{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:35:54Z","timestamp":1777937754702,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate a two-step screening method for hypertension in dentistry regarding the number needed to screen (NNS) and positive predictive value (PPV) and to risk-classify those with newly diagnosed hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In connection with their regular dental care check-up, 2025 subjects aged 40\u201375 years were screened for high blood pressure. Via a health questionnaire, data were collected concerning risk factors. Blood pressure was screened comprehensively in two steps, which included screening in a dental clinic and home measurements for one week. Recently discovered hypertensive participants were assessed for 10-year risk of cardiovascular mortality according to the guidelines of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 170 new hypertensive participants were found (NNS = 12; 95% confidence interval (CI): 11\u201313). The method yielded a PPV of 0.73 (95% CI: 0.68\u20130.78) and eliminated 84.8% of the false-positive participants. The results also showed that based on ESH\/ESC risk estimation, 76.5% of those newly diagnosed hypertensive participants had a moderate or high risk of cardiovascular mortality within 10 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The study shows that a two-step method for blood pressure screening in a dental setting including home measurement resulted in a high PPV and eliminated most of those with a false high blood pressure reading. The findings also show that two-step screening for hypertension is feasible in a larger population with more screening providers involved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1403494818759840","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T05:37:39Z","timestamp":1519882659000},"page":"623-629","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The outcome of two-step blood pressure screening in dental healthcare"],"prefix":"10.1177","volume":"46","author":[{"given":"Helen","family":"Andersson","sequence":"first","affiliation":[{"name":"Hallands Hospital Varberg, Sweden"},{"name":"Primary Health Care Unit, The Sahlgrenska Academy, University of Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lennart","family":"Hedstr\u00f6m","sequence":"additional","affiliation":[{"name":"Public Dental Services, V\u00e4stra Vall, Varberg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Bergman","sequence":"additional","affiliation":[{"name":"Primary Health Care Unit, The Sahlgrenska Academy, University of Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e5kan","family":"Bergh","sequence":"additional","affiliation":[{"name":"Primary Health Care Unit, The Sahlgrenska Academy, University of Gothenburg, Sweden"},{"name":"Department of Research and Development Unit, Region Halland, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,1]]},"reference":[{"key":"bibr1-1403494818759840","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61766-8"},{"key":"bibr2-1403494818759840","volume":"360","author":"Lewington S","year":"2002","journal-title":"Lancet"},{"key":"bibr3-1403494818759840","volume-title":"Moderately elevated blood pressure. 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