Leles Cláudio Rodrigues, Silva Jésio Rodrigues, Curado Thalita Fernandes Fleury, Schimmel Martin, McKenna Gerald
School of Dentistry, Federal University of Goias, Goiania, Brazil.
Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Patient Relat Outcome Meas. 2022 Jun 3;13:131-143. doi: 10.2147/PROM.S256724. eCollection 2022.
Oral health problems are associated with poor quality of life, with the potential to cause functional, aesthetic, nutritional, and psychological difficulties, in addition to pain and suffering. Traditionally, dental treatment outcomes are measured using purely clinical parameters; however, this may be ineffective as these parameters cannot adequately capture the full impact of poor oral health on the patient, or their respective coping strategies. From this perspective, there are significant benefits when the patient's perception of their care is considered, and included in treatment planning and delivery. The impacts perceived by the patient on their treatment outcomes can be measured using patient-reported outcomes (PROS), or more specifically with dPROS, focused on dental patient-reported outcomes. Although there are some instruments available for measuring these outcomes in clinical trials, very little information is available for explaining the context in which these outcomes are considered, and also how to capture this information using appropriate instruments, specially in evidence-based dental practice. This article aims to review the literature, seeking to describe what has been considered about assessing patient's outcomes, as well as how to measure them, and explore the potential benefits of using dPROS in evidence-based prosthodontics and clinical care of partially and fully edentulous patients.
口腔健康问题与生活质量低下相关，除了疼痛和痛苦外，还可能导致功能、美观、营养和心理方面的困难。传统上，牙科治疗结果仅通过临床参数来衡量；然而，这可能并不有效，因为这些参数无法充分体现口腔健康不佳对患者的全面影响，也无法体现他们各自的应对策略。从这个角度来看，考虑患者对其治疗的看法并将其纳入治疗计划和实施过程中会带来显著益处。患者对治疗结果的感受可以通过患者报告结局（PRO）来衡量，或者更具体地通过专注于牙科患者报告结局的dPRO来衡量。尽管在临床试验中有一些工具可用于测量这些结局，但关于在何种背景下考虑这些结局，以及如何使用适当的工具获取这些信息，特别是在循证牙科实践中，几乎没有相关信息。本文旨在回顾文献，试图描述在评估患者结局方面所考虑的内容以及如何进行测量，并探讨在循证修复学以及部分或完全无牙患者的临床护理中使用dPRO的潜在益处。
