White B Alex, Maupomé Gerardo
Dental Service of Massachusetts, 465 Medford Street, Boston, MA 02129-1454, USA.
Spec Care Dentist. 2003 Sep-Oct;23(5):168-72. doi: 10.1111/j.1754-4505.2003.tb00306.x.
Clinical decisions are often made with incomplete information, yet patient care decisions are made every day. Patients vary clinically, uncertainty exists in diagnostic and prognostic information, and many preventive and treatment alternatives have not been formally assessed for their effectiveness. Because scientific information will never answer all clinical questions, clinical decisions are partially based on probabilistic information. This paper describes how to apply clinical decision making to diagnosing and managing dental caries and periodontal diseases. By using explicit information to quantify probabilities and outcomes, clinical decision making analyzes decisions made under uncertain conditions and the uncertain impact of clinical information. Clinical decision making incorporates concepts for preventing, diagnosing and treating dental caries and periodontal diseases: risk assessment, evidence-based dentistry, and multiple oral health outcomes. This information can serve as a tool for clinicians to augment clinical judgment and expertise.
临床决策往往是在信息不完整的情况下做出的，但每天都要做出患者护理决策。患者在临床上存在差异，诊断和预后信息存在不确定性，许多预防和治疗方案尚未对其有效性进行正式评估。由于科学信息永远无法回答所有临床问题，临床决策部分基于概率信息。本文描述了如何将临床决策应用于龋齿和牙周疾病的诊断与管理。通过使用明确的信息来量化概率和结果，临床决策分析在不确定条件下做出的决策以及临床信息的不确定影响。临床决策纳入了预防、诊断和治疗龋齿及牙周疾病的概念：风险评估、循证牙科和多种口腔健康结果。这些信息可作为临床医生增强临床判断力和专业知识的工具。
