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      Dental patient‐reported outcomes following traumatic dental injuries and treatment: A narrative review

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          Abstract

          Dental patient‐reported outcomes (dPROs) are self‐reported descriptions of a patient's oral health status that are not modified or interpreted by a healthcare professional. Dental patient‐reported outcome measures (dPROMs) are objective or subjective measurements used to assess dPROs. In oral healthcare settings, the emphasis on assessing treatment outcomes from the patient's perspective has increased and this is particularly important after traumatic dental injuries (TDIs), as this group of injuries represent the fifth most prevalent disease or condition worldwide. The purpose of this review is to summarize the current use of dPROs and dPROMs in the field of dental traumatology. Oral Health‐Related Quality of Life, pain, swelling, aesthetics, function, adverse effects, patient satisfaction, number of clinical visits and trauma‐related dental anxiety are the key dPROs following TDIs. Clinicians and researchers should consider the well‐being of patients as their top priority and conduct routine evaluations of dPROs using measures that are appropriate, accurate and reflect what is important to the patient. After a TDI, dPROs can assist clinicians and patients to choose the best management option(s) for each individual patient and potentially improve the methodology, design and relevance of clinical studies.

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          Most cited references113

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          Development and evaluation of the Oral Health Impact Profile.

          The capacity of dental clinicians and researchers to assess oral health and to advocate for dental care has been hampered by limitations in measurements of the levels of dysfunction, discomfort and disability associated with oral disorders. The purpose of this research was to develop and test the Oral Health Impact Profile (OHIP), a scaled index of the social impact of oral disorders which draws on a theoretical hierarchy of oral health outcomes. Forty nine unique statements describing the consequences of oral disorders were initially derived from 535 statements obtained in interviews with 64 dental patients. The relative importance of statements within each of seven conceptual subscales was assessed by 328 persons using Thurstone's method of paired comparisons. The consistency of their judgements was confirmed (Kendall's mu, P < 0.05). The reliability of the instrument was evaluated in a cohort of 122 persons aged 60 years and over. Internal reliability of six subscales was high (Cronbach's alpha, 0.70-0.83) and test-retest reliability (intraclass correlation coefficient, 0.42-0.77) demonstrated stability. Validity was examined using longitudinal data from the 60 years and over cohort where the OHIP's capacity to detect previously observed associations with perceived need for a dental visit (ANOVA, p < 0.05 in five subscales) provided evidence of its construct validity. The Oral Health Impact Profile offers a reliable and valid instrument for detailed measurement of the social impact of oral disorders and has potential benefits for clinical decision-making and research.
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            Patient reported outcome measures could help transform healthcare

            N. Black (2013)
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              Is Open Access

              The importance of patient-reported outcomes in clinical trials and strategies for future optimization

              Patient-reported outcomes (PROs) can be included in clinical trials as primary or secondary endpoints and are increasingly recognized by regulators, clinicians, and patients as valuable tools to collect patient-centered data. PROs provide unique information on the impact of a medical condition and its treatment from the patient’s perspective; therefore, PROs can be included in clinical trials to ensure the impact of a trial intervention is comprehensively assessed. This review first discusses examples of how PRO endpoints have added value to clinical trial interpretation. Second, it describes the problems with current practices in designing, implementing, and reporting PRO studies, and how these problems may be addressed by complying with guidance for protocol development, selecting appropriate PRO measures to match clinically motivated PRO hypotheses, minimizing the rates of avoidable missing PRO data, analyzing and interpreting PRO data, and transparently reporting PRO findings.
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                Author and article information

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                Journal
                Dental Traumatology
                Dental Traumatology
                Wiley
                1600-4469
                1600-9657
                August 2023
                February 19 2023
                August 2023
                : 39
                : 4
                : 304-313
                Affiliations
                [1 ] Department of Preventive and Restorative Dentistry University of Sharjah Sharjah UAE
                [2 ] Department of Restorative Dental Sciences, College of Dentistry Jazan University Jazan Saudi Arabia
                [3 ] Department of Conservative Dentistry and Endodontics, Saveetha Dental College Saveetha Institute of Medical and Technical Sciences Chennai India
                [4 ] Adelaide Dental School University of Adelaide Adelaide South Australia Australia
                [5 ] Division of Restorative Dentistry, Dublin Dental University Hospital Trinity College Dublin Dublin Ireland
                [6 ] UWA Dental School The University of Western Australia Perth Western Australia Australia
                [7 ] Faculty of Medicine and Dentistry University of Alberta Alberta Edmonton Canada
                [8 ] The Israeli National Center for Trauma &amp; Emergency Medicine Research Gertner Institute Tel Hashomer Israel
                [9 ] Department of Endodontics Rambam Health Care Campus Haifa Israel
                [10 ] The Ruth and Bruce Rappaport Faculty of Medicine Technion ‐ Israel Institute of Technology Haifa Israel
                [11 ] School of Dentistry, College of Biomedical and Life Sciences Cardiff University Cardiff UK
                Article
                10.1111/edt.12827
                36744323
                73816ad9-095c-4354-ab38-6b9842123908
                © 2023

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