Aaen Eirik M, Bunæs Dagmar F, Lie Stein A, Lind Kristian H, Leknes Knut N
Faculty of Medicine, Department of Clinical Dentistry, University of Bergen, Bergen, Norway.
J Clin Periodontol. 2025 Apr;52(4):561-574. doi: 10.1111/jcpe.14096. Epub 2024 Dec 16.
The objective of this cross-sectional survey was to assess the attitude among general practitioners (GPs) and periodontal specialists (PSs) in Norway towards developing and implementing guideline-based periodontal referral practise.
A multiple-choice questionnaire was distributed online to a sample of professionally active GPs and PSs. The survey included questions on demographics, practise profile, proficiency and insight among oral healthcare providers, periodontal referral patterns, and attitude on establishing guideline-based referral practise. Logistic regression analyses were employed to estimate associations between dependent and selected independent variables. Inverse probability weights (IPW) were applied to adjust for non-response in the logistic regression models.
Analyses were based on answers from 353 GPs and 49 PSs. The majority of GPs (77.9%) considered periodontal referral guidelines as a useful tool if they were available, and 59.2% of PSs expressed a positive attitude for implementing guideline-based referral practise to prevent premature or delayed referrals. In total, 93.9% of PSs reported that patients with periodontitis were being referred from GPs too late either frequently or sometimes. Females tended to be more interested in utilising referral guidelines than males (odds ratio, OR = 2.89, p < 0.001). Older GPs and those with increasing years of practising, were less interested in using referral guidelines than younger and more inexperienced GPs (both p < 0.05).
The findings document a positive attitude and significant need for developing and implementing periodontal referral guidelines among GPs and PSs, ensuring timely identification and referral of patients with periodontitis.
本横断面调查的目的是评估挪威全科医生（GPs）和牙周病专科医生（PSs）对制定和实施基于指南的牙周转诊实践的态度。
通过在线方式向在职的全科医生和牙周病专科医生样本发放了一份多项选择题问卷。该调查包括有关人口统计学、实践概况、口腔医疗服务提供者的专业水平和见解、牙周转诊模式以及对建立基于指南的转诊实践的态度等问题。采用逻辑回归分析来估计因变量与选定自变量之间的关联。在逻辑回归模型中应用逆概率权重（IPW）来调整无应答情况。
分析基于353名全科医生和49名牙周病专科医生的回答。大多数全科医生（77.9%）认为，如果有牙周转诊指南，它们将是一个有用的工具，59.2%的牙周病专科医生对实施基于指南的转诊实践以防止过早或延迟转诊表达了积极态度。总体而言，93.9%的牙周病专科医生报告称，全科医生经常或有时将牙周炎患者转诊得太晚。女性比男性更倾向于对使用转诊指南感兴趣（优势比，OR = 2.89, p < 0.001）。与年轻且经验不足的全科医生相比，年长的全科医生以及执业年限增加的全科医生对使用转诊指南的兴趣较低（两者p < 0.05）。
研究结果表明，全科医生和牙周病专科医生对制定和实施牙周转诊指南持积极态度，且有很大需求，这有助于确保及时识别和转诊牙周炎患者。
