Journal of Evidence-Based Dental Practice最新文献_第7页

Efficacy of myofunctional therapy for obstructive sleep apnea: A systematic review and network meta-analysis 肌功能疗法治疗阻塞性睡眠呼吸暂停的疗效：系统综述和网络荟萃分析

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-09 DOI: 10.1016/j.jebdp.2025.102137

Ying Xu Ph.D , Ruicong Yang MSc , Min Yu M.D. , Xuemei Gao M.D., Ph.D.

Objectives

Myofunctional therapy (MT) has emerged as an adjunct treatment for obstructive sleep apnea (OSA). This systematic review and network meta-analysis of randomized controlled trials (RCTs) aims to evaluate the efficacy of MT in treating adult and pediatric OSA.

Methods

Four electronic databases were searched until April 30, 2024. Meta-analysis, subgroup, and network meta-analysis using multivariate random effects were performed to estimate pooled differences, focusing on objective and subjective indicators.

Results

A total of 15 RCTs involving 473 adults and 139 children were eligible, with 10 adult studies (n = 380) included in the network meta-analysis. Compared to the controls, MT yielded an improved decrease in Epworth sleepiness scale (ESS) of −3.54 (95%CI −5.96 to −1.13, P = .004) and Pittsburgh sleep quality index (PSQI) of −2.24 (95%CI −3.46 to −1.01, P = .0003), though no statistically significant change in apnea-hypopnea index (AHI) (−8.73/h, 95%CI −21.19 to 3.74/h, P = 0.17). Improvements in arousal index and snoring intensity were also noted in adults. Combining MT with continuous positive airway pressure (CPAP) could lead to a pronounced reduction in AHI but did not significantly increase CPAP efficacy. Limited evidence suggests MT may benefit AHI and average SpO2 in pediatric OSA, with high compliance being essential.

Conclusions

The network meta-analysis supports MT as a promising adjunct for improving subjective indicators in adults and suggests that when daily training exceeds 30 minutes, MT can significantly improve AHI. Additionally, MTSP and MT combined with myofascial release may offer further benefits in subjective outcomes.

目的肌功能疗法（MT）已成为阻塞性睡眠呼吸暂停（OSA）的辅助治疗方法。本系统综述和随机对照试验（RCTs）网络荟萃分析旨在评估MT治疗成人和儿童OSA的疗效。方法检索至2024年4月30日的4个电子数据库。采用多变量随机效应进行meta分析、亚组分析和网络meta分析来估计汇总差异，重点关注客观和主观指标。结果共纳入15项rct，涉及473名成人和139名儿童，其中10项成人研究（n = 380）纳入网络meta分析。与对照组相比，MT改善了Epworth嗜睡量表(ESS) - 3.54 （95%CI - 5.96至- 1.13,P = .004）和匹兹堡睡眠质量指数(PSQI) - 2.24 (95%CI - 3.46至- 1.01,P = .0003)，但呼吸暂停低通气指数（AHI）无统计学意义变化（- 8.73/h, 95%CI - 21.19至3.74/h, P = . 0.17）。成人的觉醒指数和打鼾强度也有所改善。MT联合持续气道正压通气（CPAP）可显著降低AHI，但并未显著提高CPAP的疗效。有限的证据表明，MT可能有利于儿童OSA患者的AHI和平均SpO2，高度的依从性是必不可少的。网络荟萃分析支持MT作为改善成人主观指标的有希望的辅助手段，并表明当每日训练超过30分钟时，MT可以显着改善AHI。此外，MTSP和MT联合肌筋膜松解可能对主观结果有进一步的好处。

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引用次数: 0

LONG-TERM ORAL APPLIANCE THERAPY FOR OBSTRUCTIVE SLEEP APNEA MAY LEAD TO MORE CONSISTENT DENTOALVEOLAR THAN SKELETAL CHANGES 阻塞性睡眠呼吸暂停的长期口腔器械治疗可能导致更一致的牙槽骨变化而不是骨骼变化

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-05 DOI: 10.1016/j.jebdp.2025.102130

JARED LAYTON (Reviewers), KYLE HASTINGS, THIKRIAT AL-JEWAIR

Article Title and Bibliographic Information

Chen Y, Alhozgi AI, Almeida FR. Dentoskeletal changes of long-term oral appliance treatment in patients with obstructive sleep apnea: A systematic review and meta-analysis. J Prosthodont 2024 (In eng). DOI: 10.1111/jopr.13946.

