改善例行临床预约数据质量 - - 开发儿童和青少年创伤性牙损伤的最低数据集
Kate P Kenny1, Sue Pavitt1, Robbie Foy2
1School of Dentistry, University of Leeds, Leeds, UK.
概括
一个新的创伤性牙损伤 (TDI) 的最低数据集已经开发出来. 它标准化了更好的治疗评估结果,包括临床医生重要的因素,如愈合和患者重要的因素,如美学和生活质量.
科学领域:
- 牙科创伤学 牙科创伤学
- 医疗信息学 医疗信息学
- 患者报告的结果
背景情况:
- 由于诊断和治疗编码不一致,评估创伤性牙损伤 (TDI) 的治疗成功具有挑战性.
- 需要一个标准化的最低数据集来汇总来自常规临床护理的数据,以改善结果评估.
- 这项研究解决了对创伤性牙损伤的定义结果的需求.
研究的目的:
- 确定包含在创伤性牙损伤 (TDI) 最少数据集中的重要结果.
- 建立一个标准化的框架来收集和评估TDI治疗结果.
- 提高牙损伤研究和临床实践数据的一致性和可比性.
主要方法:
- 一个由规范化过程理论为基础的三阶段,连续的混合方法研究.
- 阶段1:与患者和监护人进行半结构面试,以确定以患者为中心的结果.
- 第二阶段:在线Delphi调查牙医,以确定以临床医生为中心的结果.
- 第三阶段:与各种利益相关者举行全国共识会议,就数据集的包含达成一致.
主要成果:
- 患者采访强调了沟通和美学的重要性.
- 临床医生调查表明,大多数评估结果的关键重要性存在很高的共识.
- 协商一致会议建立了一个数据集,包括临床人员的结果 (肉/牙周愈合,变色,牙脱落) 和患者的结果 (沟通,美学,疼痛,生活质量).
结论:
- 为了开发创伤性牙损伤 (TDI) 的最低数据集,采用了强有力的和透明的方法.
- 开发的数据集标准化了关键结果,促进了对TDI治疗有效性的更好评估.
- 该倡议旨在加强数据聚合和在牙损伤的常规临床护理中的利用.
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