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Subjective and objective perception of orthodontic treatment need: a systematic review

机译:正畸治疗需求的主观和客观理解:系统评价

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摘要

The aim of this work was to investigate the published evidence on the comparison of self-perception and diagnosis of orthodontic treatment need. A search of Cochrane Library, MEDLINE, Scopus databases, and archives of two orthodontic journals was carried out from January 1966 to August 2011 by the two authors using Medical Subject Heading terms. Studies that investigated solely either self-perception of orthodontic need by laypersons or assessment of orthodontic need by professionals were excluded from the data analysis. The methodological soundness of each study and the aggregate level of evidence were evaluated according to predetermined criteria. Moderate level of evidence, the relatively highest grade, was assigned to 9.1 per cent of the 22 studies, finally included in the data analysis. The overall evidence level provided by the evaluated publications was rated as limited. However, the existing body of evidence indicated a highly variable association between self-perception of orthodontic treatment need and orthodontist's assessment. Future controlled studies with well-defined samples and common assessment methodology will clarify further the relationship between perception of treatment need by laypersons and orthodontists and enhance international comparison and development of health care strategies
机译:这项工作的目的是调查有关自我感知和正畸治疗需求诊断的比较的公开证据。两位作者从1966年1月至2011年8月使用医学主题词对Cochrane图书馆,MEDLINE,Scopus数据库和两种正畸期刊的档案进行了搜索。数据分析不包括仅调查外行人对正畸需求的自我认知或由专业人员评估正畸需求的研究。根据预定标准评估了每项研究的方法论健全性和综合证据水平。中等水平的证据(相对较高的等级)被分配给22项研究中的9.1%,最后纳入数据分析。被评估出版物提供的总体证据水平被评为有限。但是,现有证据表明,对正畸治疗需求的自我认知与正畸医生的评估之间存在高度可变的关联。未来通过明确定义的样本和通用评估方法进行的对照研究将进一步阐明非专业人士和正畸医生对治疗需求的看法之间的关系,并加强国际比较和制定医疗策略

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