TY - JOUR
T1 - Developing a Standard Set of Patient-centred Outcomes for Adult Oral Health – An International, Cross-disciplinary Consensus
AU - Riordain, Richeal Ni
AU - Glick, Michael
AU - Mashhadani, Shiamaa Shihab Ahmed Al
AU - Aravamudhan, Krishna
AU - Barrow, Jane
AU - Cole, Deborah
AU - Crall, James J.
AU - Gallagher, Jennifer E.
AU - Gibson, Jacqui
AU - Hegde, Shalika
AU - Kaberry, Rebekah
AU - Kalenderian, Elsbeth
AU - Karki, Anup
AU - Celeste, Roger Keller
AU - Listl, Stefan
AU - Myers, Stacie N.
AU - Niederman, Richard
AU - Severin, Tania
AU - Smith, Mark W.
AU - Murray Thomson, W.
AU - Tsakos, Georgios
AU - Vujicic, Marko
AU - Watt, Richard G.
AU - Whittaker, Sarah
AU - Williams, David M.
N1 - Funding Information:
The authors acknowledge the contribution of subject matter experts, Professor Nigel Pitts and Professor Iain Chapple. The authors acknowledge the FDI’s Vision 2020 Partners 3M, GC, GSK, Henry Schein, Ivoclar Vivadent, Morita, Unilever and Wrigley for the unrestricted funds they provide in support of FDI’s advocacy strategy. This funding was not specific to the ICHOM‐FDI collaboration nor did any of the partners have input into study design, content of the study or the content of the manuscript. The authors also acknowledge Dental Health Services Victoria (DHSV), Harvard School of Dental Medicine (HSDM) Initiative, and the HCF Research Foundation for their vision and financial support towards ICHOM’s contributions in this project.
Publisher Copyright:
© 2021
PY - 2021/2
Y1 - 2021/2
N2 - Objective: To develop a minimum Adult Oral Health Standard Set (AOHSS) for use in clinical practice, research, advocacy and population health. Materials and methods: An international oral health working group (OHWG) was established, of patient advocates, researchers, clinicians and public health experts to develop an AOHSS. PubMed was searched for oral health clinical and patient-reported measures and case-mix variables related to caries and periodontal disease. The selected patient-reported outcome measures focused on general oral health, and oral health-related quality of life tools. A consensus was reached via Delphi with parallel consultation of subject matter content experts. Finally, comments and input were elicited from oral health stakeholders globally, including patients/consumers. Results: The literature search yielded 1,453 results. After inclusion/exclusion criteria, 959 abstracts generated potential outcomes and case-mix variables. Delphi rounds resulted in a consensus-based selection of 80 individual items capturing 31 outcome and case-mix concepts. Global reviews generated 347 responses from 87 countries, and the patient/consumer validation survey elicited 129 responses. This AOHSS includes 25 items directed towards patients (including demographics, the impact of their oral health on oral function, a record of pain and oral hygiene practices, and financial implications of care) and items for clinicians to complete, including medical history, a record of caries and periodontal disease activity, and types of dental treatment delivered. Conclusion: In conclusion, utilising a robust methodology, a standardised core set of oral health outcome measures for adults, with a particular emphasis on caries and periodontal disease, was developed.
AB - Objective: To develop a minimum Adult Oral Health Standard Set (AOHSS) for use in clinical practice, research, advocacy and population health. Materials and methods: An international oral health working group (OHWG) was established, of patient advocates, researchers, clinicians and public health experts to develop an AOHSS. PubMed was searched for oral health clinical and patient-reported measures and case-mix variables related to caries and periodontal disease. The selected patient-reported outcome measures focused on general oral health, and oral health-related quality of life tools. A consensus was reached via Delphi with parallel consultation of subject matter content experts. Finally, comments and input were elicited from oral health stakeholders globally, including patients/consumers. Results: The literature search yielded 1,453 results. After inclusion/exclusion criteria, 959 abstracts generated potential outcomes and case-mix variables. Delphi rounds resulted in a consensus-based selection of 80 individual items capturing 31 outcome and case-mix concepts. Global reviews generated 347 responses from 87 countries, and the patient/consumer validation survey elicited 129 responses. This AOHSS includes 25 items directed towards patients (including demographics, the impact of their oral health on oral function, a record of pain and oral hygiene practices, and financial implications of care) and items for clinicians to complete, including medical history, a record of caries and periodontal disease activity, and types of dental treatment delivered. Conclusion: In conclusion, utilising a robust methodology, a standardised core set of oral health outcome measures for adults, with a particular emphasis on caries and periodontal disease, was developed.
KW - Oral health
KW - Outcome measures
KW - Patient outcome assessment
KW - Quality of life
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U2 - 10.1111/idj.12604
DO - 10.1111/idj.12604
M3 - Article
C2 - 33616051
AN - SCOPUS:85087445857
VL - 71
SP - 40
EP - 52
JO - International Dental Journal
JF - International Dental Journal
SN - 0020-6539
IS - 1
ER -