Validity of screening methods for periodontitis using salivary hemoglobin level and self-report questionnaires in people with disabilities

Sun Hei Nam, Hoi In Jung, Si Mook Kang, Daisuke Inaba, Ho Keun Kwon, Baek Il Kim

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: The aim of this study is to evaluate the validity of screening methods in predicting periodontitis in people with disabilities using the objective salivary hemoglobin level, a subjective self-report questionnaire, and a combined model of the two methods with demographic characteristics. Methods: The participants were 195 patients with disabilities aged >18 years who were examined using the community periodontal index (CPI), salivary hemoglobin level, and answers to 10 self-report questions (n = 192). Multivariable logistic regression and receiver operating characteristic (ROC) curve analysis were performed to evaluate the validity of the methods and the combined model in predicting the prevalence of ≥CPI 3 (probing depth [PD] ≥4 mm) or CPI 4 (PD ≥6 mm). Results: Overall, 75.9% of the study group (148 of 195) were diagnosed with ≥CPI 3, and 38.5% of the study group (75 of 195) were diagnosed with CPI 4. The areas under the ROC curve (AUCs) of the salivary hemoglobin level were 0.578 (sensitivity of 41% and specificity of 77%) and 0.662 (sensitivity of 53% and specificity of 75%) for predicting the prevalence of ≥CPI 3 and CPI 4, respectively. Multivariable modeling incorporating four different questions for predicting ≥CPI 3 or CPI 4 indicated higher AUCs of 0.710 and 0.732, respectively, yielding higher sensitivity (55% for ≥CPI 3 and 69% for CPI 4) than that of salivary hemoglobin level. The most useful prediction models for ≥CPI 3 or CPI 4 were combined models, which yielded AUCs of 0.773 and 0.807, respectively, with sensitivity values of 70% and specificity values >75%. Conclusion: The salivary hemoglobin level, self-report questionnaire, and the combined method demonstrated screening potential that could predict the population prevalence of ≥CPI 3 or CPI 4.

Original languageEnglish
Pages (from-to)536-545
Number of pages10
JournalJournal of Periodontology
Volume86
Issue number4
DOIs
Publication statusPublished - 2015 Apr 1

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Periodontal Index
Periodontitis
Disabled Persons
Self Report
Hemoglobins
ROC Curve
Surveys and Questionnaires
Area Under Curve
Sensitivity and Specificity

All Science Journal Classification (ASJC) codes

  • Periodontics

Cite this

Nam, Sun Hei ; Jung, Hoi In ; Kang, Si Mook ; Inaba, Daisuke ; Kwon, Ho Keun ; Kim, Baek Il. / Validity of screening methods for periodontitis using salivary hemoglobin level and self-report questionnaires in people with disabilities. In: Journal of Periodontology. 2015 ; Vol. 86, No. 4. pp. 536-545.
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abstract = "Background: The aim of this study is to evaluate the validity of screening methods in predicting periodontitis in people with disabilities using the objective salivary hemoglobin level, a subjective self-report questionnaire, and a combined model of the two methods with demographic characteristics. Methods: The participants were 195 patients with disabilities aged >18 years who were examined using the community periodontal index (CPI), salivary hemoglobin level, and answers to 10 self-report questions (n = 192). Multivariable logistic regression and receiver operating characteristic (ROC) curve analysis were performed to evaluate the validity of the methods and the combined model in predicting the prevalence of ≥CPI 3 (probing depth [PD] ≥4 mm) or CPI 4 (PD ≥6 mm). Results: Overall, 75.9{\%} of the study group (148 of 195) were diagnosed with ≥CPI 3, and 38.5{\%} of the study group (75 of 195) were diagnosed with CPI 4. The areas under the ROC curve (AUCs) of the salivary hemoglobin level were 0.578 (sensitivity of 41{\%} and specificity of 77{\%}) and 0.662 (sensitivity of 53{\%} and specificity of 75{\%}) for predicting the prevalence of ≥CPI 3 and CPI 4, respectively. Multivariable modeling incorporating four different questions for predicting ≥CPI 3 or CPI 4 indicated higher AUCs of 0.710 and 0.732, respectively, yielding higher sensitivity (55{\%} for ≥CPI 3 and 69{\%} for CPI 4) than that of salivary hemoglobin level. The most useful prediction models for ≥CPI 3 or CPI 4 were combined models, which yielded AUCs of 0.773 and 0.807, respectively, with sensitivity values of 70{\%} and specificity values >75{\%}. Conclusion: The salivary hemoglobin level, self-report questionnaire, and the combined method demonstrated screening potential that could predict the population prevalence of ≥CPI 3 or CPI 4.",
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Validity of screening methods for periodontitis using salivary hemoglobin level and self-report questionnaires in people with disabilities. / Nam, Sun Hei; Jung, Hoi In; Kang, Si Mook; Inaba, Daisuke; Kwon, Ho Keun; Kim, Baek Il.

In: Journal of Periodontology, Vol. 86, No. 4, 01.04.2015, p. 536-545.

Research output: Contribution to journalArticle

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