Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study

Martijn JL Verhulst,1 Wijnand J Teeuw,1 Victor EA Gerdes,2,3 Bruno G Loos11Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands; 2Department of Vascular Medicine, Academic Medical Center (AMC), University...

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Autores principales: Verhulst MJL, Teeuw WJ, Gerdes VEA, Loos BG
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:a240ec19ebb740a48095ace277ae65b12021-12-02T03:07:08ZSelf-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study1178-7007https://doaj.org/article/a240ec19ebb740a48095ace277ae65b12019-06-01T00:00:00Zhttps://www.dovepress.com/self-reported-oral-health-and-quality-of-life-in-patients-with-type-2--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Martijn JL Verhulst,1 Wijnand J Teeuw,1 Victor EA Gerdes,2,3 Bruno G Loos11Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands; 2Department of Vascular Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands; 3Department of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The NetherlandsBackground: Guidelines for primary diabetes care recommend to pay attention to oral health in patients with diabetes mellitus type 2 (T2DM). However, research about dental care utilization and the extent of problems regarding oral health in these patients is limited.Purpose: To assess self-reported oral health, general health-related quality of life (QoL) and oral health-related QoL in patients with T2DM who regularly attend a family physician office.Methods: Family physician offices were recruited in the area of Amsterdam, the Netherlands, as part of a cluster-randomized controlled trial. At these offices, patients with T2DM were included by family physicians and/or nurse practitioners. Patient data on general characteristics, self-reported oral health (including periodontitis), general health-related QoL (SF-36) and oral health-related QoL (OHIP-NL14) were collected.Results: Twenty-four family physician offices participated, who enrolled 764 patients with T2DM (mean age: 65.9±10.7 years, 56% male, 16% smoker). Almost 11% of the patients were metabolically poorly controlled (HbA1c >63 mmol/mol), 39% were obese (body mass index≥30 kg/m2,), 37% had hypertension (systolic blood pressure ≥140 mmHg) and 44% had dyslipidemia (LDL-cholesterol >2.5 mmol/L). About a quarter (24%) reported not to visit a dentist regularly and 30% did not have dental insurance coverage. Furthermore, 16% of the patients were edentulous and having full dental prostheses, while 29% had a partial dental prosthesis. Pain in the mouth, dry mouth and bad breath were reported by 15%, 37% and 12% of the patients, respectively. Almost 70% suffered from periodontitis. Oral health-related QoL was impaired in 19% of the patients, and those subjects also had worse general health-related QoL.Conclusion: Almost a quarter of patients with T2DM at Dutch family physician offices does not visit the dentist regularly. The estimated prevalence of periodontitis is particularly high, but other oral health complaints and impaired oral health-related QoL are also relatively common.Keywords: self-reported oral health, oral health-related quality of life, diabetes mellitus type 2, primary care, family physicianVerhulst MJLTeeuw WJGerdes VEALoos BGDove Medical Pressarticleself-reported oral healthoral health-related quality of lifediabetes mellitus type 2primary carefamily physicianSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 883-899 (2019)
institution DOAJ
collection DOAJ
language EN
topic self-reported oral health
oral health-related quality of life
diabetes mellitus type 2
primary care
family physician
Specialties of internal medicine
RC581-951
spellingShingle self-reported oral health
oral health-related quality of life
diabetes mellitus type 2
primary care
family physician
Specialties of internal medicine
RC581-951
Verhulst MJL
Teeuw WJ
Gerdes VEA
Loos BG
Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
description Martijn JL Verhulst,1 Wijnand J Teeuw,1 Victor EA Gerdes,2,3 Bruno G Loos11Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands; 2Department of Vascular Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands; 3Department of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The NetherlandsBackground: Guidelines for primary diabetes care recommend to pay attention to oral health in patients with diabetes mellitus type 2 (T2DM). However, research about dental care utilization and the extent of problems regarding oral health in these patients is limited.Purpose: To assess self-reported oral health, general health-related quality of life (QoL) and oral health-related QoL in patients with T2DM who regularly attend a family physician office.Methods: Family physician offices were recruited in the area of Amsterdam, the Netherlands, as part of a cluster-randomized controlled trial. At these offices, patients with T2DM were included by family physicians and/or nurse practitioners. Patient data on general characteristics, self-reported oral health (including periodontitis), general health-related QoL (SF-36) and oral health-related QoL (OHIP-NL14) were collected.Results: Twenty-four family physician offices participated, who enrolled 764 patients with T2DM (mean age: 65.9±10.7 years, 56% male, 16% smoker). Almost 11% of the patients were metabolically poorly controlled (HbA1c >63 mmol/mol), 39% were obese (body mass index≥30 kg/m2,), 37% had hypertension (systolic blood pressure ≥140 mmHg) and 44% had dyslipidemia (LDL-cholesterol >2.5 mmol/L). About a quarter (24%) reported not to visit a dentist regularly and 30% did not have dental insurance coverage. Furthermore, 16% of the patients were edentulous and having full dental prostheses, while 29% had a partial dental prosthesis. Pain in the mouth, dry mouth and bad breath were reported by 15%, 37% and 12% of the patients, respectively. Almost 70% suffered from periodontitis. Oral health-related QoL was impaired in 19% of the patients, and those subjects also had worse general health-related QoL.Conclusion: Almost a quarter of patients with T2DM at Dutch family physician offices does not visit the dentist regularly. The estimated prevalence of periodontitis is particularly high, but other oral health complaints and impaired oral health-related QoL are also relatively common.Keywords: self-reported oral health, oral health-related quality of life, diabetes mellitus type 2, primary care, family physician
format article
author Verhulst MJL
Teeuw WJ
Gerdes VEA
Loos BG
author_facet Verhulst MJL
Teeuw WJ
Gerdes VEA
Loos BG
author_sort Verhulst MJL
title Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
title_short Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
title_full Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
title_fullStr Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
title_full_unstemmed Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
title_sort self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/a240ec19ebb740a48095ace277ae65b1
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AT gerdesvea selfreportedoralhealthandqualityoflifeinpatientswithtype2diabetesmellitusinprimarycareamulticentercrosssectionalstudy
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