国家牙科实践-based研究网络中，问卷情景反应与修复或替换牙科修复体的实际治疗之间的一致性。
Concordance between responses to questionnaire scenarios and actual treatment to repair or replace dental restorations in the National Dental PBRN.
作者信息
Heaven Tim J, Gordan Valeria V, Litaker Mark S, Fellows Jeffrey L, Rindal D Brad, Gilbert Gregg H
机构信息
University of Alabama at Birmingham, Department of Restorative Sciences, 1919 7th Avenue South, Birmingham, AL 35294-0007, USA.
University of Florida, Department of Restorative Dental Sciences, Room D9-6, P.O. Box 100415, Gainesville, FL 32610-0415, USA.
出版信息
J Dent. 2015 Nov;43(11):1379-84. doi: 10.1016/j.jdent.2015.05.005. Epub 2015 May 18.
OBJECTIVE
To quantify the agreement between treatment recommended during hypothetical clinical scenarios and actual treatment provided in comparable clinical circumstances.
METHODS
A total of 193 practitioners in the National Dental Practice-Based Research Network participated in both a questionnaire and a clinical study. The questionnaire included three hypothetical scenarios about treatment of existing restorations. Clinicians then participated in a clinical study about repair or replacement of existing restorations. We quantified the overall concordance between their questionnaire responses and what they did in actual clinical treatment.
RESULTS
Practitioners who recommended repair (instead of replacement) of more scenario restorations also had higher repair percentages in clinical practice. Additionally, for each of the three hypothetical scenario restorations, practitioners who recommended repair had higher repair percentages in clinical practice.
CONCLUSIONS
The questionnaire scenarios were a valid measure of clinicians' tendency to repair or replace restorations in actual clinical practice.
CLINICAL IMPLICATIONS
Although there was substantial variation in practitioners' tendency to repair or replace restorations, responses to questionnaire scenarios by individual practitioners were concordant with what they did in actual clinical practice.
目的
量化假设临床情景中推荐的治疗方法与可比临床情况下实际提供的治疗方法之间的一致性。
方法
国家基于牙科实践的研究网络中的193名从业者参与了问卷调查和临床研究。问卷包括三个关于现有修复体治疗的假设情景。临床医生随后参与了一项关于现有修复体修复或替换的临床研究。我们量化了他们的问卷回答与实际临床治疗行为之间的总体一致性。
结果
在问卷情景中推荐修复（而非替换）更多修复体的从业者在临床实践中的修复比例也更高。此外，对于三个假设情景修复体中的每一个，推荐修复的从业者在临床实践中的修复比例都更高。
结论
问卷情景是衡量临床医生在实际临床实践中修复或替换修复体倾向的有效指标。
临床意义
尽管从业者在修复或替换修复体的倾向上存在很大差异，但个体从业者对问卷情景的回答与他们在实际临床实践中的行为是一致的。
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