临床指导方针的第一个全球共识:基于核心成果集的牙 rehabilitation 的结构化建议 (S2k级指导框架)
Frank Schwarz1, Ronald E Jung2, Ina Kopp3
1Department of Oral Surgery, Implantology and Oral Medicine, Goethe University, Frankfurt am Main, Germany.
Clinical oral implants research
|February 24, 2026
概括
本指南提供了基于证据的建议,用于修复无牙大,整合患者报告的结果 (PRO) 和临床医生报告的结果 (ClinRO) 以改善植入物护理.
科学领域:
- 牙科植入物学 牙科植入物学
- 口面部康复治疗 口面部康复
- 基于证据的牙科.
背景情况:
- 修复无牙大带来了重大挑战,重点是植入物存活率和骨水平,往往忽视了患者报告的结果 (PRO).
- 患者的满意度,舒适度和生活质量至关重要,但在目前的上康复文献中代表性不足.
研究的目的:
- 制定一个国际,基于共识的指导方针,用于大 rehabilitation.
- 将患者报告的结果 (PRO) 和临床医生报告的结果 (ClinRO) 整合到结构化的治疗工作流程中.
- 确定牙 rehabilitation 的未来研究重点.
主要方法:
- 通过涉及专家,患者和跨学科贡献者的多阶段过程,制定了S2k级指南.
- 综合了来自系统审查和调查的证据,通过Delphi过程与105名专家建立了一个由34个结果组成的核心成果集 (COS).
- 通过名义小组技术和来自26个国家的105名代表的匿名投票产生共识建议.
主要成果:
- 该指南提出了36项基于共识的建议,涵盖了从患者选择到维护的所有护理阶段.
- 建议强调共享决策,假肢驱动的规划,即时的协议和基于风险的维护,以防止并发症.
- 为实际实施提供了临床工作流程检查清单和决策树.
结论:
- 这是第一个包含核心成果集 (COS) 的牙无牙大部康复全球指南.
- 它促进基于证据,结果驱动和以患者为中心的植入物护理.
- 该指南旨在促进全球改善患者的治疗结果.
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