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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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Routine dental collaboration for hemodialysis facilities with and without a registered dental clinic. (A) Dialysis clinics (0-19 beds) without dental departments, (B) Dialysis hospitals (20-200 beds) without dental departments (C) Dialysis hospitals (>200 beds) without dental departments; N, number of facilities.
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Fig3: Routine dental collaboration for hemodialysis facilities with and without a registered dental clinic. (A) Dialysis clinics (0-19 beds) without dental departments, (B) Dialysis hospitals (20-200 beds) without dental departments (C) Dialysis hospitals (>200 beds) without dental departments; N, number of facilities.

Mentions: Next, we divided the facilities without dental departments into two groups: facilities with a collaborative registered dental clinic and those without a registered dental clinic. As shown in Table 3, 80.8% of small dialysis clinics did not have a registered dental clinic. The percentage of facilities having a registered dental clinic was lower among clinics than hospitals (Table 3). A higher proportion of medical facilities with a registered dental clinic reported routine collaboration with a dental facility than those not having a registered dental clinic (p <0.01, chi-square test; Figure 3). Among facilities with a registered dental clinic, 83.6% replied that they collaborated routinely with a dental facility. Medical facilities with a registered dental clinic also demonstrated a more positive attitude toward collaboration with dental facilities than facilities without such clinics (Figure 4).Table 3


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 dental collaboration for hemodialysis facilities with and without a registered dental clinic. (A) Dialysis clinics (0-19 beds) without dental departments, (B) Dialysis hospitals (20-200 beds) without dental departments (C) Dialysis hospitals (>200 beds) 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

Fig3: Routine dental collaboration for hemodialysis facilities with and without a registered dental clinic. (A) Dialysis clinics (0-19 beds) without dental departments, (B) Dialysis hospitals (20-200 beds) without dental departments (C) Dialysis hospitals (>200 beds) without dental departments; N, number of facilities.
Mentions: Next, we divided the facilities without dental departments into two groups: facilities with a collaborative registered dental clinic and those without a registered dental clinic. As shown in Table 3, 80.8% of small dialysis clinics did not have a registered dental clinic. The percentage of facilities having a registered dental clinic was lower among clinics than hospitals (Table 3). A higher proportion of medical facilities with a registered dental clinic reported routine collaboration with a dental facility than those not having a registered dental clinic (p <0.01, chi-square test; Figure 3). Among facilities with a registered dental clinic, 83.6% replied that they collaborated routinely with a dental facility. Medical facilities with a registered dental clinic also demonstrated a more positive attitude toward collaboration with dental facilities than facilities without such clinics (Figure 4).Table 3

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