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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

Support for five measures to promote dental visits among dialysis patients. (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.
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Fig5: Support for five measures to promote dental visits among dialysis patients. (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.

Mentions: We asked respondents to indicate their degree of support for five measures to encourage dental visits among dialysis patients (Question 10 in Additional file 1). In all groups, “educational activities for medical staff at hemodialysis facilities” had the highest support; that was followed by “strengthening the collaboration between medical and dental facilities” and “educational activities for patients.” In contrast, “promoting the employment of dental professionals at hemodialysis facilities” received less support than expected (Figure 5). Among small clinics, “promoting the employment of dental professionals at hemodialysis facilities” had relatively low support; however, “educational activities for patients” had relatively high support compared with that expressed by hospital groups (Figure 5).Figure 5


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)

Support for five measures to promote dental visits among dialysis patients. (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.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig5: Support for five measures to promote dental visits among dialysis patients. (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.
Mentions: We asked respondents to indicate their degree of support for five measures to encourage dental visits among dialysis patients (Question 10 in Additional file 1). In all groups, “educational activities for medical staff at hemodialysis facilities” had the highest support; that was followed by “strengthening the collaboration between medical and dental facilities” and “educational activities for patients.” In contrast, “promoting the employment of dental professionals at hemodialysis facilities” received less support than expected (Figure 5). Among small clinics, “promoting the employment of dental professionals at hemodialysis facilities” had relatively low support; however, “educational activities for patients” had relatively high support compared with that expressed by hospital groups (Figure 5).Figure 5

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