Perceptions, Attitudes and Needs of Periodontitis Patients: A Qualitative Systematic Review.

IF 5.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Camila Pinheiro Furquim,Lina J Suárez,Renata Tavares,Belén Retamal-Valdes,Murilo Fernando Neuppmann Feres,Magda Feres
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Abstract

AIM Patient-reported outcomes (PROs) hold significant potential in guiding clinical decision making, yet their utilization in periodontal trials has been limited. This systematic review aimed to critically synthesize and analyse qualitative studies that evaluated the knowledge and impact of periodontitis and its treatment on patients' lives, as well as their motivations, expectations and experiences in seeking treatment. MATERIALS AND METHODS Six databases were searched up to March 2024 for qualitative studies on periodontitis patients. Studies were quality-assessed using the JBI Critical Appraisal and ConQual tools. Two authors independently extracted the findings, with discrepancies resolved by a third reviewer. RESULTS Thirteen studies from 2006 to 2023 across four continents, involving 215 participants, identified five themes related to periodontitis: (i) knowledge about periodontitis and its treatment; (ii) impact of periodontitis on patients' lives; (iii) motivation and treatment expectations; (iv) obstacles to treatment; and (v) treatment impact on patients' lives. CONCLUSION Significant physical and psychosocial impacts of periodontitis on patients' lives were identified, along with critical gaps in knowledge and awareness, emphasizing the important role of dentists in patient education. Specific PROs for use in validated instruments tailored to periodontitis were identified. These results can enhance patient-centred care by guiding future studies in accurately assessing patient perspectives on their condition and treatment.
牙周炎患者的认知、态度和需求:定性系统回顾
目的患者报告结果(PROs)在指导临床决策方面具有很大的潜力,但其在牙周试验中的应用却很有限。本系统性综述旨在批判性地综合和分析定性研究,这些研究评估了牙周炎及其治疗对患者生活的了解和影响,以及患者寻求治疗的动机、期望和经历。使用 JBI Critical Appraisal 和 ConQual 工具对研究进行了质量评估。结果从 2006 年到 2023 年横跨四大洲的 13 项研究,涉及 215 名参与者,确定了与牙周炎相关的五个主题:(i) 对牙周炎及其治疗的了解;(ii) 牙周炎对患者生活的影响;(iii) 治疗动机和治疗期望;(iv) 治疗障碍;以及 (v) 治疗对患者生活的影响。结论 确定了牙周炎对患者生活造成的重大生理和心理影响,以及在知识和认识方面存在的重大差距,强调了牙科医生在患者教育方面的重要作用。研究还确定了可用于专门针对牙周炎的验证工具的特定PROs。这些结果可以指导未来的研究准确评估患者对其病情和治疗的看法,从而加强以患者为中心的护理。
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来源期刊
Journal of Clinical Periodontology
Journal of Clinical Periodontology 医学-牙科与口腔外科
CiteScore
13.30
自引率
10.40%
发文量
175
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.
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