Discriminant analysis of patients’ reasons for choosing or refusing treatments for partial edentulism
Identifieur interne : 005C13 ( Main/Curation ); précédent : 005C12; suivant : 005C14Discriminant analysis of patients’ reasons for choosing or refusing treatments for partial edentulism
Auteurs : C. R. Leles ; R. R. Martins ; E. T. Silva ; M. F. Nunes [Brésil]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2009-12.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (psychologie), Adolescent, Adulte, Adulte d'âge moyen, Analyse discriminante, Comportement de choix, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâchoire partiellement édentée (psychologie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Prothèse partielle conjointe (psychologie), Qualité de vie (psychologie), Santé buccodentaire, Sujet âgé.
- MESH :
- psychologie : Acceptation des soins par le patient, Mâchoire partiellement édentée, Prothèse partielle conjointe, Qualité de vie.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Wicri :
English descriptors
- KwdEn :
- Absolute size, Adolescent, Adult, Aged, Appropriate treatment, Blackwell publishing, Brazilian version, Choice Behavior, Clinical decisions, Clinical trial, Clinical trials, Common reason, Community dent, Comparative analysis, Conceptual analysis, Dent, Dental encounter, Denture, Denture construction, Denture, Partial (psychology), Discriminant, Discriminant Analysis, Discriminant analysis, Discriminant function, Discriminant functions, Discriminant models, Discriminant scores, Edentulous, Edentulous arch, Edentulous patients, Federal university, Female, General health, Gingival problems, Great impact, Higher education levels, Humans, Implant, Implant therapy, Independent variables, Individualized teeth, Jaw, Edentulous, Partially (psychology), Jaw, Edentulous, Partially (rehabilitation), Life impacts, Life measures, Main reason, Male, Mandible, Mandibular, Mandibular arches, Mandibular dentures, Marital status, Maxilla, Maxilla mandible, Middle Aged, Natural appearance, Oral Health, Oral quality, Oral rehabil, Oral rehabilitation, Overall agreement, Partial denture, Partial dentures, Partial edentulism, Patient Acceptance of Health Care (psychology), Patient satisfaction, Potential outcomes, Predictor, Predictor variables, Preferred option, Prosthesis, Prosthet dent, Prosthodont, Prosthodontic, Prosthodontic treatment, Prosthodontic treatments, Quality of Life (psychology), Removable, Structure matrix, Successful outcomes, Surveys and Questionnaires, Tooth loss, Tooth structure, Treatment decisions, Treatment options, Treatment outcomes, Treatment preferences, Young Adult.
- MESH :
- psychology : Denture, Partial, Jaw, Edentulous, Partially, Patient Acceptance of Health Care, Quality of Life.
- rehabilitation : Jaw, Edentulous, Partially.
- Teeft :
- Absolute size, Adolescent, Adult, Aged, Appropriate treatment, Blackwell publishing, Brazilian version, Choice Behavior, Clinical decisions, Clinical trial, Clinical trials, Common reason, Community dent, Comparative analysis, Conceptual analysis, Dent, Dental encounter, Denture, Denture construction, Discriminant, Discriminant Analysis, Discriminant analysis, Discriminant function, Discriminant functions, Discriminant models, Discriminant scores, Edentulous, Edentulous arch, Edentulous patients, Federal university, Female, General health, Gingival problems, Great impact, Higher education levels, Humans, Implant, Implant therapy, Independent variables, Individualized teeth, Life impacts, Life measures, Main reason, Male, Mandible, Mandibular, Mandibular arches, Mandibular dentures, Marital status, Maxilla, Maxilla mandible, Middle Aged, Natural appearance, Oral Health, Oral quality, Oral rehabil, Oral rehabilitation, Overall agreement, Partial denture, Partial dentures, Partial edentulism, Patient satisfaction, Potential outcomes, Predictor, Predictor variables, Preferred option, Prosthesis, Prosthet dent, Prosthodont, Prosthodontic, Prosthodontic treatment, Prosthodontic treatments, Removable, Structure matrix, Successful outcomes, Surveys and Questionnaires, Tooth loss, Tooth structure, Treatment decisions, Treatment options, Treatment outcomes, Treatment preferences, Young Adult.
