即使对于世界上最富裕的国家来说,采用现行的欧洲牙周炎临床实践指南也是不可行的。

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Eero Raittio, Jostein Grytten, Rodrigo Lopez, Carl Christian Blich, Mario Vianna Vettore, Vibeke Baelum
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引用次数: 0

摘要

临床实践指南旨在提高护理的质量、平等性和一致性,但往往需要花费更多的时间,使遵守指南变得不切实际,也超出了可行的资源范围。2017 年,美国牙周病学会(AAP)和欧洲牙周病学联合会(EFP)推出了新的牙周分类系统,旨在通过作为全球临床实践指南和流行病学调查的基础,完善临床和流行病学实践。根据这一分类,欧洲牙周病学联合会建议对所有牙周炎病例每3-12个月进行一次支持性牙周治疗。在挪威,根据美国牙科协会/欧洲牙周病治疗方案目前的病例定义,约有72%的成年人被确定为牙周炎病例,这对医疗资源提出了巨大的需求。根据我们的计算,如果要达到建议的要求,2017年挪威牙医和牙科保健师为成人提供牙科保健服务的所有预计可用工时中,将有60%至70%用于支持性牙周保健就诊。这种情况要求对疾病定义和临床实践指南进行重新评估,以确保它们切实可行、经济上可行且与患者的结果相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Applying current European periodontitis clinical practice guidelines is not feasible even for the richest countries in the world.

Clinical practice guidelines aim to enhance the quality, equality and consistency of care but often demand more time than is available, rendering adherence impractical and exceeding feasible resources. The 2017 introduction of a new periodontal classification system by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) sought to refine clinical and epidemiological practices by serving as the basis for clinical practice guidelines and epidemiological investigations around the world. Following this classification, the EFP recommends supportive periodontal care visits every 3-12 months for all periodontitis cases. Given that in Norway, approximately 72% of the adult population are identified as periodontitis cases under the current AAP/EFP case definition, this poses a significant demand on healthcare resources. We calculated that between 60% and 70% of all estimated available working hours available for adult dental care provided by dentists and dental hygienists in Norway in 2017 would be spent on supportive periodontal care visits alone if the recommendations were to be met. This situation calls for a reevaluation of disease definitions and clinical practice guidelines to ensure they are practical, financially feasible and patient-outcome relevant.

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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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