Int J Clin Pharmacol Ther. 2021 Mar;59(3):182-188. doi: 10.5414/CP203881.
The aims of this study were to investigate the referral behavior of general practitioners (GP), dermatologists, ear, nose and throat specialists (ENT), and pediatricians to dentists in Germany in 2019. The study took into account the prevalence of referrals since 2010, age groups, gender, and the most common diagnoses.
The cross-sectional study was based on data from the Disease Analyzer database (IQVIA). Referrals to dentists from 540 GPs, 81 dermatologists, 84 ENT specialists, and 95 pediatricians in 2019 were evaluated. The difference in the prevalence of referrals to dentists in 2019 and 2010 was determined using χ-tests.
Of a total of 2,512,003 patients, 766 were referred to dentists in 2019. The prevalence of dental referrals was significantly higher in all practice specialties compared to 2010. For patients treated in GP practices, the highest prevalence was observed in patients aged 51 - 60, 61 - 70, and > 70 (0.03%), for those treated by dermatologists in patients aged 18 - 30 (0.08%), for those treated by ENT specialists in patients aged 41 - 50 (0.07%), and for those treated by pediatricians in patients aged ≤ 5 years. The most common diagnosis in the GP group was osteoporosis, in the dermatologist group it was urticaria, in the ENT group otalgia and effusion of ear, and in the pediatrician group dental caries.
Our study reflects an interaction between doctors and dentists that clearly shows that oral health cannot be separated from general health.
本研究旨在调查德国全科医生（GP）、皮肤科医生、耳鼻喉科医生和儿科医生在 2019 年向牙医转诊的情况。本研究考虑了自 2010 年以来转诊的流行率、年龄组、性别以及最常见的诊断。
本横断面研究基于 IQVIA 的疾病分析器数据库中的数据。评估了 2019 年来自 540 名全科医生、81 名皮肤科医生、84 名耳鼻喉科医生和 95 名儿科医生的 2512003 名患者的转诊情况。使用 χ 检验确定 2019 年和 2010 年转诊至牙医的流行率差异。
在总共 2512003 名患者中，有 766 名在 2019 年被转诊至牙医。与 2010 年相比，所有执业专业的牙科转诊率均显著更高。对于在全科医生诊所治疗的患者，51-60 岁、61-70 岁和>70 岁患者的转诊率最高（0.03%），对于在皮肤科医生诊所治疗的患者，18-30 岁患者的转诊率最高（0.08%），对于在耳鼻喉科医生诊所治疗的患者，41-50 岁患者的转诊率最高（0.07%），对于在儿科医生诊所治疗的患者，≤5 岁患者的转诊率最高。全科医生组最常见的诊断是骨质疏松症，皮肤科医生组是荨麻疹，耳鼻喉科医生组是耳痛和耳积液，儿科医生组是龋齿。
我们的研究反映了医生和牙医之间的相互作用，清楚地表明口腔健康不能与一般健康分开。