Abstract
Summary The aim of the study was to explore partially edentulous patients’ reasons for choosing or refusing prosthodontic treatment with removable partial dentures (RPD), fixed partial dentures (FPD) and implant partial dentures (IPD). Clinical and oral health‐related quality of life measures were collected from 165 partially edentulous patients undergoing treatment. Patients’ preferences were recorded and reasons for choosing or refusing treatments were measured with 32 questions using a five‐point Likert scale. Descriptive statistics, chi‐square and multiple logistic regression were used to compare patients’ preferences according to clinical variables. Discriminant analysis was used to examine the impact of each reason for a patient’s decision to choose or refuse treatment options. Results showed that older patients (P < 0·001) and with greater oral‐related quality of life impacts (P < 0·05) were more likely to choose RPD. IPD were preferred by patients with higher education levels (P < 0·01). Discriminant functions revealed that the desire to have a fixed or removable denture had great impact on preferences. Removal of tooth structure was the main reason for refusing FPD and financial cost had a great impact on refusing IPD. Overall agreement between observed patients’ decisions and those predicted by the discriminant function was >90% for all treatments. Reasons vary greatly among patients, and the role of individual perception of potential reasons for treatment selection was the most important determinants of patients’ decisions. The main reasons for choosing or refusing treatments focused in this study can be used to guide shared decision‐making, providing treatments that better match patients’ expectations and desires.
Url:
DOI: 10.1111/j.1365-2842.2009.02018.x
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C. R. Leles<affiliation><wicri:noCountry code="no comma">Departments of Prevention and Oral Rehabilitation</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">Departments of Prevention and Oral Rehabilitation</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">Departments of Prevention and Oral Rehabilitation</wicri:noCountry></affiliation>Le document en format XML
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type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absolute size</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Appropriate treatment</term><term>Blackwell publishing</term><term>Brazilian version</term><term>Choice Behavior</term><term>Clinical decisions</term><term>Clinical trial</term><term>Clinical trials</term><term>Common reason</term><term>Community dent</term><term>Comparative analysis</term><term>Conceptual analysis</term><term>Dent</term><term>Dental encounter</term><term>Denture</term><term>Denture construction</term><term>Denture, Partial (psychology)</term><term>Discriminant</term><term>Discriminant Analysis</term><term>Discriminant analysis</term><term>Discriminant function</term><term>Discriminant functions</term><term>Discriminant models</term><term>Discriminant scores</term><term>Edentulous</term><term>Edentulous arch</term><term>Edentulous patients</term><term>Federal university</term><term>Female</term><term>General health</term><term>Gingival problems</term><term>Great impact</term><term>Higher education levels</term><term>Humans</term><term>Implant</term><term>Implant therapy</term><term>Independent variables</term><term>Individualized teeth</term><term>Jaw, Edentulous, Partially (psychology)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Life impacts</term><term>Life measures</term><term>Main reason</term><term>Male</term><term>Mandible</term><term>Mandibular</term><term>Mandibular arches</term><term>Mandibular dentures</term><term>Marital status</term><term>Maxilla</term><term>Maxilla mandible</term><term>Middle Aged</term><term>Natural appearance</term><term>Oral Health</term><term>Oral quality</term><term>Oral rehabil</term><term>Oral rehabilitation</term><term>Overall agreement</term><term>Partial denture</term><term>Partial dentures</term><term>Partial edentulism</term><term>Patient Acceptance of Health Care (psychology)</term><term>Patient satisfaction</term><term>Potential outcomes</term><term>Predictor</term><term>Predictor variables</term><term>Preferred option</term><term>Prosthesis</term><term>Prosthet dent</term><term>Prosthodont</term><term>Prosthodontic</term><term>Prosthodontic treatment</term><term>Prosthodontic treatments</term><term>Quality of Life (psychology)</term><term>Removable</term><term>Structure matrix</term><term>Successful outcomes</term><term>Surveys and Questionnaires</term><term>Tooth loss</term><term>Tooth structure</term><term>Treatment decisions</term><term>Treatment options</term><term>Treatment outcomes</term><term>Treatment preferences</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient (psychologie)</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse discriminante</term><term>Comportement de