Xuewei Zheng, Ruilin Wang, Andreas Thor, Anders Brantnell
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引用次数: 0
Abstract
Objectives: Hospitals in many European countries have implemented Additive Manufacturing (AM) technology for multiple Oral and Maxillofacial Surgery (OMFS) applications. Although the technology is widely implemented, surgeons also play a crucial role in whether a hospital will adopt the technology for surgical procedures. The study has two objectives: (1) to investigate how hospital type (university or non-university hospital) influences surgeons' views on AM, and (2) to explore how previous experience with AM (AM experience or not) influences surgeons' views on AM.
Materials and methods: An online questionnaire to capture surgeons' views was designed, consisting of 11 Likert scale questions formulated according to the Consolidated Framework for Implementation Research (CFIR). The questionnaire was sent to OMF surgeons through the channel provided by the Association of Oral and Maxillofacial Surgery in Sweden. Data were analyzed using the Mann-Whitney U test to identify significant differences among OMF surgeons in terms of organizational form (i.e., university hospital or non-university hospital) and experience of AM (i.e., AM experience or no-experience).
Results: In total, 31 OMF surgeons responded to the survey. Views of surgeons from universities and non-universities, as well as between surgeons with experience and no-experience, did not show significant differences in the 11 questions captured across five CFIR domains. However, the "individual characteristics" domain in CFIR, consisting of three questions, did show significant differences between surgeons' experience with AM and no-experience (P-values: P = 0.01, P = 0.01, and P = 0.04).
Conclusions: Surgeons, whether affiliated with university hospitals or non-university hospitals and regardless of their prior experience with AM, generally exhibit a favorable attitude towards AM. However, there were significant differences in terms of individual characteristics between those who had prior experience with AM and those who did not.
Clinical relevance: This investigation facilitates the implementation of AM in OMFS by reporting on the views of OMF surgeons on AM.
目标：许多欧洲国家的医院已将增材制造（AM）技术应用于多种口腔颌面外科（OMFS）。虽然该技术已得到广泛应用，但外科医生在医院是否将该技术用于外科手术中也起着至关重要的作用。本研究有两个目标：(1) 调查医院类型（大学医院或非大学医院）如何影响外科医生对 AM 的看法；(2) 探讨以往使用 AM 的经验（是否有 AM 经验）如何影响外科医生对 AM 的看法：我们设计了一份在线调查问卷来收集外科医生的观点，其中包括根据实施研究综合框架（CFIR）制定的 11 个李克特量表问题。问卷通过瑞典口腔颌面外科协会提供的渠道发送给 OMF 外科医生。采用 Mann-Whitney U 检验对数据进行分析，以确定 OMF 外科医生在组织形式（即大学医院或非大学医院）和 AM 经验（即有 AM 经验或无 AM 经验）方面的显著差异：共有 31 名外科医生回答了调查。来自大学和非大学的外科医生，以及有经验和无经验的外科医生，对 CFIR 五个领域的 11 个问题的看法并无显著差异。然而，在CFIR的 "个人特征 "领域（包括三个问题）中，有AM经验和无AM经验的外科医生之间确实存在显著差异（P值：P = 0.01、P = 0.01和P = 0.04）：无论外科医生隶属于大学医院还是非大学医院，也无论他们之前是否有使用 AM 的经验，他们普遍对 AM 持积极态度。然而，有过 AM 经验的外科医生和没有 AM 经验的外科医生在个体特征方面存在明显差异：临床相关性：这项调查通过报告OMF外科医生对AM的看法，促进了AM在OMFS的实施。
期刊介绍：
Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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