Prosthodontic decision‐making: what unprompted information do dentists seek before prescribing treatment?
Identifieur interne : 005087 ( Main/Exploration ); précédent : 005086; suivant : 005088Prosthodontic decision‐making: what unprompted information do dentists seek before prescribing treatment?
Auteurs : R. Omar [Koweït] ; R. Akeel [Arabie saoudite]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2010-01.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anamnèse, Humains, Internat et résidence, Jeune adulte, Modèles de pratique odontologique, Mâchoire partiellement édentée (rééducation et réadaptation), Odontologie générale (), Planification des soins du patient, Prise de décision, Prosthodontie (), Sujet âgé, Techniques d'aide à la décision.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Anamnèse, Humains, Internat et résidence, Jeune adulte, Modèles de pratique odontologique, Odontologie générale, Planification des soins du patient, Prise de décision, Prosthodontie, Sujet âgé, Techniques d'aide à la décision.
English descriptors
- KwdEn :
- Abutment, Actual case history, Adult, Aged, Arch length, Blackwell publishing, Bone height, Clinical condition, Clinical guidelines, Clinical practice, Clinical skills, Clinician, Community dent, Conceptual analysis, Decision Making, Decision Support Techniques, Dent, Dent educ, Dental prostheses, Dental prosthesis, Dentist factors, Dentistry, Discriminatory information, Edentulous areas, General Practice, Dental (methods), General practitioner, General practitioners, Humans, Implant, Information category, Intern, Internship and Residency, Interviewer, Jaw, Edentulous, Partially (rehabilitation), Journal compilation, King saud university, Knowledge translation, Kuwait university, Lower space, Lower spaces, Medical History Taking, Middle Aged, More questions, Omar, Oral maxillofac implants, Oral rehabil, Other hand, Paper patient case, Partial edentulism, Participant, Patient Care Planning, Patient treatment preferences, Place implants, Practice Patterns, Dentists', Prosthesis, Prosthodont, Prosthodontic, Prosthodontic decision, Prosthodontic practice, Prosthodontic treatment, Prosthodontics (methods), Prosthodontist, Radiographic, Radiographic information, Relevant information, Restorative dentistry, Restorative sciences, Sample composition, Social attributes, Thematic categories, Thematic content analysis, Treatment choice, Treatment decision, Treatment decisions, Treatment dichotomization, Treatment options, Treatment planning, Treatment recommendation, Unprompted information, Young Adult.
- MESH :
- methods : General Practice, Dental, Prosthodontics.
- rehabilitation : Jaw, Edentulous, Partially.
- Teeft :
- Abutment, Actual case history, Adult, Aged, Arch length, Blackwell publishing, Bone height, Clinical condition, Clinical guidelines, Clinical practice, Clinical skills, Clinician, Community dent, Conceptual analysis, Decision Making, Decision Support Techniques, Dent, Dent educ, Dental prostheses, Dental prosthesis, Dentist factors, Dentistry, Discriminatory information, Edentulous areas, General practitioner, General practitioners, Humans, Implant, Information category, Intern, Internship and Residency, Interviewer, Journal compilation, King saud university, Knowledge translation, Kuwait university, Lower space, Lower spaces, Medical History Taking, Middle Aged, More questions, Omar, Oral maxillofac implants, Oral rehabil, Other hand, Paper patient case, Partial edentulism, Participant, Patient Care Planning, Patient treatment preferences, Place implants, Practice Patterns, Dentists', Prosthesis, Prosthodont, Prosthodontic, Prosthodontic decision, Prosthodontic practice, Prosthodontic treatment, Prosthodontist, Radiographic, Radiographic information, Relevant information, Restorative dentistry, Restorative sciences, Sample composition, Social attributes, Thematic categories, Thematic content analysis, Treatment choice, Treatment decision, Treatment decisions, Treatment dichotomization, Treatment options, Treatment planning, Treatment recommendation, Unprompted information, Young Adult.