Source of Funding

No financial support was obtained for this study.

Type of Study/Design

Systematic review and Meta-Analysis

chen Y, Alhozgi AI, Almeida FR.阻塞性睡眠呼吸暂停患者长期口腔矫治器治疗的牙骨骼变化：系统回顾和meta分析。[J] .口腔修复学（工程）。DOI: 10.1111 / jopr.13946。资金来源本研究未获得资金支持。研究类型/设计：系统回顾与元分析

引用次数: 0

AI-DRIVEN NASOALVEOLAR MOLDING DESIGN FOR CLEFT PATIENTS MAY BE A PROMISING BUT EVOLVING APPROACH 人工智能驱动的腭裂患者鼻肺泡成型设计可能是一种有前途但不断发展的方法

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-04 DOI: 10.1016/j.jebdp.2025.102131

AHMAD AL-KANDARI (Reviewers), PEDRO ANDRADE, THIKRIAT AL-JEWAIR

Article Title and Bibliographic Information

Artificial intelligence-driven automation of nasoalveolar molding device planning: A systematic review. Alqutaibi AY, Hamadallah HH, Alassaf MS, Othman AA, Qazali AA, Alghauli MA. J Prosthet Dent. 2024 Oct 4:S0022-3913(24)00637-1. doi: 10.1016/j.prosdent.2024.09.011. Epub ahead of print. PMID: 39368883.

Source of Funding

This research did not receive any grant from any funding agency in the public, commercial, or not-for- profit sectors. The authors declared that they had no financial interests or personal relationships that could influence the work reported in the study.

Type of Study/Design

Systematic Review.

人工智能驱动的鼻肺泡成型设备规划自动化：系统综述。Alqutaibi AY, Hamadallah HH, Alassaf MS, Othman AA, Qazali AA, Alghauli MA。[J] .中华口腔医学杂志。2024,10(4):0022-3913(24):00637-1。doi: 10.1016 / j.prosdent.2024.09.011。打印前Epub。PMID: 39368883。本研究未获得任何公共、商业或非营利部门的资助机构的资助。作者声明，他们没有经济利益或个人关系，可能会影响研究报告的工作。研究类型/设计系统评价。

引用次数: 0

COMPARING THE EFFICACY OF OSSEODENSIFICATION OVER CONVENTIONAL DRILLING TECHNIQUE ON IMPLANT STABILITY AND BONE DENSITY IN LOW BONE DENSITY SITES: A SYSTEMATIC REVIEW AND META-ANALYSIS 在低骨密度部位，比较骨密度化与传统钻孔技术对种植体稳定性和骨密度的影响：一项系统综述和荟萃分析

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-04 DOI: 10.1016/j.jebdp.2025.102132

SHRADDHA SHILPI , MONIKA BANSAL , MAHESH KHAIRNAR , GOKILA VANI SU , ZAINAB AKRAM , RASHIKA M , SAKSHI AGARWAL

Purpose of the research

To assess the efficacy of osseodensification (OD) over conventional drilling technique (CD) on implant stability and bone density in low bone density sites.

Materials and methods

An electronic and manual search were conducted to analyze the effect of OD over CD technique on implant stability and bone density in human-based randomized controlled trials (RCTs) and nonrandomized controlled trials (NRCTs). The risk of bias was assessed using (RoB 2.0) and (ROBINS-I) tools for RCTs and NRCTs respectively. The meta-analysis was applied with RevMan 5.4, using the random-fixed effects model. Heterogeneity was assessed by a Q test and quantified with I² statistics.

Results

Our literature search identified 1454 publications, of which only 6 met all the inclusion criteria. The meta-analysis of the included studies showed that the implant stability quotient (ISQ) was greater in OD than in the CD group without being statistically significant both immediately and at the follow-up period after implant placement, with a standardized mean difference of 2.13 [95%CI = −0.08, 4.35] with P = .06 and 1.81 [95%CI = −0.41, 4.03] with P = .11 respectively. The difference in bone density in the OD compared to the CD group was statistically significant, immediately after implant placement with a standardized mean difference of 2.14 [95%CI = 0.68, 3.59] with P = .004 and nonsignificant at 3 to 7 months with a standardized mean difference of 1.54 [95%CI = −0.34, 3.43] with P = .11.

