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Developing outcome measures in orthodontics that reflect patient and provider values
1Orthodontic Department, College of Dentistry, Ohio State University, Columbus 43210-1241, USA.
Seminars in Orthodontics
|October 26, 1999
Summary
Orthodontic research increasingly values patient perspectives alongside clinician views. New methods improve study rigor, aiding informed patient consent for treatment.
Area of Science:
- Orthodontics
- Evidence-Based Dentistry
- Clinical Research Methodology
Background:
- Orthodontic research has evolved, emphasizing rigorous methodology and outcome measures from both patient and clinician viewpoints.
- While provider-based evidence has advanced, incorporating the patient perspective into orthodontic research requires further development.
- Orthodontic treatment lacks a natural disease history, necessitating novel strategies to assess treatment need and demand.
Purpose of the Study:
- To review advancements in orthodontic research methodology, focusing on patient-centered outcomes.
- To discuss the development and application of patient-derived measures in orthodontics.
- To explore strategies for estimating orthodontic treatment need and demand, considering patient perspectives.
Main Methods:
- Review of methodological standards in orthodontic research, including bias elimination and hypothesis testing.
- Analysis of patient-oriented research constructs, such as surveys and questionnaires.
- Examination of studies on orthodontic treatment seekers versus nonseekers, including demographic and cultural factors.
Main Results:
- Progress has been made in applying rigorous research standards and incorporating patient-reported outcomes.
- New strategies are emerging to quantify the need for and demand for orthodontic care.
- Studies highlight the importance of sex and cross-cultural factors in utilizing orthodontic outcome measures.
Conclusions:
- Future orthodontic clinical research should prioritize patient-centered outcomes and robust methodologies.
- Effective research designs will enhance the information available for patient decision-making and informed consent.
- Integrating patient perspectives is crucial for advancing evidence-based orthodontic care.
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