Staff View: Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia

Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia

Background The practice of referring diabetic patients for dental intervention has been poor despite awareness and knowledge on the systemic effects of periodontal disease. Similarly, dentists are rarely updated on the glycaemic status of patients receiving treatment for diabetes. The rising inciden...

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Main Authors:	Abdul Aziz, Aznida Firzah, Mohd Dom, Tuti Ningseh, Mustafa, Norlaila, Mohd Said, Shahida, Wan Puteh, Sharifa Ezat, Md Hatah, Ernieda, Said, Abdul Hadi, Mohd Alwi, Mohd Farez Fitri
Format:	Article
Language:	English English English
Published:	Faculty of Medicine, Prince of Songkla University 2020
Subjects:	R Medicine (General) RA Public aspects of medicine RB Pathology RC Internal medicine
Online Access:	http://irep.iium.edu.my/87921/1/WhatsApp%20Image%202021-01-19%20at%209.50.47%20AM-converted.pdf http://irep.iium.edu.my/87921/2/B-18_Aznida%20Firzah%20Abdul%20Aziz.pdf http://irep.iium.edu.my/87921/17/38%20Suppl%201_online.pdf http://irep.iium.edu.my/87921/ http://www.jhsmr.org/index.php/jhsmr/announcement/view/24
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id	my.iium.irep.87921
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spelling	my.iium.irep.879212021-01-20T04:54:00Z http://irep.iium.edu.my/87921/ Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia Abdul Aziz, Aznida Firzah Mohd Dom, Tuti Ningseh Mustafa, Norlaila Mohd Said, Shahida Wan Puteh, Sharifa Ezat Md Hatah, Ernieda Said, Abdul Hadi Mohd Alwi, Mohd Farez Fitri R Medicine (General) RA Public aspects of medicine RB Pathology RC Internal medicine Background The practice of referring diabetic patients for dental intervention has been poor despite awareness and knowledge on the systemic effects of periodontal disease. Similarly, dentists are rarely updated on the glycaemic status of patients receiving treatment for diabetes. The rising incidence of diabetes among individuals who are unaware of their glycaemic status warrants screening among those presenting with complications of diabetes i.e. periodontitis. Objectives This study aimed to provide a standardised care pathway which will initiate screening for diabetes from dental clinics and link patients with primary care to receive optimised care for glycaemic control. Methods Modified Delphi technique was employed to obtain consensus on recommendations, based on current evidence and best care practices to screen for diabetes among patients attending dental clinics for periodontitis. Expert panel members were recruited using snowball technique and comprised of Family Medicine Specialists (5), Periodontologists (6), Endocrinologists (3) and Clinical Pharmacists (4) who are involved in management of patients with diabetes at public and private healthcare facilities. Care algorithms were designed based on existing public healthcare services. Results CODAPT© panel recommended referral to primary care for further evaluation of glycaemic status if patients diagnosed with periodontitis record fasting capillary blood glucose levels ≥ 5.6 mmol/L. Intervention treatment options for prediabetes are listed, and emphasis on feedback to dental healthcare team is outlined specifically. Conclusion CODAPT© care pathway has potential to link dental clinics with primary care to diagnose and/or optimise treatment of prediabetes/diabetes among patients receiving periodontitis treatment. Faculty of Medicine, Prince of Songkla University 2020-12-22 Article PeerReviewed application/pdf en http://irep.iium.edu.my/87921/1/WhatsApp%20Image%202021-01-19%20at%209.50.47%20AM-converted.pdf application/pdf en http://irep.iium.edu.my/87921/2/B-18_Aznida%20Firzah%20Abdul%20Aziz.pdf application/pdf en http://irep.iium.edu.my/87921/17/38%20Suppl%201_online.pdf Abdul Aziz, Aznida Firzah and Mohd Dom, Tuti Ningseh and Mustafa, Norlaila and Mohd Said, Shahida and Wan Puteh, Sharifa Ezat and Md Hatah, Ernieda and Said, Abdul Hadi and Mohd Alwi, Mohd Farez Fitri (2020) Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia. Journal of Health Science and Medical Research, 38 (Supplement 1). p. 57. ISSN 2586-9981 E-ISSN 2630-0559 http://www.jhsmr.org/index.php/jhsmr/announcement/view/24