Conclusion

The findings of the present review and meta-analysis show that dental implants placed using the OD technique reveal greater implant stability and improved bone density in areas with low bone density compared to the CD technique. However, more clinical studies are needed to validate the findings.

目的探讨低骨密度部位骨增密技术（OD）对种植体稳定性和骨密度的影响。材料与方法采用电子检索和手工检索两种方法，分析了OD与CD技术对种植体稳定性和骨密度的影响，包括基于人的随机对照试验（rct）和非随机对照试验（NRCTs）。分别使用rct和nrct的（rob2.0）和（ROBINS-I）工具评估偏倚风险。meta分析采用RevMan 5.4软件，采用随机固定效应模型。异质性采用Q检验评估，I2统计量量化。结果共检索到1454篇文献，其中只有6篇符合全部纳入标准。纳入研究的荟萃分析显示，OD组种植体稳定商（ISQ）高于CD组，但在种植体放置后立即和随访期间均无统计学意义，标准化平均差异为2.13 [95%CI = −0.08,4.35],P = 。[95%CI = −0.41,4.03],P = 。分别为11。种植体置入后即刻OD组与CD组骨密度差异有统计学意义，标准化平均差异为2.14 [95%CI = 0.68,3.59],P = 。3 ~ 7个月标准化平均差异为1.54 [95%CI = −0.34,3.43],P = .11。结论本综述和荟萃分析的结果表明，与CD技术相比，使用OD技术放置的牙种植体在低骨密度区域具有更高的种植体稳定性和更高的骨密度。然而，需要更多的临床研究来验证这些发现。

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引用次数: 0

THE CORRELATION BETWEEN ORAL AND GENERAL HEALTH-RELATED QUALITY OF LIFE IN ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS 成人口腔与一般健康相关生活质量的相关性：一项系统回顾和荟萃分析

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102078

DANNA R. PAULSON , APARNA INGLESHWAR , NICOLE THEIS-MAHON , LIFENG LIN , MIKE T. JOHN

Objective

The relationship between general health and oral health is critical for understanding the broader implications of oral health on overall well-being and vice versa. The impact of oral and general health on individuals can be comprehensively captured by the concepts oral and general health-related quality of life (OHRQoL and HRQoL), respectively. This systematic review and meta-analysis aimed to synthesize existing evidence on the correlation between OHRQoL and HRQoL across different adult populations.

Methods

A comprehensive search strategy was executed across 6 databases (Ovid MEDLINE(R), Embase, CINAHL, APA PsycINFO, Web of Science Core Collection, and Scopus). The search included studies measuring OHRQoL with the Oral Health Impact Profile (OHIP) and HRQoL with a variety of generic patient-reported outcome measures (PROMs). Studies were included if they reported correlations between OHRQoL and HRQoL summary scores in adult populations across dental, medical, or nonpatient settings. If a study examined more than one population, each correlation was included for independent analysis. Data extraction and quality assessment were conducted by independent reviewers, with disagreements resolved by a third reviewer. Random effects meta-analysis was used to summarize the OHRQoL-HRQoL correlations.

Results

From 10 studies, 13 populations (N=6,053 participants) were included in the analysis. The correlation between general health and oral health-related quality of life was of medium size (r=0.41, 95% CI: 0.32–0.50) with high heterogeneity across populations (I²=95%). Results were not unduly influenced by individual populations, study quality, or publication bias.

Conclusions

The correlation between oral health and general health is of medium size, highlighting the potential for medical-dental integration to enhance patient and community health outcomes.

