Commonalities among dental patient-reported outcomes (dPROs)-A Delphi consensus study.

Commonalities among dental patient-reported outcomes (dPROs)-A Delphi consensus study.
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DOI:
10.1371/journal.pone.0268750
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
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--
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改善患者的口腔健康相关生活质量(OHRQoL)是口腔保健专业人员的主要目标。然而,OHRQoL不是一个同质的结构,如何评估它是具有挑战性的,因为大量的现有工具。有必要调查现有的工具及其共同之处,以便将这些工具合并和标准化为一套较小的工具。如果OHRQoL维度(包括口腔功能、口面疼痛、口面外观和心理社会影响)是牙科患者口腔健康体验的基本组成部分,则应通过通用多项dPROM测量这些维度。在这项研究中,一个由11名国际牙医组成的小组使用德尔菲共识过程来确定这些工具中的20种工具测量OHRQoL的四个维度的效果如何。所有20份dPROM问卷至少评估了一个OHRQoL维度,而所有四个OHRQoL维度均通过至少一种dPROM工具进行测量,即,四个OHRQoL维度是患者口腔健康体验的基本组成部分。这表明,目前可用的通用多项目dPROM有很多共同点,因为它们共享口腔功能,口面疼痛,口面外观和心理社会影响作为目标维度。基于这些共性,这是合理的,可取的是走向一个单一的四维指标,以评估口腔健康的影响,在所有的临床,社区为基础的,和研究设置。这一步是必要的,以推进循证牙科和价值为基础的口腔保健。
Improvement of patients’ oral health-related quality of life (OHRQoL) is the main goal of oral health care professionals. However, OHRQoL is not a homogenous construct and how to assess it is challenging because of the large number of currently available instruments. Investigating available instruments and what they have in common would be necessary for consolidation and standardization of these instruments into a smaller set of tools. If the OHRQoL dimensions including Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the fundamental building blocks of the dental patient’s oral health experience, then these dimensions should be measured by generic multi-item dPROMs. In this study, a panel of 11 international dentists use the Delphi consensus process to determine how well 20 of these instruments measured the four OHRQoL dimensions. All 20 dPROMs questionnaires assessed at least one OHRQoL dimension while all four OHRQoL dimensions were measured by at least one dPROM instrument, i.e., the four OHRQoL dimensions were essential components of the patient’s oral health experience. This shows that the currently available generic multi-item dPROMs have a lot in common, in that they share Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact as targeted dimensions. Based on these commonalities, it is plausible and desirable to move towards a single four-dimensional metric to assess oral health impact in all clinical, community-based, and research settings. This step is necessary to advance evidence-based dentistry and value-based oral health care.
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