Patient age and general dentists' treatment decisions
Identifieur interne : 002C49 ( Istex/Curation ); précédent : 002C48; suivant : 002C50Patient age and general dentists' treatment decisions
Auteurs : Teresa A. Dolan ; Clifford A. Mcnaughton ; Suzanne N. Davidson ; Gail S. MitchellSource :
- Special Care in Dentistry [ 0275-1879 ] ; 1992-01.
Descripteurs français
- Wicri :
- topic : Dentiste, Espérance de vie.
English descriptors
- KwdEn :
- Additional information, Additional research, Alternative treatments, Amalgam restoration, Brief life expectancy, Cast crown, Cast metal restoration, Chief complaint, Clinical decision, Clinical diagnosis, Composite restoration, Convenience sample, Current medication, Dental, Dental care, Dental health, Dental patient, Dental practice, Dental school, Dental services, Dental visits, Dentist, Dentistry, Endodontic, Endodontic therapy, Extensive therapy, Extensive treatment, Financial constraints, General dentists, General health status, Graduation year, Greater percentage, Health professionals, Identical materials, Incomplete data, Irreversible pulpitis, Life expectancy, Limited data, Limited treatment, Limited treatment plan, Mandibular arch, Mandibular molar, Molar, Molar endodontic procedures, Older adults, Older dentists, Older patient, Older patients, Oral hygiene status, Patient factors, Private practice, Second hypothesis, Severe pain, Social history, Spec care dentist, Special care, Study findings, Survey form, Treatment decision category, Treatment decisions, Treatment options, Treatment plan, Treatment planning decisions, Treatment planning process, Treatment plans, Treatment recommendation, Treatment recommendations, Vignette, Years form.
- Teeft :
- Additional information, Additional research, Alternative treatments, Amalgam restoration, Brief life expectancy, Cast crown, Cast metal restoration, Chief complaint, Clinical decision, Clinical diagnosis, Composite restoration, Convenience sample, Current medication, Dental, Dental care, Dental health, Dental patient, Dental practice, Dental school, Dental services, Dental visits, Dentist, Dentistry, Endodontic, Endodontic therapy, Extensive therapy, Extensive treatment, Financial constraints, General dentists, General health status, Graduation year, Greater percentage, Health professionals, Identical materials, Incomplete data, Irreversible pulpitis, Life expectancy, Limited data, Limited treatment, Limited treatment plan, Mandibular arch, Mandibular molar, Molar, Molar endodontic procedures, Older adults, Older dentists, Older patient, Older patients, Oral hygiene status, Patient factors, Private practice, Second hypothesis, Severe pain, Social history, Spec care dentist, Special care, Study findings, Survey form, Treatment decision category, Treatment decisions, Treatment options, Treatment plan, Treatment planning decisions, Treatment planning process, Treatment plans, Treatment recommendation, Treatment recommendations, Vignette, Years form.
Abstract
To test whether a patient's age plays a role in dentists' treatment planning decisions, a convenience sample of 159 general dentists attending a state dental society annual meeting was presented a vignette including intraoral photographs, a brief case history and clinical diagnosis of a patient. The patient was partially dentate, and was described as having irreversible pulpitis of tooth #19. Three versions of the vignette were developed, with identical materials and information except for the patient's age (either 44, 65, or 84 years), and were randomly assigned to the participating dentists who were asked to develop a treatment plan for the patient's mandibular arch. The dentists planned limited therapy for the 84 year old because of their assumptions about the patient's brief life expectancy, cost, concern about the inability of the patient to tolerate extensive treatment, and a low cost/benefit ratio. These findings suggest that a patient's age influences general dentists' treatment planning decisions, perhaps limiting the treatment options offered to older adults. Additional research is necessary to further test these associations.