目的一般健康和口腔健康之间的关系对于理解口腔健康对整体健康的广泛影响至关重要，反之亦然。口腔健康和一般健康对个人的影响可以通过口腔和一般健康相关生活质量（OHRQoL和HRQoL）这两个概念来全面描述。本系统综述和荟萃分析旨在综合不同成年人群OHRQoL和HRQoL之间相关性的现有证据。方法在6个数据库（Ovid MEDLINE(R)、Embase、CINAHL、APA PsycINFO、Web of Science Core Collection和Scopus）上执行综合检索策略。这项研究包括了用口腔健康影响量表（OHIP）测量口腔健康质量的研究，以及用各种通用的患者报告的结果测量（PROMs）测量HRQoL的研究。如果研究报告了牙科、医疗或非患者设置的成人人群中OHRQoL和HRQoL总结评分之间的相关性，则纳入研究。如果一项研究调查了一个以上的人群，每个相关性都被纳入独立分析。数据提取和质量评估由独立审稿人进行，分歧由第三方审稿人解决。采用随机效应meta分析总结ohrqol与hrqol的相关性。结果从10项研究中，13个人群（N= 6053名参与者）被纳入分析。一般健康与口腔健康相关生活质量之间的相关性为中等（r=0.41, 95% CI: 0.32-0.50），在人群中具有高度异质性（I2=95%）。结果不受个体人群、研究质量或发表偏倚的过度影响。结论口腔健康与总体健康之间的相关性为中等，这表明医牙一体化在提高患者和社区健康结果方面具有潜力。

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引用次数: 0

HOW TO REPORT OUTCOMES IN CLINICAL DENTAL RESEARCH 如何报告临床牙科研究的结果

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102053

Danchen Qin PhD , Feiyang Guo PhD , Fang Hua PhD

Outcomes, also known as endpoints, are a critical component in clinical research evaluating the effects of healthcare interventions. The validity of a clinical study depends on the appropriate selection and usage of outcomes. Therefore, complete, accurate, and transparent reporting of outcomes is essential for the critical appraisal of a study's methods and findings. However, empirical research has shown that the reporting of outcomes is often incomplete and selective in clinical dental research, hindering evidence synthesis and evidence-based dental practice. To improve and standardize outcome reporting, reporting guidelines that provide specific guidance for all types of outcomes, namely the SPIRIT-Outcomes 2022 and CONSORT-Outcomes 2022, have been developed and released recently. In addition, reporting guidelines for certain types of outcomes have also been published, including harms, patient-reported outcomes (PROs), and surrogate outcomes. The present article describes common classifications of outcomes, current issues in outcome reporting, and using reporting guidelines to standardize and improve outcome reporting in clinical dental research. The role of core outcome sets in outcome reporting is also discussed. This article aims to provide guidance and suggestions to help improve the completeness and transparency of outcome reporting and reduce relevant research waste in clinical dental research.

结果，也称为终点，是临床研究中评估医疗干预效果的关键组成部分。临床研究的有效性取决于结果的适当选择和使用。因此，完整、准确和透明的结果报告对于研究方法和发现的批判性评估至关重要。然而，实证研究表明，临床牙科研究结果的报告往往是不完整的和选择性的，阻碍了证据合成和循证牙科实践。为了完善和规范结果报告，最近制定并发布了针对所有类型结果提供具体指导的报告指南，即《SPIRIT-Outcomes 2022》和《conner - outcomes 2022》。此外，还发布了某些类型结果的报告指南，包括危害、患者报告的结果（PROs）和替代结果。本文描述了常见的结果分类，结果报告中的当前问题，以及使用报告指南来规范和改进临床牙科研究的结果报告。还讨论了核心成果集在成果报告中的作用。本文旨在为提高临床牙科研究结果报告的完整性和透明度，减少相关研究浪费提供指导和建议。

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引用次数: 0

PERSONALIZED PROFILES OF ORAL HEALTH AND DISEASE: USING HIGH-DIMENSIONAL VECTOR MODELS FOR GUIDING PRECISION DENTAL CARE 口腔健康和疾病的个性化概况：使用高维矢量模型来指导精确的牙科护理

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102048

CASEY D. WRIGHT , MARCUS G. WILD , REBECCA CUTLER , KIMON DIVARIS

Operationalizing the oral health experience is an ongoing effort with various clinical and patient-reported outcomes contributing to such conceptualizations. Computational technology has afforded advances in the ability to model complex interactions between various phenomena and provides an opportunity to reconsider the way oral health is conceptualized. High-dimensional vector space modeling is introduced and discussed as a theoretical way to incorporate all relative features associated with understanding oral health, including clinical, patient-reported, and demographic information. Specifically, a novel application of high-dimensional vector space models is proposed as a vehicle to operationalize the 3P model of oral health. Additionally, this paper outlines how this approach can 1) create more precise, person-level characterizations of oral health; 2) track oral health over time, offering greater opportunities for behavioral interventions to prevent, mitigate, or treat the negative impacts of dental, oral, and craniofacial diseases; and 3) offer comparisons to dynamically tuned comparison vectors which can define “good” oral health and quantify disparities and features on which to intervene to mitigate them.