choix</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâchoire partiellement édentée (psychologie)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Prothèse partielle conjointe (psychologie)</term><term>Qualité de vie (psychologie)</term><term>Santé buccodentaire</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Mâchoire partiellement édentée</term><term>Prothèse partielle conjointe</term><term>Qualité de vie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Denture, Partial</term><term>Jaw, Edentulous, Partially</term><term>Patient Acceptance of Health Care</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Absolute size</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Appropriate treatment</term><term>Blackwell publishing</term><term>Brazilian version</term><term>Choice Behavior</term><term>Clinical decisions</term><term>Clinical trial</term><term>Clinical trials</term><term>Common reason</term><term>Community dent</term><term>Comparative analysis</term><term>Conceptual analysis</term><term>Dent</term><term>Dental encounter</term><term>Denture</term><term>Denture construction</term><term>Discriminant</term><term>Discriminant Analysis</term><term>Discriminant analysis</term><term>Discriminant function</term><term>Discriminant functions</term><term>Discriminant models</term><term>Discriminant scores</term><term>Edentulous</term><term>Edentulous arch</term><term>Edentulous patients</term><term>Federal university</term><term>Female</term><term>General health</term><term>Gingival problems</term><term>Great impact</term><term>Higher education levels</term><term>Humans</term><term>Implant</term><term>Implant therapy</term><term>Independent variables</term><term>Individualized teeth</term><term>Life impacts</term><term>Life measures</term><term>Main reason</term><term>Male</term><term>Mandible</term><term>Mandibular</term><term>Mandibular arches</term><term>Mandibular dentures</term><term>Marital status</term><term>Maxilla</term><term>Maxilla mandible</term><term>Middle Aged</term><term>Natural appearance</term><term>Oral Health</term><term>Oral quality</term><term>Oral rehabil</term><term>Oral rehabilitation</term><term>Overall agreement</term><term>Partial denture</term><term>Partial dentures</term><term>Partial edentulism</term><term>Patient satisfaction</term><term>Potential outcomes</term><term>Predictor</term><term>Predictor variables</term><term>Preferred option</term><term>Prosthesis</term><term>Prosthet dent</term><term>Prosthodont</term><term>Prosthodontic</term><term>Prosthodontic treatment</term><term>Prosthodontic treatments</term><term>Removable</term><term>Structure matrix</term><term>Successful outcomes</term><term>Surveys and Questionnaires</term><term>Tooth loss</term><term>Tooth structure</term><term>Treatment decisions</term><term>Treatment options</term><term>Treatment outcomes</term><term>Treatment preferences</term><term>Young Adult</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse comparative</term><term>Analyse discriminante</term><term>Comportement de choix</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Santé buccodentaire</term><term>Situation de famille</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Summary The aim of the study was to explore partially edentulous patients’ reasons for choosing or refusing prosthodontic treatment with removable partial dentures (RPD), fixed partial dentures (FPD) and implant partial dentures (IPD). Clinical and oral health‐related quality of life measures were collected from 165 partially edentulous patients undergoing treatment. Patients’ preferences were recorded and reasons for choosing or refusing treatments were measured with 32 questions using a five‐point Likert scale. Descriptive statistics, chi‐square and multiple logistic regression were used to compare patients’ preferences according to clinical variables. Discriminant analysis was used to examine the impact of each reason for a patient’s decision to choose or refuse treatment options. Results showed that older patients (P < 0·001) and with greater oral‐related quality of life impacts (P < 0·05) were more likely to choose RPD. IPD were preferred by patients with higher education levels (P < 0·01). Discriminant functions revealed that the desire to have a fixed or removable denture had great impact on preferences. Removal of tooth structure was the main reason for refusing FPD and financial cost had a great impact on refusing IPD. Overall agreement between observed patients’ decisions and those predicted by the discriminant function was >90% for all treatments. Reasons vary greatly among patients, and the role of individual perception of potential reasons for treatment selection was the most important determinants of patients’ decisions. The main reasons for choosing or refusing treatments focused in this study can be used to guide shared decision‐making, providing treatments that better match patients’ expectations and desires.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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