Wallace Ann, Rogers Helen J, Zaitoun Halla, Rodd Helen D, Gilchrist Fiona, Marshman Zoe
Department of Paediatric Dentistry, Charles Clifford Dental Hospital, Sheffield, UK.
Academic Unit of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Dent Traumatol. 2017 Jun;33(3):153-159. doi: 10.1111/edt.12299. Epub 2016 Aug 9.
It is widely acknowledged that children should participate in healthcare decisions, service development and even setting research agendas. Dental traumatology is a major component of paediatric dentistry practice and research. However, little is known about young patients' contribution to new knowledge in this field. The aim of the study was to establish the extent to which children are involved in contemporary dental trauma research and to evaluate the quality of the related literature.
A systematic review of the dental trauma literature was conducted from 2006 to 2014. The electronic databases, MEDLINE and Scopus, were used to identify relevant studies. The selected papers were independently examined by five calibrated reviewers. Studies were categorized by the degree of children's involvement and appraised using a validated quality assessment tool.
The initial search yielded 4374 papers. After application of the inclusion and exclusion criteria, only 96 studies remained. Research on children accounted for 87.5% of papers, and a proxy was involved in 4.2%. Children were engaged to some degree in only 8.3% of studies, and there were no studies where children were active research participants. In the quality assessment exercise, papers scored, on average, 57% (range = 14-86%).
There is scope to encourage more active participation of children in dental trauma research in the future. Furthermore, there are some areas where the quality of research could be improved overall.
人们普遍认为儿童应参与医疗保健决策、服务发展甚至研究议程的设定。牙外伤学是儿童牙科实践与研究的一个主要组成部分。然而，对于年轻患者在该领域新知识贡献方面知之甚少。本研究的目的是确定儿童在当代牙外伤研究中的参与程度，并评估相关文献的质量。
对2006年至2014年的牙外伤文献进行系统综述。使用电子数据库MEDLINE和Scopus来识别相关研究。选定的论文由五位经过校准的评审员独立审查。研究根据儿童的参与程度进行分类，并使用经过验证的质量评估工具进行评估。
初步检索得到4374篇论文。应用纳入和排除标准后，仅剩下96项研究。关于儿童的研究占论文的87.5%，有代理人参与的占4.2%。儿童仅在8.3%的研究中有一定程度的参与，没有儿童作为积极研究参与者的研究。在质量评估中，论文平均得分57%（范围 = 14 - 86%）。
未来有空间鼓励儿童更积极地参与牙外伤研究。此外，在一些方面，研究的整体质量还有待提高。
