Kim D S, Lopes J, Higgins A, Lopes V
Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, University Hospital Birmingham NHS Foundation Trust, Edgbaston, Birmingham B152TH, UK.
Br J Oral Maxillofac Surg. 2006 Dec;44(6):504-6. doi: 10.1016/j.bjoms.2005.10.011. Epub 2005 Dec 19.
We investigated compliance in the West Midlands, UK with the guidelines issued by the National Institute of Clinical Excellence (NICE) on the indications for the removal of third molars. We audited the practice at three departments of maxillofacial surgery that take referrals from three districts of the West Midlands. Of a total of 300 referral letters 217 (72%) specified a NICE-compliant diagnosis. A total of 267 patients (89%) were advised to have third molars removed and all three units achieved 100% compliance with NICE guidelines. There was a concordance of diagnosis of 69% between referring general dental practitioners and attending oral surgeons (concordance was 79% if only those referral letters that carried a specific indication were considered). Disease-free wisdom teeth made up a mean of only 6% of all referrals.
我们调查了英国西米德兰兹地区对国家临床优化研究所（NICE）发布的关于拔除第三磨牙适应症指南的遵循情况。我们审核了西米德兰兹地区三个区转诊而来的患者在三个颌面外科部门的治疗情况。在总共300封转诊信中，217封（72%）给出了符合NICE标准的诊断。共有267名患者（89%）被建议拔除第三磨牙，所有三个科室对NICE指南的遵循率均达到100%。转诊的普通牙科医生与出诊的口腔外科医生之间的诊断符合率为69%（如果只考虑那些有明确适应症的转诊信，符合率为79%）。在所有转诊病例中，无病变的智齿平均仅占6%。
