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Ethical Aspects of Implementing Dental Patient-Reported Outcomes On Different Patient Populations: A Narrative Review
Asiya M Attar1, Kasturi Shukla1
1Symbiosis Institute of Health Sciences, Symbiosis International (Deemed University), Pune, India.
The Journal of Evidence-Based Dental Practice
|November 25, 2025
Summary
This review highlights four key ethical issues in dental patient-reported outcomes (dPROs): informed consent, privacy, equity of access, and cultural sensitivity. Recommendations are provided for ethical dPRO implementation to protect patient rights.
Area of Science:
- Dental research
- Bioethics
- Health informatics
Background:
- Dental Patient-Reported Outcomes (dPROs) collect patient data on treatment and oral health quality of life.
- Ethical considerations are paramount due to the sensitive nature of dPRO data.
- Existing evidence on ethical issues in dPRO implementation requires synthesis.
Purpose of the Study:
- To synthesize current evidence on ethical issues in dPROs.
- To critically evaluate ethical challenges in diverse patient populations.
- To provide recommendations for ethical dPRO implementation.
Main Methods:
- A narrative review approach was utilized.
- Literature from 2005-2024 was analyzed.
- Databases searched included Google Scholar, Scopus, and Web of Science.
Main Results:
- Four primary ethical issues were identified: informed consent, privacy/confidentiality, equity of access, and cultural sensitivity.
- These issues were analyzed within various patient populations.
- Insights into emerging ethical concerns were explored.
Conclusions:
- Ethical implementation of dPROs requires addressing informed consent, privacy, equity, and cultural sensitivity.
- Recommendations are provided for diverse populations, including vulnerable groups.
- Future research should refine consent, enhance data privacy, and develop culturally adapted dPRO tools.
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