A retrospective analysis of referral patterns to a university oral medicine clinic

Friesen, Reid; McGaw, Tim; Peters, E. A.; Lai, Hollis

doi:10.1016/j.oooo.2019.04.007

Cited by 12 publications

(21 citation statements)

References 19 publications

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“…This single-center study examines the referral pattern related to the OM-U of a University-based hospital in Naples (Italy). In our cohort and as previously reported, the majority of patients were in the fifth decade of life with a female prevalence [15,18]. These data suggest that, to date, OM services are aimed at an adult population and the aging of the general population will increase the demand for assistance in this field [19].…”

Section: Discussionsupporting

confidence: 83%

“…About 75% of patients were visited by at least one doctor before being ref on average, the number of medical consultations seen is two. The most common so of referral were GDPs, PCPs, maxillofacial surgeons and dermatologists in line wit from Friesen et al, and Farah et al [16,18]. Only 27% came from physicians; this pe age is in line with the studies conducted in Australia and in Canada, but in disagre with Villa et al, where 2/3 of patients were referred by physicians [15,16,18].…”

Section: Discussionsupporting

confidence: 77%

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Referral Patterns in Oral Medicine: A Retrospective Analysis of an Oral Medicine University Center in Southern Italy

Coppola

Baldares

Blasi

et al. 2021

IJERPH

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Referral of a patient from one healthcare provider to another is an important part of the medical practice. The aim of this study was to analyze the referral process to the Oral Medicine Unit in a university-based tertiary center in Southern Italy. A chart review of new referrals to the Oral Medicine Unit during a 24-month period was conducted. The following data were recorded: demographic characteristics, medical history, number of physicians seen prior to Oral Medicine assessment, referral source, diagnostic procedures ordered by referrals, reason for referral, site of lesion/condition, final diagnosis. Then, the rates of correct identification for health-care professionals and the appropriateness of the reference diagnosis based on the disease were calculated with descriptive statistic indicators. There were 583 new first consultations. A total of 62.9% of patients were referred by general dental practitioners, 27.4% by physicians, and 9.7% did not have a referral. The most common diseases for referral were immune-mediated diseases (39.6%) and oro-facial pain disorders (25.2%). Only 28.5% of patients had a correct provisional diagnosis. The results of this study show the need to implement curricula in the field of oral medicine among dentistry and medical students, and to support the continuing education among healthcare providers to reduce diagnostic delay for oral diseases.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 77%

Referral Patterns in Oral Medicine: A Retrospective Analysis of an Oral Medicine University Center in Southern Italy

Coppola

Baldares

Blasi

et al. 2021

IJERPH

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“…9 This was different from the study by Friesen and colleagues which showed that 81% of the oral medicine patients were referred by dental practitioners with the general dentist being the most common (74.5%). 10 Similarly, another study characterizing an oral medicine practice at a dental hospital in the United Kingdom showed that nearly three quarters (75%) of the patients were referred by dentists. 12 When the patient's insurance was considered, two thirds of our patients (67%) had private medical insurance, and (23%) had Medicare.…”

Section: Discussionmentioning

confidence: 99%

The Role of Telemedicine for Symptoms Management in Oral Medicine: Retrospective Study

Alsafwani

Shiboski

Villa

2021

Preprint

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Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has had devastating effect on access to care in many specialties and dental services including oral medicine. Following the shelter‐in‐place orders in March 2020, we implemented Tele(oral)medicine practices for the diagnosis and management of some oral medicine conditionsObjectives: To assess the effectiveness of telemedicine visits with respect to pain control among patients affected by oral diseases. Methods: A retrospective chart review for all the new patients seen at their first visit via telemedicine between April 2020 and December 2020. The patient-reported pain score was recorded at each visit using a 0-10 scale. Differences in oral pain from the first fist to the follow-up visit of the patients were evaluated using the Wilcoxon signed-rank test. Results: A total of 137 new patients were included with a median age of 56 years. If seen in person, patients would have travelled a median distance of 65 miles. The most common oral conditions seen were reactive/inflammatory lesions. There was a 3-point median pain reduction from the first video visit to the first follow-up (p<0.05) and a self-reported 65% median improvement of oral symptoms. Conclusion: Tele(oral)medicine was an effective method for symptoms management of oral medicine conditions.

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“…A diferencia de otros estudios similares donde el género femenino fue el más frecuente en consultar, en nuestro trabajo, el género masculino fue el de mayor frecuencia (61%). En el trabajo de Friesen et al, el 61% de los pacientes derivados a un servicio universitario de Medicina Bucal, correspondieron al género femenino 6 , aunque sin diferencias estadísticamente significativas con el género masculino. En este estudio realizado en Canadá, se incluyeron 924 pacientes.…”

Section: Discussionunclassified

“…Estas discrepancias entre nuestro trabajo y otros trabajos similares de otras partes del mundo, evidencia la necesidad de realizar más estudios que involucren un mayor número de HC analizadas. La mayoría de los estudios describen que las mujeres consultan con más frecuencia, y en relación a este dato, los investigadores han propuesto que el género femenino parecería ser el más motivado a la hora de consultar por un problema bucal [6][7][8] . No existiría una mayor asociación del género con estudios de prevalencia de lesiones estomatológicas 9 , aunque es conocido que existen lesiones bucales que pueden presentar una distribución diferenciada de acuerdo al género (granulomas piogénicos en embarazadas, aftas catameniales, osteonecrosis por fármacos antirresortivos, etc).…”

Section: Discussionunclassified

Referral patterns in Oral Medicine (Stomatology) and diagnosis delay. A descriptive study

Beltramo¹,

Sanfedele²,

Sbardella³

et al. 2020

RevFacOdont

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Objective: The aim of this study is to analyze and describe the referral patterns of two groups of patients who consulted the Oral Medicine Department “A”, FOUNC during the year 2019. Materials and methods: A retrospective descriptive study of the analysis of clinical records of two groups of patients of the Oral Medicine Department “A” (2019). Four students, supervised by two professors, carried out the examination. There were registered the following variables: gender, age, type of referral (spontaneous demand, by students, by dentists, by other professionals), pre-referral treatments, evolution (from first symptoms at the time of the stomatological consultation), and kind of lesion (cancer / pre-cancer and other injuries) and prescription of biopsies. Results: 67 clinical records were registered. The average age was 49 years (48 years for men and 50 for women). The stomatological referral by dentists was the most frequent. In 56% of the registered clinical records, the patient consulted with inefficient previous treatments (without a diagnosis) and in the remaining 44%, referrals were made without the prescription of previous treatments, noting a difference of 3 months in the average evolution of the lesions in both situations. 66% of the cases required biopsies. Discussion: When the referral is not appropriate, delays of oral lesions diagnosis are generated. Regarding these cases, the initial clinical scenario is modified, and therefore, the treatment and prognosis of the lesions. Practices must be carried out for postgraduate professional training in Oral Medicine, the promotion of early referral and awareness of self-medication risks.

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A retrospective analysis of referral patterns to a university oral medicine clinic

Cited by 12 publications

References 19 publications

Referral Patterns in Oral Medicine: A Retrospective Analysis of an Oral Medicine University Center in Southern Italy

Referral Patterns in Oral Medicine: A Retrospective Analysis of an Oral Medicine University Center in Southern Italy

The Role of Telemedicine for Symptoms Management in Oral Medicine: Retrospective Study

Referral patterns in Oral Medicine (Stomatology) and diagnosis delay. A descriptive study

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