Screening of undiagnosed hyperglycaemia in the dental setting: The DiabetRisk study. A field trial

• DOI: 10.1111/jcpe.13408
• Publication Date: 2020-12-02T01:33:19Z
• Authors: Eduardo Montero; Paula Matesanz; Antonio Nobili; José Luis Herrera...; Mariano Sanz; Adrián Guerrero; Antonio Bujaldón; David Herrera
• Keywords: Prediabetes; Cut-point; Point of care

Abstract Aim To evaluate the efficacy of different screening protocols for undiagnosed hyperglycaemia in a Research Network Dental Clinics coordinated by Spanish Society Periodontology (SEPA). Material and Methods A total 1143 patients were included study. Participants filled questionnaire considering diabetes risk factors (FINDRISC) received periodontal examination. Patients with slightly elevated score according to Findrisc (≥7), point‐of‐care HbA1c eventually referred their physician confirmatory diagnosis. Receiver Operating Characteristic (ROC) curves used assess performance various predictive models confirmed as outcome. Results From this population, 97 (8.5%) finally diagnosed ( n = 28; 2.5%) or prediabetes 69; 6.0%). When only including results from FINDRISC questionnaire, model reported an area under curve (AUC) 0.866 (95% confidence interval ‐ CI [0.833; 0.900]). This significantly improved when basic examination (EPB Code; AUC 0.876; 95% [0.845: 0.906]; p .042) added (AUC 0.961; [0.941; 0.980]; < .001). Conclusions The tested protocol, combining HbA1c, showed be feasible carried out dental clinic setting was efficient identify subjects prediabetes.