institution	Universiti Islam Antarabangsa Malaysia
building	IIUM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	International Islamic University Malaysia
content_source	IIUM Repository (IREP)
url_provider	http://irep.iium.edu.my/
language	English English English
topic	R Medicine (General) RA Public aspects of medicine RB Pathology RC Internal medicine
spellingShingle	R Medicine (General) RA Public aspects of medicine RB Pathology RC Internal medicine Abdul Aziz, Aznida Firzah Mohd Dom, Tuti Ningseh Mustafa, Norlaila Mohd Said, Shahida Wan Puteh, Sharifa Ezat Md Hatah, Ernieda Said, Abdul Hadi Mohd Alwi, Mohd Farez Fitri Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia
description	Background The practice of referring diabetic patients for dental intervention has been poor despite awareness and knowledge on the systemic effects of periodontal disease. Similarly, dentists are rarely updated on the glycaemic status of patients receiving treatment for diabetes. The rising incidence of diabetes among individuals who are unaware of their glycaemic status warrants screening among those presenting with complications of diabetes i.e. periodontitis. Objectives This study aimed to provide a standardised care pathway which will initiate screening for diabetes from dental clinics and link patients with primary care to receive optimised care for glycaemic control. Methods Modified Delphi technique was employed to obtain consensus on recommendations, based on current evidence and best care practices to screen for diabetes among patients attending dental clinics for periodontitis. Expert panel members were recruited using snowball technique and comprised of Family Medicine Specialists (5), Periodontologists (6), Endocrinologists (3) and Clinical Pharmacists (4) who are involved in management of patients with diabetes at public and private healthcare facilities. Care algorithms were designed based on existing public healthcare services. Results CODAPT© panel recommended referral to primary care for further evaluation of glycaemic status if patients diagnosed with periodontitis record fasting capillary blood glucose levels ≥ 5.6 mmol/L. Intervention treatment options for prediabetes are listed, and emphasis on feedback to dental healthcare team is outlined specifically. Conclusion CODAPT© care pathway has potential to link dental clinics with primary care to diagnose and/or optimise treatment of prediabetes/diabetes among patients receiving periodontitis treatment.
format	Article
author	Abdul Aziz, Aznida Firzah Mohd Dom, Tuti Ningseh Mustafa, Norlaila Mohd Said, Shahida Wan Puteh, Sharifa Ezat Md Hatah, Ernieda Said, Abdul Hadi Mohd Alwi, Mohd Farez Fitri
author_facet	Abdul Aziz, Aznida Firzah Mohd Dom, Tuti Ningseh Mustafa, Norlaila Mohd Said, Shahida Wan Puteh, Sharifa Ezat Md Hatah, Ernieda Said, Abdul Hadi Mohd Alwi, Mohd Farez Fitri
author_sort	Abdul Aziz, Aznida Firzah
title	Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia
title_short	Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia
title_full	Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia
title_fullStr	Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia
title_full_unstemmed	Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia
title_sort	screening for diabetes among periodontitis patients (codapt-my© ): care pathway for bridging primary care with dental care services in malaysia
publisher	Faculty of Medicine, Prince of Songkla University
publishDate	2020
url	http://irep.iium.edu.my/87921/1/WhatsApp%20Image%202021-01-19%20at%209.50.47%20AM-converted.pdf http://irep.iium.edu.my/87921/2/B-18_Aznida%20Firzah%20Abdul%20Aziz.pdf http://irep.iium.edu.my/87921/17/38%20Suppl%201_online.pdf http://irep.iium.edu.my/87921/ http://www.jhsmr.org/index.php/jhsmr/announcement/view/24
_version_	1690370780201746432
score	13.211869

Screening for diabetes among periodontitis patients (CODAPT-My© ): care pathway for bridging primary care with dental care services in Malaysia

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