Agrawal Amit Arvind
Department of Peridontology and Implantology, Mahatma Gandhi Vidyamandir's Karmaveer Bhausaheb Hiray Dental College and Hospital, Nasik 422003, India.
World J Clin Cases. 2024 Jun 26;12(18):3281-3284. doi: 10.12998/wjcc.v12.i18.3281.
Conventional dentistry or periodontal research often ignores the human component in favor of clinical outcomes and biological causes. Clinical research is driven by the statistical significance of outcome parameters rather than the satisfaction level of the patient. In this context, patient-centric periodontal research (PCPR) is an approach that considers the patient´s feedback concerning their functional status, experience, clinical outcomes, and accessibility to their treatments. It is argued that data self-reported by the patient might have low reliability owing to the confounding effect of their personal belief, cultural background, and social and economic factors. However, literature has shown that the incorporation of "patient-centric outcome" components considerably enhances the validity and applicability of research findings. Variations in the results of different studies might be due to the use of different and non-standardized assessment tools. To overcome this problem, this editorial enlists various reliable tools available in the literature. In conclusion, we advocate that the focus of researchers should shift from mere periodontal research to PCPR so that the results can be effectively applied in clinical settings and the therapeutic strategy can also change from mere periodontal therapy to patient-centric periodontal therapy.
传统牙科或牙周病研究往往忽视人的因素,而更关注临床结果和生物学原因。临床研究由结果参数的统计学显著性驱动,而非患者的满意度。在这种背景下,以患者为中心的牙周病研究(PCPR)是一种考虑患者关于其功能状态、体验、临床结果以及治疗可及性反馈的方法。有人认为,由于患者个人信念、文化背景以及社会和经济因素的混杂效应,患者自我报告的数据可能可靠性较低。然而,文献表明纳入“以患者为中心的结果”成分可显著提高研究结果的有效性和适用性。不同研究结果的差异可能归因于使用了不同且未标准化的评估工具。为克服这一问题,本社论列出了文献中可用的各种可靠工具。总之,我们主张研究人员的重点应从单纯的牙周病研究转向PCPR,以便研究结果能有效应用于临床环境,治疗策略也能从单纯的牙周治疗转变为以患者为中心的牙周治疗。