Abstract
Summary This study explored the nature of the unprompted information that clinicians seek before making a treatment decision and whether this decision corresponded with the clinical parameters of the case. Interns, general practitioners (GP) and prosthodontists (n = 70, mean age 33 years, range 23–68) were presented with a written vignette of partial edentulism that included two spaces and were invited to ask any questions for the purpose of making a treatment recommendation. A list of 48 potential question/answer items was available to the interviewer, of which 38 were asked. These were then allotted to four thematic categories. Mean number of questions asked did not differ significantly amongst groups, although prosthodontists asked significantly more questions in the ‘clinical and radiographic information’ category than GPs (P = 0·0001) and interns (P = 0·003). The relationship between a prescribed treatment and questions asked was tested by dichotomizing all recommendations into ‘possible’ or ‘not possible’ based on the authors’ knowledge of the actual case history. There were no significant differences amongst the groups in the frequency of prescribing ‘possible’ treatment (Pearson chi‐square 0·083 and 0·108 for upper and lower spaces, respectively), but those who prescribed ‘possible’ treatment asked significantly more questions in the ‘clinical and radiographic information’ category, specifically about bone adequacy in the edentulous areas: upper jaw (P = 0·0001) and lower jaw (P = 0·003). It may be concluded that prosthodontists generally opted for more ‘possible’ treatments, as well as seeking items of information that seemed to improve the chance of making recommendations that conformed to the actual case characteristics.
Url:
DOI: 10.1111/j.1365-2842.2009.02030.x
Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term>
<term>Actual case history</term>
<term>Adult</term>
<term>Aged</term>
<term>Arch length</term>
<term>Blackwell publishing</term>
<term>Bone height</term>
<term>Clinical condition</term>
<term>Clinical guidelines</term>
<term>Clinical practice</term>
<term>Clinical skills</term>
<term>Clinician</term>
<term>Community dent</term>
<term>Conceptual analysis</term>
<term>Decision Making</term>
<term>Decision Support Techniques</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental prostheses</term>
<term>Dental prosthesis</term>
<term>Dentist factors</term>
<term>Dentistry</term>
<term>Discriminatory information</term>
<term>Edentulous areas</term>
<term>General Practice, Dental (methods)</term>
<term>General practitioner</term>
<term>General practitioners</term>
<term>Humans</term>
<term>Implant</term>
<term>Information category</term>
<term>Intern</term>
<term>Internship and Residency</term>
<term>Interviewer</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Journal compilation</term>
<term>King saud university</term>
<term>Knowledge translation</term>
<term>Kuwait university</term>
<term>Lower space</term>
<term>Lower spaces</term>
<term>Medical History Taking</term>
<term>Middle Aged</term>
<term>More questions</term>
<term>Omar</term>
<term>Oral maxillofac implants</term>
<term>Oral rehabil</term>
<term>Other hand</term>
<term>Paper patient case</term>
<term>Partial edentulism</term>
<term>Participant</term>
<term>Patient Care Planning</term>
<term>Patient treatment preferences</term>
<term>Place implants</term>
<term>Practice Patterns, Dentists'</term>
<term>Prosthesis</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic decision</term>
<term>Prosthodontic practice</term>
<term>Prosthodontic treatment</term>
<term>Prosthodontics (methods)</term>
<term>Prosthodontist</term>
<term>Radiographic</term>
<term>Radiographic information</term>
<term>Relevant information</term>
<term>Restorative dentistry</term>
<term>Restorative sciences</term>
<term>Sample composition</term>
<term>Social attributes</term>
<term>Thematic categories</term>
<term>Thematic content analysis</term>
<term>Treatment choice</term>
<term>Treatment decision</term>
<term>Treatment decisions</term>
<term>Treatment dichotomization</term>
<term>Treatment options</term>
<term>Treatment planning</term>
<term>Treatment recommendation</term>
<term>Unprompted information</term>
<term>Young Adult</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anamnèse</term>
<term>Humains</term>
<term>Internat et résidence</term>
<term>Jeune adulte</term>
<term>Modèles de pratique odontologique</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Odontologie générale ()</term>
<term>Planification des soins du patient</term>
<term>Prise de décision</term>
<term>Prosthodontie ()</term>
<term>Sujet âgé</term>
