Patients' Values in Clinical Decision-Making

Faggion, Clóvis Mariano; Pachur, Thorsten; Giannakopoulos, Nikolaos Nikitas

doi:10.1016/j.jebdp.2017.03.011

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…Evidenced-Based Medicine (EBM) has been regarded as a major landmark during the progression of medicine. 1 As a combination of research evidence, clinical expertise and patient preferences, 2,3 EBM aims to enable the safe, reliable and cost-efficient delivery of healthcare to patients. 4,5 However, the practice of EBM has been associated with challenges in all domains of healthcare because of the explosive growth of articles published.…”

Section: Introductionmentioning

confidence: 99%

The Characteristics and Level of Evidence of Clinical Studies Published in 5 Leading Orthodontic Journals

Chen

Hua

Yan

et al. 2019

Journal of Evidence Based Dental Practice

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Objectives: To assess the characteristics and level of evidence (LOE) of clinical studies recently published in leading orthodontic journals, and explore the association between LOE and potentially related factors. Methods: The official online archives of five leading orthodontic journals were handsearched to identify clinical research articles published during 2015 to 2017. The LOE of all included studies was assessed using a modified LOE classification system developed based on the Oxford LOE and GRADE (Grading of Recommendations Assessment, Development and Evaluation). Univariable and multivariable logistic regression analyses were performed to identify the association between the LOE of each article (high LOE vs. low LOE) and 7 factors. Results: A total of 637 studies were included and assessed. Of these, 8 (1.3%) were level-1 studies, 160 (25.1%) were level-2, 326 (51.2%) were level-3, and 143 (22.4%) were level-4. According to multivariable logistic regression analyses, journal of publication (P<0.001), funding status (P=0.003), and the geographic origin of the first author (P=0.006) were significantly associated with LOE. Conclusions: The number of high LOE studies in leading orthodontic journals was limited. There is still need for further improvement in the overall LOE of clinical studies in orthodontics.

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Section: Introductionmentioning

confidence: 99%

The Characteristics and Level of Evidence of Clinical Studies Published in 5 Leading Orthodontic Journals

Chen

Hua

Yan

et al. 2019

Journal of Evidence Based Dental Practice

View full text Add to dashboard Cite

show abstract

“…For effective implementation of EBM, some level of interaction between the physician and the patient is needed for both parties to understand concepts that may influence shared decisions. The process of decision making aims to bridge the gap in understanding of the therapy choices between the clinician and the patient, the physician being in a position to explain the potential benefits and risks of choices and is also expected to work through with the patient values, expectations, and past experiences all of which may play an overarching influence in the shared decision‐making process 26 . In our study, two‐thirds of respondents did not think EBM involved this process.…”

Section: Discussionmentioning

confidence: 76%

Is evidence‐based medicine a mirage in resource‐constrained settings? A survey among resident doctors in selected teaching hospitals in Nigeria

Bello

Ajayi

Bamgboye

et al. 2020

J Evidence Based Medicine

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Aim The study aimed to assess the self‐rated knowledge, attitude toward, and practice (KAP) of evidence‐based medicine (EBM) among resident doctors in Nigeria. Methods This was a cross‐sectional web‐based survey among 238 resident doctors in four selected teaching hospitals in southern Nigeria. Survey questionnaire contained items assessing the KAP of EBM, familiarity with and understanding of key EBM terms, the use of EBM in decision making, barriers militating against EBM and ways to improve EBM adoption. Proportions and summary statistics were reported for the distribution of survey items. Results Mean number of years in clinical practice was 9.3 ± 4.5 years. Respondents were uniformly distributed in major clinical specialties. The majority (70.5%) were senior registrars. Respondents’ understanding of EBM components included; current best clinical evidence (98.3%), clinical expertise (65.5%), and patients’ choices (36.6%). Self‐rated familiarity with EBM terms was high while perceived understanding of the terms was lower. The least understood concept was heterogeneity (20.6%). The attitude toward EBM was generally positive. Only about half (53.6%) had used medical bibliographic databases within the last 6 months prior to the survey. Barriers against EBM included lack of time (47.1%) and lack of requisite skills (32.4%). Suggestions to improve EBM adoption included training (58.1%), provision of free Wi‐Fi, and free access to bibliographic databases (25.2%) and increased political will (23.1%). Conclusion A further understanding of the EBM concept, provision of enabling infrastructure, regular clinical audit and advocacy to hospital management and clinical consultants, may improve the level of adoption of EBM.

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“…In addition, like in other dental specialties, for each orthodontic problem there usually exist multiple therapies / techniques that can be considered. 31 Examples include different types of appliances (e.g. conventional brackets, self-ligating brackets, clear aligners), methods to relieve crowding (e.g.…”

Section: Shared Decision-making In Orthodontic Practicementioning

confidence: 99%

“…Furthermore, in order to achieve and improve SDM, we need more patient-centered research that can reduce the gap in knowledge and perceptions between clinicians and patients, providing research evidence that is suitable for patients to understand. 31 Promoting the use of dPROs in orthodontic research could be one step further towards the provision of such a patient-centered evidence base. 25 Dental Patient-Reported Outcomes and Dental Patient-Reported Outcome Measures dPROs, a term recently coined by John, 40 are defined as "any report of the status of a patient's oral health condition that comes directly from the patient, without interpretation of the patient's response by a clinician or anyone else."…”

Section: Patient-centered Research and Patient-centered Outcomesmentioning

confidence: 99%

Increasing the Value of Orthodontic Research Through the Use of Dental Patient-Reported Outcomes

Hua

2019

Journal of Evidence Based Dental Practice

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Patients' Values in Clinical Decision-Making

Cited by 7 publications

References 30 publications

The Characteristics and Level of Evidence of Clinical Studies Published in 5 Leading Orthodontic Journals

The Characteristics and Level of Evidence of Clinical Studies Published in 5 Leading Orthodontic Journals

Is evidence‐based medicine a mirage in resource‐constrained settings? A survey among resident doctors in selected teaching hospitals in Nigeria

Increasing the Value of Orthodontic Research Through the Use of Dental Patient-Reported Outcomes

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