{"id":8903,"date":"2021-11-02T00:04:33","date_gmt":"2021-11-01T23:04:33","guid":{"rendered":"https:\/\/voxvigor.se\/?p=8903"},"modified":"2021-11-02T00:04:33","modified_gmt":"2021-11-01T23:04:33","slug":"tandvarden-kan-upptacka-benskorhet","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/tandvarden-kan-upptacka-benskorhet\/","title":{"rendered":"Tandv\u00e5rden kan uppt\u00e4cka bensk\u00f6rhet"},"content":{"rendered":"\n

Tandv\u00e5rden kan spela en viktig roll f\u00f6r att uppt\u00e4cka bensk\u00f6rhet. Genom ett n\u00e4rmare samarbete med sjukv\u00e5rden kan d\u00e4rmed flera benbrott f\u00f6rebyggas, menar forskaren Joanna Gullberg. Men intresset fr\u00e5n l\u00e4kark\u00e5ren \u00e4r ljumt.<\/h3>\n\n\n\n


Bensk\u00f6rhet inneb\u00e4r en f\u00f6rsvagning av skelettet och kan leda till benbrott. Dessa benbrott inneb\u00e4r ett stort lidande f\u00f6r patienten, men \u00e4r ocks\u00e5 bland det mest kostsamma f\u00f6r sjukv\u00e5rden. S\u00e4rskilt h\u00f6ftfrakturer kr\u00e4ver l\u00e5ng tid p\u00e5 sjukhus.<\/p>\n\n\n\n

R\u00f6ntgenbilder tas \u00e4nd\u00e5<\/strong><\/h4>\n\n\n\n

Det anses inte h\u00e4lsoekonomiskt f\u00f6rsvarbart att inom sjukv\u00e5rden screena riskpatienter f\u00f6r att uppt\u00e4cka bensk\u00f6rhet (osteoporos). Oftast sker bed\u00f6mningen ist\u00e4llet efter en f\u00f6rsta fraktur. Men tidigare studier har visat att det finns ett samband mellan \u00e5ldersrelaterade f\u00f6r\u00e4ndringar i k\u00e4kbenet och i \u00f6vriga delar av skelettet. Det \u00e4r h\u00e4r som tandl\u00e4karen Joanna Gullberg menar att resurser inom tandv\u00e5rden kan anv\u00e4ndas f\u00f6r att uppt\u00e4cka individer som \u00e4r i riskzonen f\u00f6r att bli drabbade av bensk\u00f6rhet och benbrott.<\/p>\n\n\n\n

\u2013R\u00f6ntgenbilder av t\u00e4nder och k\u00e4kar tas regelbundet, s\u00e4rskilt i Sverige d\u00e4r de flesta g\u00e5r till tandl\u00e4karen \u00e5rligen. Dessa bilder tas \u00e4nd\u00e5 och kan \u00e4ven anv\u00e4ndas f\u00f6r bed\u00f6mning av bensk\u00f6rhet, s\u00e4ger Joanna Gullberg som nu disputerar vid Odontologiska fakulteten, Malm\u00f6 universitet.<\/p>\n\n\n\n

Positiv respons<\/strong><\/h4>\n\n\n\n

I avhandlingen har hon genom fokusgruppintervjuer unders\u00f6kt inst\u00e4llningen bland tandl\u00e4kare och riskpatienter till att introducera en bed\u00f6mning av bensk\u00f6rhet. Inst\u00e4llningen var \u00f6verlag positiv men det finns fr\u00e5getecken.<\/p>\n\n\n\n

\u2013Det handlar om att ha tiden men ocks\u00e5 r\u00e4tt kunskaper. Tandl\u00e4kare undrar \u00f6ver hur man uppt\u00e4cker sambandet mellan k\u00e4kbenet och \u00f6vriga skelettet vad g\u00e4ller bensk\u00f6rhet. Vad det finns f\u00f6r verktyg och hj\u00e4lpmedel, s\u00e4ger Joanna Gullberg.<\/p>\n\n\n\n

I en andra enk\u00e4tstudie unders\u00f6kte hon \u00e4ven betalningsviljan bland kvinnor i riskgruppen f\u00f6r tandl\u00e4karens bed\u00f6mning av r\u00f6ntgenbilderna.<\/p>\n\n\n\n

\u2013 De var i snitt villiga att betala 385 kronor f\u00f6r tiden det tar f\u00f6r tandl\u00e4karens att bed\u00f6ma risken f\u00f6r bensk\u00f6rhet, s\u00e4ger Joanna Gullberg.<\/p>\n\n\n\n

Ljumt intresse bland tillfr\u00e5gade l\u00e4kare<\/strong><\/h4>\n\n\n\n

Ett annat hinder \u00e4r att det generellt saknas etablerade kontaktv\u00e4gar f\u00f6r tandl\u00e4kare till sjukv\u00e5rden. S\u00e5dana \u00e4r avg\u00f6rande f\u00f6r att motverka att patienten hamnar mellan stolarna, menar Joanna Gullberg. Hon har ocks\u00e5 studerat en mjukvara som kan anv\u00e4ndas f\u00f6r automatisk analys av k\u00e4kbenet.<\/p>\n\n\n\n

\u2013Den finns, men beh\u00f6ver utvecklas f\u00f6r att f\u00f6rb\u00e4ttra f\u00f6rm\u00e5gan att uppt\u00e4cka patienter i riskgrupp.<\/p>\n\n\n\n

Fr\u00e4msta kn\u00e4ckfr\u00e5gan \u00e4r nog det ljumma intresset bland l\u00e4kare att etablera ett samarbete. Joanna Gullberg ville g\u00f6ra fokusgruppintervjuer \u00e4ven med allm\u00e4nl\u00e4kare. Men trots upprepade f\u00f6rs\u00f6k lyckades hon inte f\u00e5 ihop en enda grupp. En specialistl\u00e4kare deltog och st\u00e4llde sig positiv till tankarna.<\/p>\n\n\n\n

\u2013Jag tror l\u00e4karnas skepsis beror p\u00e5 h\u00f6g arbetsb\u00f6rda. De \u00e4r r\u00e4dda f\u00f6r att trycket ska \u00f6ka \u00e4nnu mer, s\u00e4ger Joanna Gullberg.<\/p>\n\n\n\n


Foto: Joseph Shomelian, Pixabay<\/p>\n","protected":false},"excerpt":{"rendered":"

Tandv\u00e5rden kan spela en viktig roll f\u00f6r att uppt\u00e4cka bensk\u00f6rhet. Genom ett n\u00e4rmare samarbete med sjukv\u00e5rden kan d\u00e4rmed flera benbrott f\u00f6rebyggas, menar forskaren Joanna Gullberg. Men intresset fr\u00e5n l\u00e4kark\u00e5ren \u00e4r […]<\/p>\n","protected":false},"author":6,"featured_media":8904,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"acf":[],"yoast_head":"\nTandv\u00e5rden kan uppt\u00e4cka bensk\u00f6rhet - Bricks staging<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/voxvigor.se\/bricks-staging\/tandvarden-kan-upptacka-benskorhet\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tandv\u00e5rden kan uppt\u00e4cka bensk\u00f6rhet - Bricks staging\" \/>\n<meta property=\"og:description\" content=\"Tandv\u00e5rden kan spela en viktig roll f\u00f6r att uppt\u00e4cka bensk\u00f6rhet. 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