학술논문
Developing a Standard Set of Patient-centred Outcomes for Adult Oral Health – An International, Cross-disciplinary Consensus
Document Type
article
Author
Richeal Ni Riordain; Michael Glick; Shiamaa Shihab Ahmed Al Mashhadani; Krishna Aravamudhan; Jane Barrow; Deborah Cole; James J. Crall; Jennifer E. Gallagher; Jacqui Gibson; Shalika Hegde; Rebekah Kaberry; Elsbeth Kalenderian; Anup Karki; Roger Keller Celeste; Stefan Listl; Stacie N. Myers; Richard Niederman; Tania Severin; Mark W. Smith; W. Murray Thomson; Georgios Tsakos; Marko Vujicic; Richard G. Watt; Sarah Whittaker; David M. Williams
Source
International Dental Journal, Vol 71, Iss 1, Pp 40-52 (2021)
Subject
Language
English
ISSN
0020-6539
Abstract
Objective: To develop a minimum Adult Oral Health Standard Set (AOHSS) for use in clinical practice, research, advocacy and population health. Materials and methods: An international oral health working group (OHWG) was established, of patient advocates, researchers, clinicians and public health experts to develop an AOHSS. PubMed was searched for oral health clinical and patient-reported measures and case-mix variables related to caries and periodontal disease. The selected patient-reported outcome measures focused on general oral health, and oral health-related quality of life tools. A consensus was reached via Delphi with parallel consultation of subject matter content experts. Finally, comments and input were elicited from oral health stakeholders globally, including patients/consumers. Results: The literature search yielded 1,453 results. After inclusion/exclusion criteria, 959 abstracts generated potential outcomes and case-mix variables. Delphi rounds resulted in a consensus-based selection of 80 individual items capturing 31 outcome and case-mix concepts. Global reviews generated 347 responses from 87 countries, and the patient/consumer validation survey elicited 129 responses. This AOHSS includes 25 items directed towards patients (including demographics, the impact of their oral health on oral function, a record of pain and oral hygiene practices, and financial implications of care) and items for clinicians to complete, including medical history, a record of caries and periodontal disease activity, and types of dental treatment delivered. Conclusion: In conclusion, utilising a robust methodology, a standardised core set of oral health outcome measures for adults, with a particular emphasis on caries and periodontal disease, was developed.