<term>Techniques d'aide à la décision</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>General Practice, Dental</term>
<term>Prosthodontics</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>Abutment</term>
<term>Actual case history</term>
<term>Adult</term>
<term>Aged</term>
<term>Arch length</term>
<term>Blackwell publishing</term>
<term>Bone height</term>
<term>Clinical condition</term>
<term>Clinical guidelines</term>
<term>Clinical practice</term>
<term>Clinical skills</term>
<term>Clinician</term>
<term>Community dent</term>
<term>Conceptual analysis</term>
<term>Decision Making</term>
<term>Decision Support Techniques</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental prostheses</term>
<term>Dental prosthesis</term>
<term>Dentist factors</term>
<term>Dentistry</term>
<term>Discriminatory information</term>
<term>Edentulous areas</term>
<term>General practitioner</term>
<term>General practitioners</term>
<term>Humans</term>
<term>Implant</term>
<term>Information category</term>
<term>Intern</term>
<term>Internship and Residency</term>
<term>Interviewer</term>
<term>Journal compilation</term>
<term>King saud university</term>
<term>Knowledge translation</term>
<term>Kuwait university</term>
<term>Lower space</term>
<term>Lower spaces</term>
<term>Medical History Taking</term>
<term>Middle Aged</term>
<term>More questions</term>
<term>Omar</term>
<term>Oral maxillofac implants</term>
<term>Oral rehabil</term>
<term>Other hand</term>
<term>Paper patient case</term>
<term>Partial edentulism</term>
<term>Participant</term>
<term>Patient Care Planning</term>
<term>Patient treatment preferences</term>
<term>Place implants</term>
<term>Practice Patterns, Dentists'</term>
<term>Prosthesis</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic decision</term>
<term>Prosthodontic practice</term>
<term>Prosthodontic treatment</term>
<term>Prosthodontist</term>
<term>Radiographic</term>
<term>Radiographic information</term>
<term>Relevant information</term>
<term>Restorative dentistry</term>
<term>Restorative sciences</term>
<term>Sample composition</term>
<term>Social attributes</term>
<term>Thematic categories</term>
<term>Thematic content analysis</term>
<term>Treatment choice</term>
<term>Treatment decision</term>
<term>Treatment decisions</term>
<term>Treatment dichotomization</term>
<term>Treatment options</term>
<term>Treatment planning</term>
<term>Treatment recommendation</term>
<term>Unprompted information</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anamnèse</term>
<term>Humains</term>
<term>Internat et résidence</term>
<term>Jeune adulte</term>
<term>Modèles de pratique odontologique</term>
<term>Odontologie générale</term>
<term>Planification des soins du patient</term>
<term>Prise de décision</term>
<term>Prosthodontie</term>
<term>Sujet âgé</term>
<term>Techniques d'aide à la décision</term>
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<front><div type="abstract">Summary This study explored the nature of the unprompted information that clinicians seek before making a treatment decision and whether this decision corresponded with the clinical parameters of the case. Interns, general practitioners (GP) and prosthodontists (n = 70, mean age 33 years, range 23–68) were presented with a written vignette of partial edentulism that included two spaces and were invited to ask any questions for the purpose of making a treatment recommendation. A list of 48 potential question/answer items was available to the interviewer, of which 38 were asked. These were then allotted to four thematic categories. Mean number of questions asked did not differ significantly amongst groups, although prosthodontists asked significantly more questions in the ‘clinical and radiographic information’ category than GPs (P = 0·0001) and interns (P = 0·003). The relationship between a prescribed treatment and questions asked was tested by dichotomizing all recommendations into ‘possible’ or ‘not possible’ based on the authors’ knowledge of the actual case history. There were no significant differences amongst the groups in the frequency of prescribing ‘possible’ treatment (Pearson chi‐square 0·083 and 0·108 for upper and lower spaces, respectively), but those who prescribed ‘possible’ treatment asked significantly more questions in the ‘clinical and radiographic information’ category, specifically about bone adequacy in the edentulous areas: upper jaw (P = 0·0001) and lower jaw (P = 0·003). It may be concluded that prosthodontists generally opted for more ‘possible’ treatments, as well as seeking items of information that seemed to improve the chance of making recommendations that conformed to the actual case characteristics.</div>
</front>
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