口腔健康经验的操作化是一项持续的努力，各种临床和患者报告的结果有助于这种概念化。计算技术在模拟各种现象之间复杂相互作用的能力方面取得了进展，并提供了重新考虑口腔健康概念化方式的机会。本文介绍并讨论了高维向量空间建模作为一种理论方法来整合与理解口腔健康相关的所有相关特征，包括临床、患者报告和人口统计信息。具体而言，本文提出了一种新的应用高维向量空间模型作为载体来实现口腔健康的3P模型。此外，本文概述了这种方法如何能够1)创建更精确的，个人层面的口腔健康特征；2)长期跟踪口腔健康，为行为干预提供更大的机会，以预防、减轻或治疗牙齿、口腔和颅面疾病的负面影响；3)对动态调整的比较向量进行比较，这些比较向量可以定义“良好”的口腔健康，并量化差异和特征，以便进行干预以减轻它们。

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引用次数: 0

ORAL HEALTH IMPACT OF DENTAL HYGIENE AND DENTAL THERAPY PATIENT POPULATIONS—AN EVIDENCE UPDATE IN 2024 口腔卫生和牙科治疗患者群体对口腔健康的影响——2024年证据更新

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102083

APARNA INGLESHWAR , MIKE T. JOHN , PHONSUDA CHANTHAVISOUK , NICOLE THEIS-MAHON , DANNA R. PAULSON

Objectives

Dental patient-reported outcomes, especially the Oral Health-Related Quality of Life (OHRQoL) construct, are vital for evidence-based dentistry. This construct includes four dimensions (4D): Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. This study updates previous work characterizing 4D OHRQoL impairment among patients in dental hygiene (DH) and dental therapy (DT) settings.

Methods

An expert panel revised previously determined DH and DT patient population groups to align them with current scopes of practice. An updated systematic review was then conducted to incorporate recent studies using the Oral Health Impact Profile (OHIP) to assess 4D OHRQoL in these populations. The search spanned 6 databases from January 1, 2023, to April 16, 2024.

Results

The panel identified 20 patient populations, representing the scope of DH and DT practice. The systematic review contained 19 studies (17 from the previous review and 2 new ones). Studies’ OHRQoL data covered only 30 % of dental hygiene and dental therapy patient populations identified by the panel. The most frequently studied group was “therapeutic periodontal treatment–patients with periodontitis” (n = 17, 89 %), followed by “oral hygiene instructions–all patients” (n = 13, 68 %). Only four studies provided 4D OHRQoL data, showing the greatest impacts in Orofacial Pain (baseline OHIP: 3.10-4.20; follow-up: 1.52-3.60) and Orofacial Appearance (baseline OHIP: 0.44-2.50; follow-up: 0.91-2.25). Among studies reporting summary OHIP scores only (n = 15), overall OHRQoL impairment ranged from 1.40 to 42.35 at baseline and 1.50-40.56 at follow-up. All studies demonstrated a general trend of reduced OHRQoL impairment over time with treatment. Risk of bias was low, with no evidence of publication bias.

Conclusion

Current evidence on OHRQoL impairment in DH and DT patient populations is limited, covering only a third of those treated by dental hygienists and therapists. Especially, scarce 4D OHRQoL data prompts the need for more research in this format. Despite these limitations, the findings show promising trends of reduced OHRQoL impairment over time for DH and DT patient populations.