Url:
DOI: 10.1111/j.1754-4505.1992.tb00400.x
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :002C49
Links to Exploration step
ISTEX:5A72A164089937937432E29EFA32F35A97AC97B9Curation
No country items
Teresa A. Dolan<affiliation><mods:affiliation>assistant professor, Department of Community Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation><affiliation><mods:affiliation>senior fellow, Geriatric Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation><affiliation><mods:affiliation>general practice resident, University of Florida College of Dentistry, Box 100404 JHMHC, Gainesville 32610</mods:affiliation><wicri:noCountry code="subField">32610</wicri:noCountry></affiliation><affiliation><mods:affiliation>assistant professor, Department of Community Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation>Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Patient age and general dentists' treatment decisions</title><author><name sortKey="Dolan, Teresa A" sort="Dolan, Teresa A" uniqKey="Dolan T" first="Teresa A." last="Dolan">Teresa A. Dolan</name><affiliation><mods:affiliation>assistant professor, Department of Community Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation></author><author><name sortKey="Mcnaughton, Clifford A" sort="Mcnaughton, Clifford A" uniqKey="Mcnaughton C" first="Clifford A." last="Mcnaughton">Clifford A. Mcnaughton</name><affiliation><mods:affiliation>senior fellow, Geriatric Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation></author><author><name sortKey="Davidson, Suzanne N" sort="Davidson, Suzanne N" uniqKey="Davidson S" first="Suzanne N." last="Davidson">Suzanne N. Davidson</name><affiliation><mods:affiliation>general practice resident, University of Florida College of Dentistry, Box 100404 JHMHC, Gainesville 32610</mods:affiliation><wicri:noCountry code="subField">32610</wicri:noCountry></affiliation></author><author><name sortKey="Mitchell, Gail S" sort="Mitchell, Gail S" uniqKey="Mitchell G" first="Gail S." last="Mitchell">Gail S. Mitchell</name><affiliation><mods:affiliation>assistant professor, Department of Community Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:5A72A164089937937432E29EFA32F35A97AC97B9</idno><date when="1992" year="1992">1992</date><idno type="doi">10.1111/j.1754-4505.1992.tb00400.x</idno><idno type="url">https://api.istex.fr/document/5A72A164089937937432E29EFA32F35A97AC97B9/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002C49</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002C49</idno><idno type="wicri:Area/Istex/Curation">002C49</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Patient age and general dentists' treatment decisions</title><author><name sortKey="Dolan, Teresa A" sort="Dolan, Teresa A" uniqKey="Dolan T" first="Teresa A." last="Dolan">Teresa A. Dolan</name><affiliation><mods:affiliation>assistant professor, Department of Community Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation></author><author><name sortKey="Mcnaughton, Clifford A" sort="Mcnaughton, Clifford A" uniqKey="Mcnaughton C" first="Clifford A." last="Mcnaughton">Clifford A. Mcnaughton</name><affiliation><mods:affiliation>senior fellow, Geriatric Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation></author><author><name sortKey="Davidson, Suzanne N" sort="Davidson, Suzanne N" uniqKey="Davidson S" first="Suzanne N." last="Davidson">Suzanne N. Davidson</name><affiliation><mods:affiliation>general practice resident, University of Florida College of Dentistry, Box 100404 JHMHC, Gainesville 32610</mods:affiliation><wicri:noCountry code="subField">32610</wicri:noCountry></affiliation></author><author><name sortKey="Mitchell, Gail S" sort="Mitchell, Gail S" uniqKey="Mitchell G" first="Gail S." last="Mitchell">Gail S. Mitchell</name><affiliation><mods:affiliation>assistant professor, Department of Community Dentistry</mods:affiliation><wicri:noCountry code="subField">Dentistry</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Special Care in Dentistry</title><title level="j" type="alt">SPECIAL CARE IN DENTISTRY</title><idno type="ISSN">0275-1879</idno><idno type="eISSN">1754-4505</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="15">15</biblScope><biblScope unit="page" to="20">20</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1992-01">1992-01</date></imprint><idno type="ISSN">0275-1879</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0275-1879</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Additional information</term><term>Additional research</term><term>Alternative treatments</term><term>Amalgam restoration</term><term>Brief life expectancy</term><term>Cast crown</term><term>Cast metal restoration</term><term>Chief complaint</term><term>Clinical decision</term><term>Clinical diagnosis</term><term>Composite restoration</term><term>Convenience sample</term><term>Current medication</term><term>Dental</term><term>Dental care</term><term>Dental health</term><term>Dental patient</term><term>Dental practice</term><term>Dental school</term><term>Dental services</term><term>Dental