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What are the important outcomes in traumatic dental injuries? An international approach to the development of a core outcome set.
Department of Paediatric Dentistry, School of Dentistry, University of Leeds, Leeds, UK.
Department of Paediatric Dentistry, School of Dentistry, University of Leeds, Leeds, UK.
Departments of Orthodontics, Eastman Dental Hospital and Croydon University Hospital, London, UK.
Department of Restorative Dentistry, Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia.
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2018 (English)In: Dental Traumatology, ISSN 1600-4469, E-ISSN 1600-9657, Vol. 34, no 1, p. 4-11Article in journal (Refereed) Published
Abstract [en]

Background/Aims: There are numerous treatment options following traumatic dental injury (TDI). Systematic reviews of different treatments are challenging owing to the diversity of outcomes reported between clinical studies. This issue could be addressed through the development and implementation of a agreed and standardized collection of outcomes known as a core outcome set (COS). The aim of this study was to develop a COS for TDI in children and adults. The secondary aim was to establish what, how, when and by whom these outcomes should be measured. Materials and Method: The project was registered with Core Outcomes Measures in Effectiveness Trials (COMET). A web‐based survey was developed to capture the opinions of dentists globally as to which outcomes should be recorded. A list of outcomes was entered into a Delphi Survey and scored by an Expert Working Group (EWG). The scoring was repeated, followed by conference calls to discuss, refine and finalize the COS. The EWG split into small groups of subject‐specific experts to determine how, when and by whom each outcome would be measured. Results: The questionnaire was completed by 1476 dentists. The EWG identified 13 core outcomes to be recorded for all TDI's. An additional 10 injury‐specific outcomes were identified. A table has been produced for each outcome detailing what, when, and how each outcome should be recorded. Conclusions: A robust consensus process was used to develop an international COS for TDI in children and adults. This includes both generic and injury‐specific outcomes across all identified domains.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 34, no 1, p. 4-11
Keywords [en]
dento-alveolar trauma, diagnosis, prognosis, record, treatment, Consensus, Delphi Technique, Endpoint Determination, Humans, Internationality, Outcome Assessment (Health Care), Prospective Studies, Research Design, Surveys and Questionnaires, Tooth Injuries
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Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-6713DOI: 10.1111/edt.12367ISI: 000423375300002PubMedID: 28873277Scopus ID: 2-s2.0-85034235310Local ID: 27256OAI: oai:DiVA.org:mau-6713DiVA, id: diva2:1403663
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-09-18Bibliographically approved

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