目的牙科患者报告的结果，特别是口腔健康相关生活质量（OHRQoL）结构，对循证牙科至关重要。该结构包括四个维度（4D）：口腔功能、口腔面部疼痛、口腔面部外观和社会心理影响。这项研究更新了先前的工作，描述了牙科卫生（DH）和牙科治疗（DT）设置患者的4D OHRQoL损害。方法一个专家小组修订了先前确定的DH和DT患者群体，使其与当前的实践范围保持一致。然后进行了一项更新的系统评价，以纳入使用口腔健康影响概况（OHIP）的最新研究，以评估这些人群的4D OHRQoL。从2023年1月1日到2024年4月16日，搜索跨越了6个数据库。结果小组确定了20个患者群体，代表了DH和DT实践的范围。该系统综述包含19项研究（17项来自先前的综述，2项来自新综述）。研究的OHRQoL数据仅覆盖了专家组确定的30% %的牙科卫生和牙科治疗患者群体。最常见的研究组是“牙周治疗-牙周炎患者”（ = 17,89 %），其次是“口腔卫生指导-所有患者”（ = 13,68 %）。只有4项研究提供了4D OHRQoL数据，显示了对口腔面部疼痛的最大影响(基线OHIP: 3.10-4.20；随访：1.52-3.60)和口腔面部外观(基线OHIP: 0.44-2.50；追问:0.91 - -2.25)。在仅报告汇总OHIP评分的研究中（n = 15），总体OHRQoL损害在基线时为1.40 - 42.35，在随访时为1.50-40.56。所有的研究都表明，随着治疗时间的推移，OHRQoL损害的总体趋势减少。偏倚风险低，无发表偏倚证据。结论目前关于DH和DT患者OHRQoL受损的证据有限，仅覆盖了牙科保健师和治疗师治疗的三分之一。特别是由于缺乏4D OHRQoL数据，因此需要对这种格式进行更多的研究。尽管存在这些局限性，但研究结果显示，随着时间的推移，DH和DT患者群体的OHRQoL损害有所减少。

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引用次数: 0

THE USE OF DENTAL PATIENT-REPORTED OUTCOMES (dPROs) IN PREDICTION MODELING STUDIES IN ORAL HEALTH: A METHODOLOGICAL REVIEW 牙科病人报告结果（dPROs）在口腔健康预测模型研究中的应用：一项方法学回顾

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102057

NAICHUAN SU , MICHIEL VAN DER LINDEN , CLOVIS MARIANO FAGGION JR , NIELS VAN DER AA

Objective

Dental patient-reported outcomes (dPROs) are critical indicators of shared decision-making in oral healthcare. This study aimed to assess the frequency of use of dPROs and dPRO-related factors being used as predictors or predicted outcomes in clinical prediction models (CPMs) in oral health, and to identify variables associated with the use of dPROs and/or dPRO-related factors in CPMs.

Methods

A PubMed search was conducted on 17th May, 2024, to identify eligible studies. The studies which aimed to develop CPMs in oral health using traditional statistical techniques (e.g. logistic or Cox regression) and were published from 2018 onwards were included. The dPROs and dPRO-related factors used as potential predictors, final predictors, and predicted outcomes in the CPMs were extracted and summarized. Logistic regression analyses were performed to assess the associations between various variables and the use of dPROs and dPRO-related factors.

Results

A total of 144 studies were included, of which 88.2% were retrospective studies and 73.6% were on oral oncology. dPROs and/or dPRO-related factors were used as potential predictors, final predictors, and predicted outcomes in 28 (19.4%), 21 (14.6%), and 7 (4.9%) studies, respectively. The most frequently used dPRO as both potential and final predictors was self-reported orofacial pain, while the most frequently used dPRO-related factor was self-reported toothbrushing. The most frequently used dPRO as a predicted outcome was self-reported xerostomia, while no studies used dPRO-related factors as outcomes. The study topic was statistically significantly associated with the use of dPROs and/or dPRO-related factors (Odds Ratio [OR]: 9.98; 95% confidence interval [CI]: 3.36 29.67; P < .01).

Conclusions

dPROs and dPRO-related factors were infrequently used as predictors or predicted outcomes in prediction modeling studies in oral health. Studies in dental fields other than oral oncology, such as cariology and periodontology, were more likely to use dPROs and/or dPRO-related factors compared to those in oral oncology.

