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Current status of collaborative relationships between dialysis facilities and dental facilities in Japan: results of a nationwide survey.

Yoshioka M, Shirayama Y, Imoto I, Hinode D, Yanagisawa S, Takeuchi Y - BMC Nephrol (2015)

Bottom Line: Only 87 of 454 small clinics without in-house dental departments (19.2%) had collaborative registered dental clinics.Medical facilities with registered dental clinics demonstrated a significantly more proactive attitude to routine collaboration on dental matters than facilities lacking such clinics.Our nationwide survey revealed that most dialysis facilities in Japan have neither an in-house dental department nor a collaborative relationship with a registered dental clinic.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Health Science and Social Welfare, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan. yoshioka.masami@tokushima-u.ac.jp.

ABSTRACT

Background: Recent studies have reported an association between periodontal disease and mortality among dialysis patients. Therefore, preventive dental care should be considered very important for this population. In Japan, no systematic education has been undertaken regarding the importance of preventive dental care for hemodialysis patients--even though these individuals tend to have oral and dental problems. The aim of this study was to investigate the current state of collaborative relationships between hemodialysis facilities and dental services in Japan and also to identify strategies to encourage preventive dental visits among hemodialysis outpatients.

Methods: A nationwide questionnaire on the collaborative relationship between dialysis facilities and dental facilities was sent by mail to all medical facilities in Japan offering outpatient hemodialysis treatment.

Results: Responses were obtained from 1414 of 4014 facilities (35.2%). Among the 1414 facilities, 272 (19.2%) had a dental service department. Approximately 100,000 dialysis outpatients were receiving treatment at these participating facilities, which amounts to one-third of all dialysis patients in Japan. Of those patients, 82.9% received hemodialysis at medical facilities without dental departments. Only 87 of 454 small clinics without in-house dental departments (19.2%) had collaborative registered dental clinics. Medical facilities with registered dental clinics demonstrated a significantly more proactive attitude to routine collaboration on dental matters than facilities lacking such clinics.

Conclusions: Our nationwide survey revealed that most dialysis facilities in Japan have neither an in-house dental department nor a collaborative relationship with a registered dental clinic. Registration of dental clinics appears to promote collaboration with dental facilities on a routine basis, which would be beneficial for oral health management in hemodialysis patients.

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Related in: MedlinePlus

Routine collaboration with dental facilities among dialysis hospitals and clinics. (A) with dental departments, (B) without dental departments; N, number of facilities.
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Fig2: Routine collaboration with dental facilities among dialysis hospitals and clinics. (A) with dental departments, (B) without dental departments; N, number of facilities.

Mentions: Routine collaboration with dental facilities was relatively rare among facilities without dental departments compared with those having dental departments (FigureĀ 2). Most routine collaborations with dental facilities were referral for oral prophylaxis and/or dental treatment and consultation (29.4 and 24.5%, respectively).Figure 2


Current status of collaborative relationships between dialysis facilities and dental facilities in Japan: results of a nationwide survey.

Yoshioka M, Shirayama Y, Imoto I, Hinode D, Yanagisawa S, Takeuchi Y - BMC Nephrol (2015)

Routine collaboration with dental facilities among dialysis hospitals and clinics. (A) with dental departments, (B) without dental departments; N, number of facilities.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4358784&req=5

Fig2: Routine collaboration with dental facilities among dialysis hospitals and clinics. (A) with dental departments, (B) without dental departments; N, number of facilities.
Mentions: Routine collaboration with dental facilities was relatively rare among facilities without dental departments compared with those having dental departments (FigureĀ 2). Most routine collaborations with dental facilities were referral for oral prophylaxis and/or dental treatment and consultation (29.4 and 24.5%, respectively).Figure 2

Bottom Line: Only 87 of 454 small clinics without in-house dental departments (19.2%) had collaborative registered dental clinics.Medical facilities with registered dental clinics demonstrated a significantly more proactive attitude to routine collaboration on dental matters than facilities lacking such clinics.Our nationwide survey revealed that most dialysis facilities in Japan have neither an in-house dental department nor a collaborative relationship with a registered dental clinic.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Health Science and Social Welfare, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan. yoshioka.masami@tokushima-u.ac.jp.

ABSTRACT

Background: Recent studies have reported an association between periodontal disease and mortality among dialysis patients. Therefore, preventive dental care should be considered very important for this population. In Japan, no systematic education has been undertaken regarding the importance of preventive dental care for hemodialysis patients--even though these individuals tend to have oral and dental problems. The aim of this study was to investigate the current state of collaborative relationships between hemodialysis facilities and dental services in Japan and also to identify strategies to encourage preventive dental visits among hemodialysis outpatients.

Methods: A nationwide questionnaire on the collaborative relationship between dialysis facilities and dental facilities was sent by mail to all medical facilities in Japan offering outpatient hemodialysis treatment.

Results: Responses were obtained from 1414 of 4014 facilities (35.2%). Among the 1414 facilities, 272 (19.2%) had a dental service department. Approximately 100,000 dialysis outpatients were receiving treatment at these participating facilities, which amounts to one-third of all dialysis patients in Japan. Of those patients, 82.9% received hemodialysis at medical facilities without dental departments. Only 87 of 454 small clinics without in-house dental departments (19.2%) had collaborative registered dental clinics. Medical facilities with registered dental clinics demonstrated a significantly more proactive attitude to routine collaboration on dental matters than facilities lacking such clinics.

Conclusions: Our nationwide survey revealed that most dialysis facilities in Japan have neither an in-house dental department nor a collaborative relationship with a registered dental clinic. Registration of dental clinics appears to promote collaboration with dental facilities on a routine basis, which would be beneficial for oral health management in hemodialysis patients.

Show MeSH
Related in: MedlinePlus