Dental patient-reported outcomes in endodontics - a narrative review

Nagendrababu, Venkateshbabu, Vinothkumar, Thilla Sekar, El-Karim, Ikhlas, Rossi-Fedele, Giampiero, Dogramaci, Esma J., Dummer, Paul M. H. ORCID: https://orcid.org/0000-0002-0726-7467 and Duncan, Henry F. 2023. Dental patient-reported outcomes in endodontics - a narrative review. Journal of Evidence-Based Dental Practice 23 (1) , 101805. 10.1016/j.jebdp.2022.101805

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Abstract

Recently in oral healthcare settings, the focus of assessing treatment outcomes has shifted from the perspective of the clinician towards that of the patient. Endodontology is a specialty of dentistry concerned with the prevention and treatment of pulp and periapical diseases. Research in endodontology and its associated treatment outcomes have focused mainly on clinician-reported outcomes (CROs) and not patient-reported outcomes (PROs). As a result, there is a need to emphasize the importance and relevance of dPROs to researchers and clinicians. The aim of this review is to present an overview of dPROs and dPROMs within clinical endodontics in an attempt to create a better understanding of the patient experience, highlight the need to place the patient at the center of treatment, enhance patient care and encourage more research into dPROs. The key dPROs following endodontic treatment include pain, tenderness, tooth function, need for further intervention, adverse effects (exacerbation of symptoms, tooth discoloration) and Oral Health–Related Quality of Life. dPROs are important following endodontic treatment because they assist clinicians and patients when they discuss and select the most appropriate management options, help clinicians make decisions on pre-operative assessment, prevention and treatment, and improve the methodology and design of future clinical studies. Clinicians and researchers in endodontology should prioritize patient welfare and undertake routine analyses of dPROs using appropriate and robust measures. Due to the lack of agreement over the reporting and definition of endodontic treatment outcomes, a project to define a "Core Outcome Set for Endodontic Treatment Methods (COSET)" is currently ongoing. In the future, a new and exclusive assessment tool should be developed to reflect the viewpoints of patients receiving endodontic treatment more accurately.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Elsevier
ISSN:	1532-3382
Date of First Compliant Deposit:	28 November 2022
Date of Acceptance:	15 November 2022
Last Modified:	15 Nov 2023 18:22
URI:	https://orca.cardiff.ac.uk/id/eprint/154510

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