根管治疗后临床医师/患者报告的结果及其关联性。

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of endodontics Pub Date : 2024-12-01 DOI:10.1016/j.joen.2024.09.009

Jasmine Wong MDS , Angeline Hui Cheng Lee MDS , Gary Shun Pan Cheung MDS, PhD , Colman McGrath BDentSci, PhD , Prasanna Neelakantan MDS, PhD

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引用次数: 0

摘要

简介：人们对根管治疗后临床医生报告的结果（CROMs）和患者报告的结果测量（PROMs）之间的关系知之甚少。口腔健康相关生活质量（OHRQoL）是一个重要的 PROM。最小重要差异（MID）的确定对于确定患者对治疗效果的看法至关重要，但根管治疗后患者口腔健康相关生活质量（OHRQoL）发生有意义变化所需的最小重要差异仍不清楚。这项前瞻性研究旨在调查根管治疗后临床结果与 OHRQoL 之间的关系，并确定相应的 MID 值：方法：招募需要进行初级非手术根管治疗的患者（n = 64）。在 12 个月的随访中对治疗效果进行临床和放射学（锥束计算机断层扫描）评估。分别使用口腔健康影响档案-14（OHIP-14）和视觉模拟量表（VAS）对术前和术后 12 个月的 OHRQoL 和疼痛进行评估。结果：最终分析包括 47 名患者。92.6%的牙齿临床结果良好。OHRQoL和疼痛在治疗后有明显改善（P.05）。OHIP-14评分的平均变化（即13.6分）大于所确定的中值范围：结论：根管治疗能明显改善患者的 OHRQoL。结论：根管治疗可明显改善患者的 OHRQoL，OHRQoL 得分的改善幅度大于所确定的中位值，这意味着存在具有临床意义的变化。OHRQoL 似乎与 CROMs 无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Clinician/Patient-Reported Outcomes and Their Association After Root Canal Treatment

Introduction

The relationship between clinician-reported outcome measures (CROM) and patient-reported outcome measures (PROM) after root canal treatment is poorly understood. Oral health–related quality of life (OHRQOL) is a crucial PROM. Determination of the minimal important difference (MID) is critical for determining patients’ perspective of treatment effectiveness, but the MID required to perceive any meaningful change in the OHRQOL after root canal treatment remains unclear. The aim of this prospective study was to investigate the relationship between the clinical outcome and OHRQOL after root canal treatment and to determine the corresponding MID values.

Methods

Patients (N = 64) requiring primary nonsurgical root canal treatment were recruited. Clinical and radiographic (cone-beam computed tomography) assessment of treatment outcomes was performed at the 12-month follow-up. OHRQOL and pain were evaluated preoperatively and at the 12-month follow-up using the Oral Health Impact Profile-14 and visual analog scale, respectively. P < .05 was considered statistically significant. MID was assessed using distribution- and anchor-based approaches.

Results

The final analysis included 47 patients. The clinical outcome was favorable for 92.6% of teeth. OHRQOL and pain showed significant improvement after treatment (P < .001). No significant association was found between clinical outcome and OHRQOL (P > .05). The mean Oral Health Impact Profile-14 score change (ie, 13.6) was greater than the range of MID values determined.

Conclusions

Root canal treatment significantly improves OHRQOL. Improvement in the OHRQOL score was greater than the MID values determined, implying a clinically significant change. However, PROM (OHRQOL) does not appear to be correlated with CROM.

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来源期刊

Journal of endodontics 医学-牙科与口腔外科

CiteScore

8.80

自引率

9.50%

发文量

224

审稿时长

42 days

期刊介绍： The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.