目的口腔患者报告结果（dPROs）是口腔保健共同决策的重要指标。本研究旨在评估口腔健康临床预测模型（CPMs）中使用dPROs和dpro相关因素作为预测或预测结果的频率，并确定与CPMs中使用dPROs和/或dpro相关因素相关的变量。方法于2024年5月17日进行PubMed检索，筛选符合条件的研究。纳入了2018年以后发表的旨在利用传统统计技术（如logistic或Cox回归）开发口腔健康cpm的研究。提取并总结了cpm中作为潜在预测因子、最终预测因子和预测结果的dpro及其相关因子。采用Logistic回归分析评估各变量与dpro使用及dpro相关因素之间的相关性。结果共纳入144项研究，其中回顾性研究占88.2%，口腔肿瘤学研究占73.6%。在28项（19.4%）、21项（14.6%）和7项（4.9%）研究中，dpro和/或dpro相关因素分别被用作潜在预测因子、最终预测因子和预测结果。最常用的dPRO作为潜在和最终预测因子是自我报告的口腔面部疼痛，而最常用的dPRO相关因子是自我报告的刷牙情况。最常使用dPRO作为预测结果的是自我报告的口干症，而没有研究使用dPRO相关因素作为预测结果。研究主题与dpro的使用和/或dpro相关因素有统计学显著相关(优势比[or]: 9.98；95%置信区间[CI]: 3.36 29.67；P & lt;. 01)。结论在口腔健康预测模型研究中，dpro及其相关因素很少被用作预测因子或预测结果。口腔肿瘤学以外的牙科领域的研究，如龋齿学和牙周病学，与口腔肿瘤学相比，更有可能使用dpro和/或dpro相关因素。

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引用次数: 0

THE USAGE AND REPORTING OF DENTAL PATIENT-REPORTED OUTCOMES AMONG SYSTEMATIC REVIEWS IN ORTHODONTICS: A METHODOLOGICAL STUDY 正畸学系统评价中患者报告结果的使用和报告：一项方法学研究

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102049

QI WANG , ZHENDONG TAO , TINGTING ZHAO , DANCHEN QIN , HONG HE , FANG HUA

Objective

To summarize and analyze the usage and reporting of dental patient-reported outcomes (dPROs) within systematic reviews (SRs) published in 5 leading orthodontic journals between 2015 and 2023.

Methods

A manual search was conducted to identify intervention (therapeutic or preventive) involved SRs published in selected journals between 2015 and 2023 from the official online archives. Two authors independently and in duplicate extracted the characteristics of each included SR, recording both the usage of dPROs in the Methods sections and the reporting of dPROs in the Results sections.

Results

A total of 244 SRs were found eligible and included, of which 81 (33.2%) included dPROs. Out of the 81 SRs, 19 (23.5%) described dPROs in the Methods sections, 6 (7.4%) reported dPROs exclusively in the Results sections, and 56 (69.1%) included dPROs in both sections. In the 75 SRs that stated dPROs in their Methods sections, 38 (50.7%) identified them as primary outcomes, while 37 (49.3%) considered them secondary outcomes. Among the 62 SRs that reported dPROs in the Results section, 17 (27.4%) performed quantitative synthesis, and the remaining 45 (72.6%) conducted only qualitative synthesis. A total of 26 dPROMs were identified, of which only 11 were included in meta-analyses.

Conclusions

Only about one-third of SRs published in leading orthodontic journals included dPROs. It is recommended that researchers consider the usage of dPROs and dPROMs during the design and registration stages of orthodontic SRs and ensure transparent reporting of the results, thus facilitating evidence-based practice and shared decision-making in clinical care.

目的总结和分析2015 - 2023年5家主要正畸期刊发表的系统综述（SRs）中患者报告结果（dPROs）的使用情况和报告情况。方法人工检索2015年至2023年间发表在官方在线档案期刊上的涉及干预（治疗性或预防性）的SRs。两位作者独立地、一式两份提取每个纳入的SR的特征，在方法部分记录dPROs的使用，在结果部分记录dPROs的报告。结果共纳入244例SRs，其中纳入dPROs 81例（33.2%）。在81篇sr中，19篇（23.5%）在方法部分描述了dPROs， 6篇（7.4%）只在结果部分报道了dPROs， 56篇（69.1%）在两个部分都包括dPROs。在75篇研究报告中，有38篇（50.7%）认为其为主要结局，37篇（49.3%）认为其为次要结局。结果部分报道dPROs的62篇ssr中，定量合成的17篇（27.4%），定性合成的45篇（72.6%）。共鉴定出26个dprom，其中只有11个被纳入meta分析。结论仅约三分之一的正畸期刊发表的SRs包含dPROs。建议研究人员在正畸SRs的设计和注册阶段考虑dPROs和dprom的使用，并确保结果的透明报告，从而促进循证实践和临床护理的共同决策。

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