定期损伤牙的共享决策:为正在进行的前后多中心临床试验的研究协议.
Kyung-A Ko1, Ji-Young Jung1, Yuan Park1
1Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.
Journal of Korean medical science
|January 27, 2026
概括
这项研究评估了重症牙周炎患者的结构化共享决策 (SDM) 协议. 与常规护理相比,SDM方法改善了牙保存决策和以患者为中心的结果.
科学领域:
- 牙科医学 牙科医学
- 牙周病学 牙周病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牙周病预后不佳的牙的治疗决定需要平衡临床证据和患者价值观.
- 共享决策 (SDM) 将临床判断与患者偏好保持一致,但在牙科环境中面临有限的实施.
- 需要有结构的SDM协议来管理严重的牙周炎和无望预后的牙.
研究的目的:
- 评估结构化SDM协议与严重牙周炎和无望预后牙患者的常规护理的有效性.
- 评估SDM对牙保存决策,患者经验和临床结果的影响.
- 提供关于将结构化SDM整合到牙科实践以提供个性化护理的证据.
主要方法:
- 韩国12个牙科中心的多中心,前后临床试验.
- 干预涉及三步SDM协议 (团队谈话,选择谈话与决策辅助器,决策谈话) 对于III/IV期牙周炎的患者.
- 通过研究电子数据捕获收集的数据,主要结果是牙保存决策.
主要成果:
- 预计结构化的SDM协议将增加与常规护理相比,保护牙的决策.
- 二次结果将评估SDM措施的改进,患者体验 (满意度,遗憾) 和治疗坚持.
- 还将评估临床结果,包括牙周状况和治疗费用.
结论:
- 该研究预计将提供证据支持在牙科实践中整合结构化SDM协议.
- 预计这些发现将促进个性化和参与式的方法来管理严重牙周炎.
- 该研究旨在改善牙周炎管理中的以患者为中心和临床结果.
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