在牙磨损的临床实践中患者报告的结果措施:一篇文献综述
Inês Argolinha1, Sofia Lobo1, Ana Vieira1
1Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal.
Journal of clinical medicine
|July 29, 2025
概括
牙磨损显著影响生活质量,但目前的患者报告结果测量 (PROM) 无法捕捉完整的患者体验. 制定特定条件的PROM对于全面的牙磨损评估至关重要.
科学领域:
- 口腔健康研究 口腔健康研究
- 患者报告的结果.
背景情况:
- 牙磨损是一个越来越严重的口腔健康问题,影响功能,美学和幸福感,影响口腔健康相关的生活质量 (OHRQoL).
- 现有的牙磨损严重性的临床指数不能充分捕捉患者报告的结果 (PROs) 或患者报告的结果措施 (PROMs).
研究的目的:
- 识别和合成用于牙磨损的成年人的PROM.
- 将这些PROM评估的域与威尔逊和克莱里模型进行映射.
- 突出目前PROM使用中的差距,并指导特定条件仪器的开发.
主要方法:
- 进行了叙事审查.
- 在PubMed,MEDLINE和Embase中进行了文献搜索.
- 包括在成年牙磨损人群中使用PROM的研究,提取心理特征和评估领域的数据.
主要成果:
- 通常使用的PROM (OHIP,OES,OIDP,QMFQ) 专注于功能限制,美学和心理困扰.
- 没有一个现有的PROM可以全面覆盖威尔逊和克莱里模型所概述的所有领域.
- 工具和结构的变化限制了交叉研究和临床可比性.
结论:
- 目前的PROM仅捕捉了患者牙磨损经验的部分方面.
- 存在显著的差距,特别是在一般健康感知和整体生活质量指标方面,当将其映射到威尔逊和克莱里模型时.
- 一个特定条件的PROM,基于一个强大的概念框架,对于改善牙磨损的评估和管理至关重要.
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