Assessment of knowledge and practice of internal medicine postgraduate students and patients with chronic kidney disease (CKD) regarding the association of oral health with CKD in Isfahan, Iran, in 2018

Document Type : Original Article

Authors

1 Associate Professor, Department of Periodontics School of Dentistry AND Dental Implants Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Dentist, Private Practice, Isfahan, Iran

3 Assistant professor, Department of Periodontics, School of Dentistry AND Dental Implants Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

10.22122/johoe.2022.196333.1360

Abstract

BACKGROUND AND AIM: This study was conducted with the aim to evaluate the knowledge and practice of internal medicine postgraduate students and patients with chronic kidney disease (CKD).
METHODS: To measure the knowledge and practice of internal medicine postgraduate students and patients with CKD, 2 validated and reliable questionnaires were used. Each questionnaire included the 3 sections of demographic characteristics form, knowledge measurement, and performance assessment. The questionnaires were distributed among 50 internal medicine postgraduate students of Alzahra Hospital and 150 patients with CKD at Alzahra and Hojatieh Hospitals who were selected randomly. The mean scores of knowledge and practice were extracted from the responses provided in the questionnaires. Based on the mean scores obtained, the knowledge and performance of the participants were measured . Data analysis was carried out in SPSS software using the Pearson correlation coefficient, Spearman’s correlation coefficient, and independent t-test.
RESULTS: The mean score of knowledge and practice of the postgraduate students were 65.1 ± 16.02 and 39.8 ± 16.9, respectively. Furthermore, of the 150 patients with CKD with a mean age of 52.7 ± 16.8 years, 56.2% were men and 45.3% had primary education. The patients’ mean score of knowledge regarding the association of CKD and oral health was 45.1 ± 18.8 and that of their practice was 44.04 ± 20.8 out of 100.
CONCLUSION: The findings of this study indicated that internal medicine postgraduate students and patients with CKD had moderate level of knowledge and performance with regard to the association of oral health with CKD. Moreover, the results showed no significant relationship between the internal medicine postgraduate students’ knowledge and age, year of residency, and clinical experience, but there was a significant reverse association between the postgraduate students’ knowledge and the number of patients with CKD they visited during a week.

Keywords


  1. Mehrotra V, Garg K, Sharma P, Sajid Z, Singh R. A study based on dental awareness, knowledge and attitudes among the medical practitioners in and around Kanpur City (India). J Interdiscipl Med Dent Sci 2015; 3: 183.
  2. Cheraskin E. Oral manifestations of systemic diseases. J Natl Med Assoc 1958; 50(4): 241-7.
  3. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ 2005; 83(9): 661-9.
  4. Scannapieco FA. Systemic effects of periodontal diseases. Dent Clin North Am 2005; 49(3): 533-50.
  5. Dani S, Prabhu A, Chaitra KR, Desai NC, Patil SR, Rajeev R. Assessment of Streptococcus mutans in healthy versus gingivitis and chronic periodontitis: A clinico-microbiological study. Contemp Clin Dent 2016; 7(4): 529-34.
  6. Inker LA, Astor BC, Fox CH, Isakova T, Lash JP, Peralta CA, et al. KDOQI US commentary on the 2012 KDIGO clinical practice guideline for the evaluation and management of CKD. Am J Kidney Dis 2014; 63(5): 713-35.
  7. Tadakamadla J, Kumar S, Mamatha GP. Comparative evaluation of oral health status of chronic kidney disease (CKD) patients in various stages and healthy controls. Spec Care Dentist 2014; 34(3): 122-6.
  8. Al-Habashneh R, Aljundi SH, Alwaeli HA. Survey of medical doctors' attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hyg 2008; 6(3): 214-20.
  9. Ismaeil FMR, Ali N. Diabetic patients knowledge, attitude and practice toward oral health. J Educ Pract 2013; 4(2): 19-25.
  10. Sharma N, Shamsuddin H. Association between respiratory disease in hospitalized patients and periodontal disease: A cross-sectional study. J Periodontol 2011; 82(8): 1155-60.
  11. Wahid A, Chaudhry S, Ehsan A, Butt S, Ali KA. Bidirectional relationship between chronic kidney disease and periodontal disease. Pak J Med Sci 2013; 29(1): 211-5.
  12. Chen LP, Chiang CK, Chan CP, Hung KY, Huang CS. Does periodontitis reflect inflammation and malnutrition status in hemodialysis patients? Am J Kidney Dis 2006; 47(5): 815-22.
  13. Klassen JT, Krasko BM. The dental health status of dialysis patients. J Can Dent Assoc 2002; 68(1): 34-8.
  14. Al-Wahadni A, Al-Omari MA. Dental diseases in a Jordanian population on renal dialysis. Quintessence Int 2003; 34(5): 343-7.
  15. Vilela EM, Bastos JA, Fernandes N, Ferreira AP, Chaoubah A, Bastos MG. Treatment of chronic periodontitis decreases serum prohepcidin levels in patients with chronic kidney disease. Clinics (Sao Paulo) 2011; 66(4): 657-62.
  16. Umeizudike KA, Iwuala SO, Ozoh OB, Ayanbadejo PO, Fasanmade OA. Association between periodontal diseases and systemic illnesses: A survey among internal medicine residents in Nigeria. Saudi Dent J 2016; 28(1): 24-30.
  17. Bastos JA, Vilela EM, Henrique MN, Daibert PC, Fernandes LF, Paula DA, et al. Assessment of knowledge toward periodontal disease among a sample of nephrologists and nurses who work with chronic kidney disease not yet on dialysis. J Bras Nefrol 2011; 33(4): 431-5.
  18. Sicca C, Bobbio E, Quartuccio N, Nicolo G, Cistaro A. Prevention of dental caries: A review of effective treatments. J Clin Exp Dent 2016; 8(5): e604-e610.
  19. Potter JL, Wilson NH. A dental survey of renal dialysis patients. Public Health 1979; 93(3): 153-6.
  20. Chamani G, Zarei MR, Radvar M, Rashidfarrokhi F, Razazpour F. Oral health status of dialysis patients based on their renal dialysis history in Kerman, Iran. Oral Health Prev Dent 2009; 7(3): 269-75.
  21. Hamissi J, Porsamimi J, Naseh MR, Mosalaei S. Oral hygiene and periodontal status of hemodialyzed patients with chronic renal failure in Qazvin, Iran. East Afr J Public Health 2009; 6(1): 108-11.