青少年特发性关节炎的临床口腔颌面检查：基于国际共识的临床实践和研究中监测患者的建议
Clinical Orofacial Examination in Juvenile Idiopathic Arthritis: International Consensus-based Recommendations for Monitoring Patients in Clinical Practice and Research Studies.
作者信息
Stoustrup Peter, Twilt Marinka, Spiegel Lynn, Kristensen Kasper Dahl, Koos Bernd, Pedersen Thomas Klit, Küseler Annelise, Cron Randy Q, Abramowicz Shelly, Verna Carlalberta, Peltomäki Timo, Alstergren Per, Petty Ross, Ringold Sarah, Nørholt Sven Erik, Saurenmann Rotraud K, Herlin Troels
机构信息
From the Section of Orthodontics, and the Department of Oral and Maxillofacial Surgery, and the Department of Pediatrics, Aarhus University and Aarhus University Hospital, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, Alberta Children's Hospital, University of Calgary, Calgary, Alberta; Division of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada; the Specialist Oral Health Center for Western Norway, Rogaland, Stavanger, Norway; Department of Orthodontics, University of Rostock, Rostock, Germany; Division of Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, Alabama; Oral and Maxillofacial Surgery and Pediatrics, Emory University, and Children's Healthcare of Atlanta, Atlanta, Georgia, USA; Clinic for Orthodontics and Pediatric Dentistry, University Center for Dental Medicine, University of Basel, Basel, Switzerland; Field of Dentistry, School of Medicine, University of Tampere and Oral and Maxillofacial Unit, Tampere University Hospital, Tampere, Finland; Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden; Division of Pediatric Rheumatology, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada; Seattle Children's Hospital; Seattle, Washington, USA; Cantonal Hospital Wintherthur, University of Zürich, Zürich, Switzerland.
P. Stoustrup, DDS, PhD, Section of Orthodontics, Aarhus University; M. Twilt, MD, PhD, Department of Pediatrics, Division of Rheumatology, Alberta Children's Hospital, University of Calgary; L. Spiegel, MD, FRCPC, Division of Rheumatology, The Hospital for Sick Children; K.D. Kristensen, DDS, PhD, Specialist Oral Health Center for Western Norway; B. Koos, DMD, Department of Orthodontics, University of Rostock; T.K. Pedersen, DDS, PhD, Department of Oral and Maxillofacial Surgery, and Section of Orthodontics, Aarhus University; A. Küseler, DDS, PhD, Section of Orthodontics, Aarhus University; R.Q. Cron, MD, PhD, Division of Pediatric Rheumatology, University of Alabama at Birmingham; S. Abramowicz, DMD, MPH, Oral and Maxillofacial Surgery and Pediatrics, Emory University, and Children's Healthcare of Atlanta; C. Verna, DDS, PhD, Clinic for Orthodontics and Pediatric Dentistry, University Center for Dental Medicine, University of Basel; T. Peltomäki, DDS, PhD, Field of Dentistry, School of Medicine, University of Tampere and Oral and Maxillofacial Unit, Tampere University Hospital; P. Alstergren, DDS, PhD, Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Scandinavian Center for Orofacial Neurosciences; R. Petty, MD, PhD, FRCPC, Division of Pediatric Rheumatology, Department of Pediatrics, BC Children's Hospital; S. Ringold, MD, Division of Rheumatology, Seattle Children's Hospital; S.E. Nørholt, DDS, PhD, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital; R.K. Saurenmann, MD, Cantonal Hospital Wintherthur, University of Zürich; T. Herlin, MD, DMSc, Department of Pediatrics, Aarhus University.
出版信息
J Rheumatol. 2017 Mar;44(3):326-333. doi: 10.3899/jrheum.160796. Epub 2017 Jan 15.
OBJECTIVE
To develop international consensus-based recommendations for the orofacial examination of patients with juvenile idiopathic arthritis (JIA), for use in clinical practice and research.
METHODS
Using a sequential phased approach, a multidisciplinary task force developed and evaluated a set of recommendations for the orofacial examination of patients with JIA. Phase 1: A Delphi survey was conducted among 40 expert physicians and dentists with the aim of identifying and ranking the importance of items for inclusion. Phase 2: The task force developed consensus about the domains and items to be included in the recommendations. Phase 3: A systematic literature review was performed to assess the evidence supporting the consensus-based recommendations. Phase 4: An independent group of orofacial and JIA experts were invited to assess the content validity of the task force's recommendations.
RESULTS
Five recommendations were developed to assess the following 5 domains: medical history, orofacial symptoms, muscle and temporomandibular joint function, orofacial function, and dentofacial growth. After application of data search criteria, 56 articles were included in the systematic review. The level of evidence for the 5 recommendations was derived primarily from descriptive studies, such as cross-sectional and case-control studies.
CONCLUSION
Five recommendations are proposed for the orofacial examination of patients with JIA to improve the clinical practice and aid standardized data collection for future studies. The task force has formulated a future research program based on the proposed recommendations.
目的
制定基于国际共识的青少年特发性关节炎（JIA）患者口面部检查建议，用于临床实践和研究。
方法
采用循序渐进的分阶段方法，一个多学科工作组制定并评估了一套JIA患者口面部检查建议。第一阶段：对40名专家医生和牙医进行了德尔菲调查，目的是确定纳入项目的重要性并进行排序。第二阶段：工作组就建议中应包括的领域和项目达成共识。第三阶段：进行了系统的文献综述，以评估支持基于共识的建议的证据。第四阶段：邀请一组独立的口面部和JIA专家评估工作组建议的内容效度。
结果
制定了五项建议，以评估以下五个领域：病史、口面部症状、肌肉和颞下颌关节功能、口面部功能以及牙颌面生长。应用数据检索标准后，系统综述纳入了56篇文章。这五项建议的证据水平主要来自描述性研究，如横断面研究和病例对照研究。
结论
提出了五项JIA患者口面部检查建议，以改善临床实践并有助于未来研究的标准化数据收集。工作组根据所提出的建议制定了未来的研究计划。
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