Prosthodontic decision-making: what unprompted information do dentists seek before prescribing treatment?
Identifieur interne : 001A95 ( PubMed/Curation ); précédent : 001A94; suivant : 001A96Prosthodontic decision-making: what unprompted information do dentists seek before prescribing treatment?
Auteurs : R. Omar [Koweït] ; R. AkeelSource :
- Journal of oral rehabilitation [ 1365-2842 ] ; 2010.
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 :
- Adult, Aged, Decision Making, Decision Support Techniques, General Practice, Dental (methods), Humans, Internship and Residency, Jaw, Edentulous, Partially (rehabilitation), Medical History Taking, Middle Aged, Patient Care Planning, Practice Patterns, Dentists', Prosthodontics (methods), Young Adult.
- MESH :
Abstract
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.
DOI: 10.1111/j.1365-2842.2009.02030.x
PubMed: 20409128
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Omar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait. romar.k@hsc.edu.kw</nlm:affiliation><country xml:lang="fr">Koweït</country><wicri:regionArea>Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Safat</wicri:regionArea></affiliation></author><author><name sortKey="Akeel, R" sort="Akeel, R" uniqKey="Akeel R" first="R" last="Akeel">R. Akeel</name></author></analytic><series><title level="j">Journal of oral rehabilitation</title><idno type="eISSN">1365-2842</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Decision Making</term><term>Decision Support Techniques</term><term>General Practice, Dental (methods)</term><term>Humans</term><term>Internship and Residency</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Medical History Taking</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Practice Patterns, Dentists'</term><term>Prosthodontics (methods)</term><term>Young Adult</term></keywords><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></keywords><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="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Decision Making</term><term>Decision Support Techniques</term><term>Humans</term><term>Internship and Residency</term><term>Medical History Taking</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Practice Patterns, Dentists'</term><term>Young Adult</term></keywords><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></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20409128</PMID><DateCompleted><Year>2010</Year><Month>07</Month><Day>21</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1365-2842</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>1</Issue><PubDate><Year>2010</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of oral rehabilitation</Title><ISOAbbreviation>J Oral Rehabil</ISOAbbreviation></Journal><ArticleTitle>Prosthodontic decision-making: what unprompted information do dentists seek before prescribing treatment?</ArticleTitle><Pagination><MedlinePgn>69-77</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1365-2842.2009.02030.x</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Omar</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait. romar.k@hsc.edu.kw</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Akeel</LastName><ForeName>R</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Oral Rehabil</MedlineTA><NlmUniqueID>0433604</NlmUniqueID><ISSNLinking>0305-182X</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="Y">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003661" MajorTopicYN="N">Decision Support Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005792" MajorTopicYN="N">General Practice, Dental</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007396" MajorTopicYN="N">Internship and Residency</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008487" MajorTopicYN="Y">Medical History Taking</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010347" MajorTopicYN="Y">Patient Care Planning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019239" MajorTopicYN="Y">Practice Patterns, Dentists'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011476" MajorTopicYN="N">Prosthodontics</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>7</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20409128</ArticleId><ArticleId IdType="pii">JOR2030</ArticleId><ArticleId IdType="doi">10.1111/j.1365-2842.2009.02030.x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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