visits</term><term>Dentist</term><term>Dentistry</term><term>Endodontic</term><term>Endodontic therapy</term><term>Extensive therapy</term><term>Extensive treatment</term><term>Financial constraints</term><term>General dentists</term><term>General health status</term><term>Graduation year</term><term>Greater percentage</term><term>Health professionals</term><term>Identical materials</term><term>Incomplete data</term><term>Irreversible pulpitis</term><term>Life expectancy</term><term>Limited data</term><term>Limited treatment</term><term>Limited treatment plan</term><term>Mandibular arch</term><term>Mandibular molar</term><term>Molar</term><term>Molar endodontic procedures</term><term>Older adults</term><term>Older dentists</term><term>Older patient</term><term>Older patients</term><term>Oral hygiene status</term><term>Patient factors</term><term>Private practice</term><term>Second hypothesis</term><term>Severe pain</term><term>Social history</term><term>Spec care dentist</term><term>Special care</term><term>Study findings</term><term>Survey form</term><term>Treatment decision category</term><term>Treatment decisions</term><term>Treatment options</term><term>Treatment plan</term><term>Treatment planning decisions</term><term>Treatment planning process</term><term>Treatment plans</term><term>Treatment recommendation</term><term>Treatment recommendations</term><term>Vignette</term><term>Years form</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Additional information</term><term>Additional research</term><term>Alternative treatments</term><term>Amalgam restoration</term><term>Brief life expectancy</term><term>Cast crown</term><term>Cast metal restoration</term><term>Chief complaint</term><term>Clinical decision</term><term>Clinical diagnosis</term><term>Composite restoration</term><term>Convenience sample</term><term>Current medication</term><term>Dental</term><term>Dental care</term><term>Dental health</term><term>Dental patient</term><term>Dental practice</term><term>Dental school</term><term>Dental services</term><term>Dental visits</term><term>Dentist</term><term>Dentistry</term><term>Endodontic</term><term>Endodontic therapy</term><term>Extensive therapy</term><term>Extensive treatment</term><term>Financial constraints</term><term>General dentists</term><term>General health status</term><term>Graduation year</term><term>Greater percentage</term><term>Health professionals</term><term>Identical materials</term><term>Incomplete data</term><term>Irreversible pulpitis</term><term>Life expectancy</term><term>Limited data</term><term>Limited treatment</term><term>Limited treatment plan</term><term>Mandibular arch</term><term>Mandibular molar</term><term>Molar</term><term>Molar endodontic procedures</term><term>Older adults</term><term>Older dentists</term><term>Older patient</term><term>Older patients</term><term>Oral hygiene status</term><term>Patient factors</term><term>Private practice</term><term>Second hypothesis</term><term>Severe pain</term><term>Social history</term><term>Spec care dentist</term><term>Special care</term><term>Study findings</term><term>Survey form</term><term>Treatment decision category</term><term>Treatment decisions</term><term>Treatment options</term><term>Treatment plan</term><term>Treatment planning decisions</term><term>Treatment planning process</term><term>Treatment plans</term><term>Treatment recommendation</term><term>Treatment recommendations</term><term>Vignette</term><term>Years form</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Dentiste</term><term>Espérance de vie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To test whether a patient's age plays a role in dentists' treatment planning decisions, a convenience sample of 159 general dentists attending a state dental society annual meeting was presented a vignette including intraoral photographs, a brief case history and clinical diagnosis of a patient. The patient was partially dentate, and was described as having irreversible pulpitis of tooth #19. Three versions of the vignette were developed, with identical materials and information except for the patient's age (either 44, 65, or 84 years), and were randomly assigned to the participating dentists who were asked to develop a treatment plan for the patient's mandibular arch. The dentists planned limited therapy for the 84 year old because of their assumptions about the patient's brief life expectancy, cost, concern about the inability of the patient to tolerate extensive treatment, and a low cost/benefit ratio. These findings suggest that a patient's age influences general dentists' treatment planning decisions, perhaps limiting the treatment options offered to older adults. Additional research is necessary to further test these associations.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002C49 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 002C49 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Istex
|étape= Curation
|type= RBID
|clé= ISTEX:5A72A164089937937432E29EFA32F35A97AC97B9
|texte= Patient age and general dentists' treatment decisions
}}
| This area was generated with Dilib version V0.6.32. |  |