Reporting Systemic conditions in adult patients.
School of Dentistry, Universidad de Antioquia, 2011
Introduction: The goal of this research project was to determine the prevalence and concordance of reports of a group of systemic conditions by means of Dental/Medical Records (mrs) and telephonic surveys (TS) in patients consulting at two adults’ clinics at the Faculty of Dentistry of the University of Antioquia.
Methods: Cross-sectional study (n = 104). We evaluated clinical records and registered the 10 most frequent systemic diseases according to the epidemiological data in Medellin (Colombia). We used TS to corroborate previous information on the mrs. We measured the prevalence of the diseases and determined a concordance level between the results of mr and ts through a kappa index with a 95% confidence interval (95%CI); according to different variables.
Results: The most prevalent systemic disease was ocular disease (58% ts and 30% mr, statistically significant p < 0.001) and the less prevalent one was hyperthyroidism (3% mr and 5% ts, no statistically significant). Kappa analyses showed the weakest concordance in the case of hyperthyroidism (0.22; 95%CI -0.38-0.82) and in case of ocular disease (0.37; 95%ci 0.20- 0.72). Variability in the prevalence and kappa indexes was observed related to gender, type of clinic and age interval.
Conclusions: Variations in the reported prevalence between the mr and ts were found. This situation may be explained as originating in difficulties completing medical antecedents, which cause an underreporting in the MR.
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Díaz l, Castellanos J, Gay O. Medicina en odontología, manejo dental de pacientes con enfermedades sistémicas. 2ª. ed. México: El Manual Moderno; 2002.
Castaño A, Roldán J. Manual de introducción a la odontología. Madrid: Médica Ripano; 2005.
Consejo General de Colegios Oficiales de Odontólogos y Estomatólogos de España. Protocolos clínicos aceptados por el Ilustre Consejo General de Colegios Oficiales de Odontólogos y Estomatólogos de España. [Internet]. [Consultado: 8 de febrero de 2011]. Disponible en: http://www.consejodentistas.es/pdf/prevencion.pdf
Little J, Falace D, Miller C, Rhodus N. Tratamiento odontológico del paciente bajo tratamiento médico. 5.a ed. Madrid: Harcourt Brace; 1998.
González M. La historia clínica como instrumento de método clínico y su importancia en la realización del tratamiento odontológico. Caracas: Universidad Central de Venezuela; 1994.
Alfonso A, Moreno O, Hernández MN, Pardo R, Alfonzo T. Prevalencia de pacientes sistémicamente comprometidos que acuden al cidc (Centro de Investigación y Diagnóstico Clínico). iii Congreso de la Región Latinoamericana; International Association for Dental Research (iadr) y viii de la División Venezolana de la IAD; 2009 Isla Margarita- Venezuela; Nov 11-13. [Internet] Consultado: 8 de febrero de 2011] Disponible en: http://iadr.confex.com/iadr/venez09/preliminaryprogram/abstract_126198.htm
La Mora-Franz E de, Carrillo-Tamez ME. Systemic disease in the Pediatric Dental Department during 1984. Rev adm. 1990; 47(3): 97-102.
Dumitrescu AL. Occurrence of self-reported systemic medical conditions in patients with periodontal disease. Rom J Intern Med. 2006; 44(1): 35-48.
Antioquia. Gobernación. Secretaría Seccional de Salud y Protección Social. Estadísticas de Morbilidad. [Internet] [Consultado: 4 de mayo de 2012]. Disponible en:http://www.dssa.gov.co/index.php/estadisticas/morbilidad
López de Ullibarri Galparsoro I, Pita Fernández S. Medidas de concordancia: el índice Kappa. Cad Aten Primaria. 1999; 6: 169-71.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics.1977; 33: 159-74.
Colombia. Ministerio de Salud y Protección Social. Resolución nº 008430 de 1993 (4 de octubre de 1993). Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: El Ministerio; 1993.
Castillo Laita JA, De Benito Fernández J, Escribano Montaner A, Fernández Benítez M, García de la Rubia S, Garde Garde J et al. Consenso sobre el tratamiento del asma en pediatría. An Pediatr (Barc). 2007; 67(3): 253-73.
Salas Hernández J, Ramírez Venegas A, Carrillo Rodríguez G, Pérez Chavira R, Sansores Martínez RH, Mejía Ávila M et al. La conducta de un grupo de médicos mexicanos ante el diagnóstico y tratamiento del asma. Rev Inst Nac Enfermedades Respir. 1994; 7(2): 116-21.
Marín R de la Sierra A, Armario P, Campos C, Banegas JR, Gorostidi M. Guía sobre el diagnóstico y tratamiento de la hipertensión arterial en España. 2005. Med Clin (Barc). 2005; 125(1): 24-34.
Colombia. Ministerio de la Protección Social. Estudio de ajuste de la upc-S por la inclusión en el pos-S de actividades para el manejo de hipertensión arterial y diabetes mellitus tipo 2 en personas de 45 años o más. 2008. [Internet] [Consultado: 22 de mayo de 2012]. Disponible en: http://www.pos.gov.co/Documents/HTA-DM_POSS_ABRIL_08_ULTIMA%20VERSI%C3%93N.pdf
