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

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

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Abstract

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.

Item Type:	Article (Meeting Abstract)
Additional Information:	6765/87921
Uncontrolled Keywords:	care pathway, primary healthcare, dental, periodontitis, diabetes, prediabetes
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RB Pathology R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011) Kulliyyah of Medicine
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	20 Jan 2021 12:54
Last Modified:	20 Jan 2021 12:54
URI:	http://irep.iium.edu.my/id/eprint/87921

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