California, USA.
Rebecca R WassallSchool of Dental Sciences, Centre for Oral Health Research, Newcastle University, Newcastle upon Tyne, UK.
Heidi DavilaWestern Diabetes Institute, Western University of Health Sciences, Pomona, California, USA.
Melanie BarbeeWestern Diabetes Institute, Western University of Health Sciences, Pomona, California, USA.
John NguyenWestern Diabetes Institute, Western University of Health Sciences, Pomona, California, USA.
Pamela VilaCollege of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California, USA.
Philip M PreshawSchool of Dental Sciences, Centre for Oral Health Research, Newcastle University, Newcastle upon Tyne, UK.
Western University of Health Sciences · USNewcastle University · GB

Funding

Department of Health TRF-2014-07-012
6 · The paper itself

Abstract

objectiveTo determine prevalence and factors predictive of periodontitis by using a standardized assessment model in adults with type 2 diabetes. RESEARCH DESIGN AND

methodsWe performed an observational cross-sectional study to determine the burden of periodontitis in adults with type 2 diabetes attending urban, ambulatory referral centers in the USA and UK. Full-mouth probing was performed and periodontitis was diagnosed based on either a low (≥5 mm at ≥1 site) or high pocket probing-depth threshold (≥6 mm at ≥1 site). Results were stratified into a five-stage schema and integrated with other clinical variables into the novel Diabetes Cross-Disciplinary Index to function as a balanced health scorecard. Corresponding demographic and routinely collected health data were obtained and comparisons were made between patients with and without periodontitis. Multivariable logistic regression was performed to identify factors predictive of the presence or absence of periodontitis.

resultsBetween our two cohorts, 253 patients were screened. Caucasians comprised >90% and Hispanic Americans >75% of the UK and US cohorts, respectively. Males and females were equally distributed; mean age was 53.6±11 years; and 17 (6.7%) were edentulous. Of the 236 dentate patients, 128 (54.2%) had periodontitis by low threshold and 57 (24.2%) by high threshold. Just 17 (7.2%) were periodontally healthy. No significant differences in age, HbA1c, blood pressure, body mass index, low-density lipoprotein cholesterol, or smoking status (all p>0.05) were identified between those with or without periodontitis (regardless of threshold) and none was found to be a significant predictor of disease.

conclusionsPeriodontitis is frequent in adults with type 2 diabetes and all should be screened. Periodontal health status can be visualized with other comorbidities and complications using a novel balanced scorecard that could facilitate patient-clinician communication, shared decision-making, and prioritization of individual healthcare needs.

Indexed as

comorbidity of chronic diseasesmultidisciplinaryperiodontal diseasescreening strategiestype 2 diabetes

Identifiers

PMID28761663
PMCPMC5530235
OpenAlexW2724331420

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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 Socratic graph.