An analysis of the scientific basis for the radiographic guideline for new edentulous patients.
Identifieur interne : 009928 ( Ncbi/Checkpoint ); précédent : 009927; suivant : 009929An analysis of the scientific basis for the radiographic guideline for new edentulous patients.
Auteurs : S L Kogon [Canada] ; R G Stephens ; R N BohaySource :
- Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics [ 1079-2104 ] ; 1997.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Mouth, Edentulous.
- utilization : Radiography, Panoramic.
- American Dental Association, Evaluation Studies as Topic, Evidence-Based Medicine, Humans, Practice Guidelines as Topic, United States, United States Food and Drug Administration.
Abstract
The FDA Radiology Guideline for the new edentulous patient recommends an initial survey of the arches. In the process of developing this recommendation, the expert panel reviewed the available literature and concluded that there was sufficient evidence to warrant screening radiography rather than selective radiography, which is the principle on which all the other recommendations are based. Our evaluation of the literature used by the panel for the edentulous recommendation identifies critical errors in the analysis of the data. Factors such as a vague definition of abnormality and a geographically diverse sample population might have led the expert panel to suggest a very conservative recommendation for this group of patients. The recommendation failed to consider the treatment impact of findings and was based simply on the large number of observations, regardless of their treatment or pathologic significance. However, in studies in which treatment is considered, it is clear that screening radiography for new edentulous patients does not yield sufficient clinically relevant information to support the guideline.
PubMed: 9159824
Affiliations:
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sortKey="Kogon, S L" sort="Kogon, S L" uniqKey="Kogon S" first="S L" last="Kogon">S L Kogon</name><affiliation wicri:level="3"><nlm:affiliation>Division of Oral Medicine and Radiology, University of Western Ontario, London, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Oral Medicine and Radiology, University of Western Ontario, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Stephens, R G" sort="Stephens, R G" uniqKey="Stephens R" first="R G" last="Stephens">R G Stephens</name></author><author><name sortKey="Bohay, R N" sort="Bohay, R N" uniqKey="Bohay R" first="R N" last="Bohay">R N Bohay</name></author></analytic><series><title level="j">Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics</title><idno 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sujet</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Radiographie panoramique</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Radiography, Panoramic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>American Dental Association</term><term>Evaluation Studies as Topic</term><term>Evidence-Based Medicine</term><term>Humans</term><term>Practice Guidelines as Topic</term><term>United States</term><term>United States Food and Drug Administration</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Association dentaire américaine</term><term>Food and Drug Administration (USA)</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Médecine factuelle</term><term>États-Unis d'Amérique</term><term>Études d'évaluation comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The FDA Radiology Guideline for the new edentulous patient recommends an initial survey of the arches. In the process of developing this recommendation, the expert panel reviewed the available literature and concluded that there was sufficient evidence to warrant screening radiography rather than selective radiography, which is the principle on which all the other recommendations are based. Our evaluation of the literature used by the panel for the edentulous recommendation identifies critical errors in the analysis of the data. Factors such as a vague definition of abnormality and a geographically diverse sample population might have led the expert panel to suggest a very conservative recommendation for this group of patients. The recommendation failed to consider the treatment impact of findings and was based simply on the large number of observations, regardless of their treatment or pathologic significance. However, in studies in which treatment is considered, it is clear that screening radiography for new edentulous patients does not yield sufficient clinically relevant information to support the guideline.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Bohay, R N" sort="Bohay, R N" uniqKey="Bohay R" first="R N" last="Bohay">R N Bohay</name><name sortKey="Stephens, R G" sort="Stephens, R G" uniqKey="Stephens R" first="R G" last="Stephens">R G Stephens</name></noCountry><country name="Canada"><region name="Angleterre"><name sortKey="Kogon, S L" sort="Kogon, S L" uniqKey="Kogon S" first="S L" last="Kogon">S L Kogon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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