牙医理解的随机试验:绝对数的治疗益处与相对风险降低的相对降低
Paulo Nadanovsky1, Branca Heloisa de Oliveira2, Ronaldo Lira-Junior3
1Fundação Oswaldo Cruz - Fiocruz, National School of Public Health, Department of Epidemiology, Rio de Janeiro, RJ, Brazil.
Brazilian oral research
|August 7, 2024
概括
牙医 牙医就是一个牙医.
科学领域:
- 牙科科学 牙科科学
- 医学教育 医学教育
- 卫生识字 卫生识字
背景情况:
- 了解治疗的好处对于明智的临床决策至关重要.
- 风险沟通格式可以影响医疗保健专业人员的理解.
- 之前的研究表明,在解释统计数据方面存在潜在的挑战.
研究的目的:
- 评估牙医对非手术性牙周治疗的好处的理解.
- 为了比较理解,当好处是作为绝对数字与相对风险降低 (RRR) 呈现时.
主要方法:
- 一个并行组随机对照试验与101名牙医进行.
- 参与者回顾了假设的治疗场景,以绝对数或RRR格式表示好处.
- 牙医的理解通过5个问题问卷被评估.
主要成果:
- 很大一部分牙医没有正确地理解治疗的好处,无论呈现形式如何.
- 牙医在将益处表达为绝对数量时,与抗生素治疗的RRR相比 (50%对29%,p=0.04) 的理解略有改善.
- 两种情况的整体正确答案在两个格式中都很低 (31%的绝对数,25%的RRR).
结论:
- 牙医对牙科治疗的好处的理解,特别是关于牙周治疗的理解,仍然令人担忧.
- 风险沟通的格式 (绝对数与RRR) 可能会影响理解,尽管绝对数在本研究中显示出轻微的优势.
- 需要进一步的研究和改进的教育策略,以提高牙医的统计和风险沟通素养.
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