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Validation of the diabetes risk assessment in dentistry score in NHANES 2009–2014

2026-01Contributo em revista Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorRodrigues, Carlota
dc.contributor.authorMachado, Vanessa
dc.contributor.authorProença, Luís
dc.contributor.authorMendes, José João
dc.contributor.authorKocher, Thomas
dc.contributor.authorHoltfreter, Birte
dc.contributor.authorYonel, Zehra
dc.contributor.authorBotelho, João
dc.date.accessioned2026-07-07T13:26:01Z
dc.date.available2026-07-07T13:26:01Z
dc.date.issued2026-01
dc.description.abstractAim: To validate the Diabetes Risk Assessment in Dentistry Score (DDS) in a US population–based sample and compare its performance with the American Diabetes Association (ADA) risk calculator and the Leicester Risk Assessment (LRA). Methods: Data were obtained from the National Health and Nutrition Examination Survey (NHANES) covering the 2009–2014 cycles. The study focused on participants aged 40 years and older who included complete data for DDS and ADA risk score assessment. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC), while decision curve analysis (DCA) was used to evaluate the clinical utility of the model. Results: Of the 6259 participants included, the average age was 57.3 years (±12.0 years, range: 40–80 years) and the sample was evenly distributed by sex (50.8% female). DDS showed limited discriminative ability with an AUC of 0.64 (95% confidence interval [CI]: 0.62–0.65), and DCA analysis showed higher net benefit than the ‘Treat None’ strategy across most probability thresholds, indicating added clinical value in decision making. The ADA risk calculator and LRA showed an AUC of 0.61 (95% CI: 0.59–0.63) and 0.631 (95% CI: 0.615–0.647), which were below the DDS performance. Conclusion: The DDS demonstrated acceptable performance for American adults aged 40 years or older, and showed marginally superior performance compared with the ADA diabetes risk calculator and LRA, highlighting its potential utility in dental practice settings as a complementary screening tool.eng
dc.identifier.citationRodrigues, C. , V. Machado , L. Proença , et al. 2026. “Validation of the Diabetes Risk Assessment in Dentistry Score in NHANES 2009–2014.” Journal of Clinical Periodontology, 53, no. 1: 98–106. https://doi.org/10.1111/jcpe.70037
dc.identifier.doi10.1111/jcpe.70037
dc.identifier.issn1600-051X
dc.identifier.urihttp://hdl.handle.net/10400.26/63755
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.hasversionhttps://doi.org/10.1111/jcpe.70037
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectdiabetes
dc.subjectNHANES
dc.subjectperiodontal disease
dc.subjectperiodontitis
dc.subjectscreening
dc.titleValidation of the diabetes risk assessment in dentistry score in NHANES 2009–2014eng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage106
oaire.citation.issue1
oaire.citation.startPage98
oaire.citation.titleJournal of Clinical Periodontology
oaire.citation.volume53
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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